Effectiveness of a Primary Care Telerehabilitation Program for Post-COVID-19 Patients: A Feasibility Study
In many health systems, it is difficult to carry out traditional rehabilitation programs as the systems are stressed. We evaluate the effectiveness of a telerehabilitation program conducted in primary care in post-COVID-19 patients. An observational, prospective study was conducted in seven primary...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/19/4428 |
| _version_ | 1797516220794142720 |
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| author | Marcelo Dalbosco-Salas Rodrigo Torres-Castro Andrés Rojas Leyton Franco Morales Zapata Elisabeth Henríquez Salazar Gabriel Espinoza Bastías María Elizabeth Beltrán Díaz Kris Tapia Allers Daniela Mornhinweg Fonseca Jordi Vilaró |
| author_facet | Marcelo Dalbosco-Salas Rodrigo Torres-Castro Andrés Rojas Leyton Franco Morales Zapata Elisabeth Henríquez Salazar Gabriel Espinoza Bastías María Elizabeth Beltrán Díaz Kris Tapia Allers Daniela Mornhinweg Fonseca Jordi Vilaró |
| author_sort | Marcelo Dalbosco-Salas |
| collection | DOAJ |
| description | In many health systems, it is difficult to carry out traditional rehabilitation programs as the systems are stressed. We evaluate the effectiveness of a telerehabilitation program conducted in primary care in post-COVID-19 patients. An observational, prospective study was conducted in seven primary care centers in Chile. We included adult patients (>18 years) with a previous SARS-CoV-2 infection. The telerehabilitation program consisted of 24 sessions of supervised home-based exercise training. The efficacy was measured by the 1-min sit-to-stand test (1-min STST), the 36-Item Short Form Health Survey (SF-36), fatigue, and dyspnea symptoms before and after intervention. We included 115 patients (55.4% female) with a mean age of 55.6 ± 12.7 years. Fifty-seven patients (50%) had antecedents of hospitalization, and 35 (30.4%) were admitted to the ICU. The 1-min STST was improved after the intervention from 20.5 ± 10.2 (53.1 ± 25.0%predicted) to 29.4 ± 11.9 (78.2 ± 28.0%predicted) repetitions (<i>p</i> < 0.001). The SF-36 global score improved significantly from 39.6 ± 17.6 to 58.9 ± 20.5. Fatigue and dyspnea improved significantly after the intervention. Although limited by the absence of a control group, this report showed that a telerehabilitation program applied in primary health care is feasible and was effective in improving physical capacity, quality of life and symptoms in adult survivors of COVID-19. |
| first_indexed | 2024-03-10T06:58:12Z |
| format | Article |
| id | doaj.art-adb288111cdf43718e06918d0629b53a |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T06:58:12Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-adb288111cdf43718e06918d0629b53a2023-11-22T16:19:20ZengMDPI AGJournal of Clinical Medicine2077-03832021-09-011019442810.3390/jcm10194428Effectiveness of a Primary Care Telerehabilitation Program for Post-COVID-19 Patients: A Feasibility StudyMarcelo Dalbosco-Salas0Rodrigo Torres-Castro1Andrés Rojas Leyton2Franco Morales Zapata3Elisabeth Henríquez Salazar4Gabriel Espinoza Bastías5María Elizabeth Beltrán Díaz6Kris Tapia Allers7Daniela Mornhinweg Fonseca8Jordi Vilaró9Dirección de Salud de San Bernardo, Santiago 8070894, ChileDepartment of Physical Therapy, Faculty of Medicine, University of Chile, Santiago 8380453, ChileCESFAM Joan Alsina, San Bernardo, Santiago 8080429, ChileCESFAM Raúl Brañes, San Bernardo, Santiago 8051991, ChileCESFAM Carol Urzúa, San Bernardo, Santiago 8070175, ChileCESFAM El Manzano, San Bernardo, Santiago 8051031, ChileCESFAM Confraternidad, San Bernardo, Santiago 8051919, ChileCESFAM Raúl Cuevas, San Bernardo, Santiago 8071895, ChileCESFAM Juan Pablo II, San Bernardo, Santiago 8053211, ChileInternational Physiotherapy Research Network (PhysioEvidence), 08025 Barcelona, SpainIn many health systems, it is difficult to carry out traditional rehabilitation programs as the systems are stressed. We evaluate the effectiveness of a telerehabilitation program conducted in primary care in post-COVID-19 patients. An observational, prospective study was conducted in seven primary care centers in Chile. We included adult patients (>18 years) with a previous SARS-CoV-2 infection. The telerehabilitation program consisted of 24 sessions of supervised home-based exercise training. The efficacy was measured by the 1-min sit-to-stand test (1-min STST), the 36-Item Short Form Health Survey (SF-36), fatigue, and dyspnea symptoms before and after intervention. We included 115 patients (55.4% female) with a mean age of 55.6 ± 12.7 years. Fifty-seven patients (50%) had antecedents of hospitalization, and 35 (30.4%) were admitted to the ICU. The 1-min STST was improved after the intervention from 20.5 ± 10.2 (53.1 ± 25.0%predicted) to 29.4 ± 11.9 (78.2 ± 28.0%predicted) repetitions (<i>p</i> < 0.001). The SF-36 global score improved significantly from 39.6 ± 17.6 to 58.9 ± 20.5. Fatigue and dyspnea improved significantly after the intervention. Although limited by the absence of a control group, this report showed that a telerehabilitation program applied in primary health care is feasible and was effective in improving physical capacity, quality of life and symptoms in adult survivors of COVID-19.https://www.mdpi.com/2077-0383/10/19/4428telerehabilitationCOVID-19physical capacityquality of lifefatiguedyspnea |
| spellingShingle | Marcelo Dalbosco-Salas Rodrigo Torres-Castro Andrés Rojas Leyton Franco Morales Zapata Elisabeth Henríquez Salazar Gabriel Espinoza Bastías María Elizabeth Beltrán Díaz Kris Tapia Allers Daniela Mornhinweg Fonseca Jordi Vilaró Effectiveness of a Primary Care Telerehabilitation Program for Post-COVID-19 Patients: A Feasibility Study Journal of Clinical Medicine telerehabilitation COVID-19 physical capacity quality of life fatigue dyspnea |
| title | Effectiveness of a Primary Care Telerehabilitation Program for Post-COVID-19 Patients: A Feasibility Study |
| title_full | Effectiveness of a Primary Care Telerehabilitation Program for Post-COVID-19 Patients: A Feasibility Study |
| title_fullStr | Effectiveness of a Primary Care Telerehabilitation Program for Post-COVID-19 Patients: A Feasibility Study |
| title_full_unstemmed | Effectiveness of a Primary Care Telerehabilitation Program for Post-COVID-19 Patients: A Feasibility Study |
| title_short | Effectiveness of a Primary Care Telerehabilitation Program for Post-COVID-19 Patients: A Feasibility Study |
| title_sort | effectiveness of a primary care telerehabilitation program for post covid 19 patients a feasibility study |
| topic | telerehabilitation COVID-19 physical capacity quality of life fatigue dyspnea |
| url | https://www.mdpi.com/2077-0383/10/19/4428 |
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