The effectiveness of POST-DISCHARGE telerehabilitation practices in COVID-19 patients: Tele-COVID study-randomized controlled trial

AIMS: We aimed to investigate the effectiveness of a telerehabilitation exercise program performed without requiring any special equipment on the physical condition of COVID-19 subjects. SETTINGS AND DESIGN: This was a randomized controlled study. METHODS: This study included subjects with a history...

Full description

Bibliographic Details
Main Authors: Esra Pehlivan, İsmail Palalı, Sibel Gayretli Atan, Demet Turan, Halit Çınarka, Erdoğan Çetinkaya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Annals of Thoracic Medicine
Subjects:
Online Access:http://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2022;volume=17;issue=2;spage=110;epage=117;aulast=Pehlivan
_version_ 1828847861348958208
author Esra Pehlivan
İsmail Palalı
Sibel Gayretli Atan
Demet Turan
Halit Çınarka
Erdoğan Çetinkaya
author_facet Esra Pehlivan
İsmail Palalı
Sibel Gayretli Atan
Demet Turan
Halit Çınarka
Erdoğan Çetinkaya
author_sort Esra Pehlivan
collection DOAJ
description AIMS: We aimed to investigate the effectiveness of a telerehabilitation exercise program performed without requiring any special equipment on the physical condition of COVID-19 subjects. SETTINGS AND DESIGN: This was a randomized controlled study. METHODS: This study included subjects with a history of hospitalization with a diagnosis of COVID-19 and discharged within 4 weeks. The subjects were divided into two groups randomly, namely telerehabilitation group (TeleGr, n = 17) or control group (CGr, n = 17). The TeleGr received breathing and range of motion exercises, active cycle of breathing technique, and an aerobic training 3 days a week for 6 weeks, while CGr received an exercise brochure with the same content. Subjects were evaluated using the modified Medical Research Council (mMRC) dyspnea score for dyspnea, 30 s sit-to-stand test (30STS) and short physical performance battery (SPPB) to determine their physical status, Saint George Respiratory Questionnaire (SGRQ) to assess quality of their life, and Beck Depression Inventory. All evaluations were carried out at home using videoconferencing. RESULTS: A significant improvement was observed in TelerGr in terms of mMRC (P= 0.035), 30STS (P= 0.005), 5 sit-to-stand time which is one of the subtests of SPPB (P = 0.039) and SGRQ scores. Significant improvement was observed only in the pain score in the CGr (P = 0.039). There was a statistically significant difference between the groups in SGRQ activity (P = 0.035) and total (P = 0.042) scores. In addition, more symptomatic improvement was found in TeleGr. CONCLUSION: Telerehabilitation exercise program with less technical equipment is a good alternative treatment method for COVID-19 subjects, which improves the quality of life and symptomatic status of subjects. Clinical Trial Registration Number: nct04402983
first_indexed 2024-12-12T22:17:37Z
format Article
id doaj.art-ff6820d76bb6489f91b698308042aac5
institution Directory Open Access Journal
issn 1817-1737
1998-3557
language English
last_indexed 2024-12-12T22:17:37Z
publishDate 2022-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Annals of Thoracic Medicine
spelling doaj.art-ff6820d76bb6489f91b698308042aac52022-12-22T00:10:01ZengWolters Kluwer Medknow PublicationsAnnals of Thoracic Medicine1817-17371998-35572022-01-0117211011710.4103/atm.atm_543_21The effectiveness of POST-DISCHARGE telerehabilitation practices in COVID-19 patients: Tele-COVID study-randomized controlled trialEsra Pehlivanİsmail PalalıSibel Gayretli AtanDemet TuranHalit ÇınarkaErdoğan ÇetinkayaAIMS: We aimed to investigate the effectiveness of a telerehabilitation exercise program performed without requiring any special equipment on the physical condition of COVID-19 subjects. SETTINGS AND DESIGN: This was a randomized controlled study. METHODS: This study included subjects with a history of hospitalization with a diagnosis of COVID-19 and discharged within 4 weeks. The subjects were divided into two groups randomly, namely telerehabilitation group (TeleGr, n = 17) or control group (CGr, n = 17). The TeleGr received breathing and range of motion exercises, active cycle of breathing technique, and an aerobic training 3 days a week for 6 weeks, while CGr received an exercise brochure with the same content. Subjects were evaluated using the modified Medical Research Council (mMRC) dyspnea score for dyspnea, 30 s sit-to-stand test (30STS) and short physical performance battery (SPPB) to determine their physical status, Saint George Respiratory Questionnaire (SGRQ) to assess quality of their life, and Beck Depression Inventory. All evaluations were carried out at home using videoconferencing. RESULTS: A significant improvement was observed in TelerGr in terms of mMRC (P= 0.035), 30STS (P= 0.005), 5 sit-to-stand time which is one of the subtests of SPPB (P = 0.039) and SGRQ scores. Significant improvement was observed only in the pain score in the CGr (P = 0.039). There was a statistically significant difference between the groups in SGRQ activity (P = 0.035) and total (P = 0.042) scores. In addition, more symptomatic improvement was found in TeleGr. CONCLUSION: Telerehabilitation exercise program with less technical equipment is a good alternative treatment method for COVID-19 subjects, which improves the quality of life and symptomatic status of subjects. Clinical Trial Registration Number: nct04402983http://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2022;volume=17;issue=2;spage=110;epage=117;aulast=Pehlivandepressionexercisepandemicphysiotherapyquality of liferehabilitation
spellingShingle Esra Pehlivan
İsmail Palalı
Sibel Gayretli Atan
Demet Turan
Halit Çınarka
Erdoğan Çetinkaya
The effectiveness of POST-DISCHARGE telerehabilitation practices in COVID-19 patients: Tele-COVID study-randomized controlled trial
Annals of Thoracic Medicine
depression
exercise
pandemic
physiotherapy
quality of life
rehabilitation
title The effectiveness of POST-DISCHARGE telerehabilitation practices in COVID-19 patients: Tele-COVID study-randomized controlled trial
title_full The effectiveness of POST-DISCHARGE telerehabilitation practices in COVID-19 patients: Tele-COVID study-randomized controlled trial
title_fullStr The effectiveness of POST-DISCHARGE telerehabilitation practices in COVID-19 patients: Tele-COVID study-randomized controlled trial
title_full_unstemmed The effectiveness of POST-DISCHARGE telerehabilitation practices in COVID-19 patients: Tele-COVID study-randomized controlled trial
title_short The effectiveness of POST-DISCHARGE telerehabilitation practices in COVID-19 patients: Tele-COVID study-randomized controlled trial
title_sort effectiveness of post discharge telerehabilitation practices in covid 19 patients tele covid study randomized controlled trial
topic depression
exercise
pandemic
physiotherapy
quality of life
rehabilitation
url http://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2022;volume=17;issue=2;spage=110;epage=117;aulast=Pehlivan
work_keys_str_mv AT esrapehlivan theeffectivenessofpostdischargetelerehabilitationpracticesincovid19patientstelecovidstudyrandomizedcontrolledtrial
AT ismailpalalı theeffectivenessofpostdischargetelerehabilitationpracticesincovid19patientstelecovidstudyrandomizedcontrolledtrial
AT sibelgayretliatan theeffectivenessofpostdischargetelerehabilitationpracticesincovid19patientstelecovidstudyrandomizedcontrolledtrial
AT demetturan theeffectivenessofpostdischargetelerehabilitationpracticesincovid19patientstelecovidstudyrandomizedcontrolledtrial
AT halitcınarka theeffectivenessofpostdischargetelerehabilitationpracticesincovid19patientstelecovidstudyrandomizedcontrolledtrial
AT erdogancetinkaya theeffectivenessofpostdischargetelerehabilitationpracticesincovid19patientstelecovidstudyrandomizedcontrolledtrial
AT esrapehlivan effectivenessofpostdischargetelerehabilitationpracticesincovid19patientstelecovidstudyrandomizedcontrolledtrial
AT ismailpalalı effectivenessofpostdischargetelerehabilitationpracticesincovid19patientstelecovidstudyrandomizedcontrolledtrial
AT sibelgayretliatan effectivenessofpostdischargetelerehabilitationpracticesincovid19patientstelecovidstudyrandomizedcontrolledtrial
AT demetturan effectivenessofpostdischargetelerehabilitationpracticesincovid19patientstelecovidstudyrandomizedcontrolledtrial
AT halitcınarka effectivenessofpostdischargetelerehabilitationpracticesincovid19patientstelecovidstudyrandomizedcontrolledtrial
AT erdogancetinkaya effectivenessofpostdischargetelerehabilitationpracticesincovid19patientstelecovidstudyrandomizedcontrolledtrial