Motor and Respiratory Tele-Rehabilitation in Patients with Long COVID-19 after Hospital Discharge: An Interventional Study

Life Pub Date : 2024-07-10 DOI:10.3390/life14070864

Serena Cerfoglio, Federica Verme, Paolo Capodaglio, Paolo Rossi, Viktoria Cvetkova, Gabriele Boldini, M. Galli, V. Cimolin

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Abstract

The persistence of symptoms following COVID-19 infection represents a significant challenge in healthcare management. During the outbreak, tele-rehabilitation emerged as a new tool to support healthcare structures in providing rehabilitation services. This study assessed the effectiveness and the feasibility of a 3-week home-based motor and respiratory rehabilitation program for individuals with long COVID-19 after traditional rehabilitation. Twenty-three patients completed the program and underwent functional tests at different time points (i.e., baseline, at discharge from in-hospital rehabilitation and after tele-rehabilitation). Motor function was evaluated using the instrumented Six-Minutes Walking Test (i6MWT), with monitored heart rate and oxygen saturation. Additionally, respiratory function was measured via forced vital capacity (FVC) and maximal voluntary ventilation (MVV) tests. Significant improvements (p < 0.05) in motor and respiratory function were observed throughout the intervention, including an 18.3% increase in walked distance from the baseline. The findings suggest that the proposed home-based tele-rehabilitation shows potential in enhancing motor and respiratory function in patients with long COVID. Despite limitations such as the small sample size, lack of control group and the preliminary nature of the outcomes observed, the overall findings seem to support the feasibility of the proposed tele-rehabilitation program in managing long COVID symptoms and promoting functional recovery. Nevertheless, further research is needed to validate these findings and explore tele-rehabilitation’s potential in broader and different patient populations

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长 COVID-19 患者出院后的运动和呼吸远程康复：介入性研究

COVID-19 感染后症状的持续存在是医疗保健管理的一大挑战。在疫情爆发期间，远程康复作为一种新工具出现，为医疗机构提供康复服务提供了支持。本研究评估了在传统康复治疗后，为感染 COVID-19 的长期患者提供为期 3 周的家庭运动和呼吸康复计划的有效性和可行性。23 名患者完成了该项目，并在不同的时间点（即基线、院内康复出院时和远程康复后）接受了功能测试。运动功能使用仪器六分钟步行测试（i6MWT）进行评估，同时监测心率和血氧饱和度。此外，呼吸功能通过用力呼吸容量（FVC）和最大自主通气量（MVV）测试进行测量。在整个干预过程中，运动和呼吸功能均有明显改善（p < 0.05），其中步行距离比基线增加了 18.3%。研究结果表明，拟议中的家庭远程康复治疗在增强长期 COVID 患者的运动和呼吸功能方面具有潜力。尽管存在样本量小、缺乏对照组和观察结果的初步性等局限性，但总体研究结果似乎支持所建议的远程康复计划在控制长程COVID症状和促进功能恢复方面的可行性。尽管如此，还需要进一步的研究来验证这些发现，并探索远程康复在更广泛和不同患者群体中的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Life

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