{"title":"Virtual recovery: efficacy of telerehabilitation on dyspnea, pain, and functional capacity in post-COVID-19 syndrome.","authors":"Zeynal Yasacı, Rustem Mustafaoglu, Ozlem Ozgur, Berna Kuveloglu, Yasemin Esen, Ozge Ozmen, Ebru Yılmaz Yalcinkaya","doi":"10.1007/s11845-025-03899-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Post-COVID-19 syndrome (PCS) causes persistent symptoms that impair quality of life, and telerehabilitation (TR) provides an effective remote alternative for addressing these challenges.</p><p><strong>Aim: </strong>This study aimed to evaluate the effects of a TR-based exercise program on dyspnea, pain intensity, and functional capacity in individuals with PCS.</p><p><strong>Design: </strong>Sixty PCS patients were randomized into a telerehabilitation group (TG, n = 32) or a control group (CG, n = 28). The TG received supervised TR sessions twice a week for 6 weeks, while the CG performed unsupervised home exercises. Assessments were conducted at the baseline and the end of 6 weeks.</p><p><strong>Results: </strong>TG showed significantly greater improvements compared to CG. mMRC decreased by 1.16 (95% CI, 0.93-1.38) vs. 0.36 (95% CI, 0.17-0.55), NPRS by 1.44 (95% CI, 0.95-1.92) vs. 0.6 (95% CI, 0.28-0.93), and 5-TST improved by 6.8 s (95% CI, 5.59-8.01) vs. 2.12 s (95% CI, 1.08-3.17). Significant differences were also observed for PSQI (p = 0.018) and HADS-anxiety (p = 0.001).</p><p><strong>Conclusions: </strong>A TR-based exercise program significantly reduced dyspnea and pain intensity while improving functional capacity in PCS patients, making it an effective alternative to unsupervised exercise regimens.</p><p><strong>Trial registration: </strong>This study is prospectively registered at NCT05381675 ( clinicaltrials.gov ).</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Irish Journal of Medical Science","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11845-025-03899-3","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Post-COVID-19 syndrome (PCS) causes persistent symptoms that impair quality of life, and telerehabilitation (TR) provides an effective remote alternative for addressing these challenges.
Aim: This study aimed to evaluate the effects of a TR-based exercise program on dyspnea, pain intensity, and functional capacity in individuals with PCS.
Design: Sixty PCS patients were randomized into a telerehabilitation group (TG, n = 32) or a control group (CG, n = 28). The TG received supervised TR sessions twice a week for 6 weeks, while the CG performed unsupervised home exercises. Assessments were conducted at the baseline and the end of 6 weeks.
Results: TG showed significantly greater improvements compared to CG. mMRC decreased by 1.16 (95% CI, 0.93-1.38) vs. 0.36 (95% CI, 0.17-0.55), NPRS by 1.44 (95% CI, 0.95-1.92) vs. 0.6 (95% CI, 0.28-0.93), and 5-TST improved by 6.8 s (95% CI, 5.59-8.01) vs. 2.12 s (95% CI, 1.08-3.17). Significant differences were also observed for PSQI (p = 0.018) and HADS-anxiety (p = 0.001).
Conclusions: A TR-based exercise program significantly reduced dyspnea and pain intensity while improving functional capacity in PCS patients, making it an effective alternative to unsupervised exercise regimens.
Trial registration: This study is prospectively registered at NCT05381675 ( clinicaltrials.gov ).
期刊介绍:
The Irish Journal of Medical Science is the official organ of the Royal Academy of Medicine in Ireland. Established in 1832, this quarterly journal is a contribution to medical science and an ideal forum for the younger medical/scientific professional to enter world literature and an ideal launching platform now, as in the past, for many a young research worker.
The primary role of both the Academy and IJMS is that of providing a forum for the exchange of scientific information and to promote academic discussion, so essential to scientific progress.