Impact of tele rehabilitation on clinical outcomes in patients recovering from COVID-19: a preliminary investigation

IF 0.6 Q3 VETERINARY SCIENCES

Comparative Exercise Physiology Pub Date : 2022-03-18 DOI:10.3920/cep210048

K. Arora, D. Chauhan, M. Gupta, P. Bhati, P. Anand, M. Hussain

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引用次数: 0

Abstract

Pulmonary rehabilitation has proven to be an effective therapeutic intervention for people with chronic respiratory disease. Considering the highly contagious nature of coronavirus disease (COVID-19), it becomes imperative to develop a method which can effectively improve clinical disease outcomes of these patients without any physical contact. The purpose of the study was to investigate the impact of tele rehabilitation on dyspnoea, endurance and quality-of-life in patients recovering from COVID 19. Thirty-two participants (age: 42.5±13.94, height: 165.8±10.06, weight: 68.5±9.63, body mass index: 25.0±3.61) who are recovering from COVID-19 were recruited as per the eligibility criteria. They were randomly allocated into two groups, Tele rehabilitation (n=16) and Control (n=16) by lottery method. All the selected participants were assessed at baseline for perceived dyspnoea, endurance and quality-of-life. Patients in the Tele rehabilitation group received 14 sessions of rehabilitation on alternate days online via google meet over a period of 28 days. Control group received usual care during the study period. Standard statistical tests were employed to test the study hypothesis. Results suggested a significant improvement in both dyspnoea (P=0.001) and endurance (P<0.001) in response to tele rehabilitation. Domains of quality-of-life such as physical role (P=0.02), vitality (P=0.04), emotional role (P=0.03), mental health (P=0.02) and physical components score (P=0.007) also showed significant improvement with tele rehabilitation in patients recovering from COVID-19. Findings of this preliminary study concludes that tele rehabilitation may be considered a treatment of choice in patients recovering from COVID-19 for improving outcomes of dyspnoea, endurance and quality-of-life.

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远程康复对新冠肺炎康复患者临床预后影响的初步调查

肺康复已被证明是慢性呼吸系统疾病患者的有效治疗干预措施。鉴于新型冠状病毒病(COVID-19)的高传染性，开发一种无需身体接触即可有效改善患者临床病情的方法势在必行。本研究旨在探讨远程康复对COVID - 19恢复期患者呼吸困难、耐力和生活质量的影响。按照入选标准，招募32例新冠肺炎康复患者(年龄42.5±13.94，身高165.8±10.06，体重68.5±9.63，体质指数25.0±3.61)。采用摇号法随机分为远程康复组(n=16)和对照组(n=16)。所有被选中的参与者都在基线上进行了呼吸困难、耐力和生活质量的评估。远程康复组患者在28天内通过谷歌在线会议隔天接受14次康复治疗。对照组患者在研究期间接受常规护理。采用标准统计检验来检验研究假设。结果显示，远程康复对呼吸困难(P=0.001)和耐力(P<0.001)均有显著改善。在生活质量领域，如身体角色(P=0.02)、活力(P=0.04)、情绪角色(P=0.03)、心理健康(P=0.02)和身体成分评分(P=0.007)，远程康复也显示出显著改善。本初步研究的结果表明，远程康复可被视为COVID-19康复患者的一种治疗选择，以改善呼吸困难、耐力和生活质量。

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来源期刊

Comparative Exercise Physiology VETERINARY SCIENCES-

CiteScore

1.50

自引率

11.10%

发文量

期刊介绍： ''Comparative Exercise Physiology'' is the only international peer-reviewed scientific journal specifically dealing with the latest research in exercise physiology across all animal species, including humans. The major objective of the journal is to use this comparative approach to better understand the physiological, nutritional, and biochemical parameters that determine levels of performance and athletic achievement. Core subjects include exercise physiology, biomechanics, gait (including the effect of riders in equestrian sport), nutrition and biochemistry, injury and rehabilitation, psychology and behaviour, and breeding and genetics. This comparative and integrative approach to exercise science ultimately highlights the similarities as well as the differences between humans, horses, dogs, and other athletic or non-athletic species during exercise. The result is a unique forum for new information that serves as a resource for all who want to understand the physiological challenges with exercise.