{"title":"虚拟康复：远程康复对covid -19综合征后患者呼吸困难、疼痛和功能能力的影响","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":"{\"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). 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引用次数: 0
摘要
背景：covid -19后综合征（PCS）导致持续症状，影响生活质量，远程康复（TR）为应对这些挑战提供了有效的远程替代方案。目的：本研究旨在评估基于tr的运动方案对PCS患者呼吸困难、疼痛强度和功能能力的影响。设计：60例PCS患者随机分为远程康复组（TG, n = 32）和对照组（CG, n = 28）。TG组每周接受两次有监督的训练，持续6周，而CG组则进行无监督的家庭训练。在基线和6周结束时进行评估。结果：TG较CG有明显改善。mMRC下降1.16 （95% CI, 0.93-1.38）比0.36 (95% CI, 0.17-0.55)， NPRS下降1.44 （95% CI, 0.95-1.92）比0.6 (95% CI, 0.28-0.93)， 5-TST改善6.8 s （95% CI, 5.59-8.01）比2.12 s （95% CI, 1.08-3.17）。PSQI （p = 0.018）和hads -焦虑（p = 0.001）也有显著差异。结论：基于tr的运动方案可显著减轻PCS患者的呼吸困难和疼痛强度，同时改善其功能能力，使其成为无监督运动方案的有效替代方案。试验注册：本研究已在NCT05381675 （clinicaltrials.gov）进行前瞻性注册。
Virtual recovery: efficacy of telerehabilitation on dyspnea, pain, and functional capacity in post-COVID-19 syndrome.
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.
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