دورية أكاديمية
Educational, Exercise, and Occupational Therapy-Based Telerehabilitation Program Versus "Wait-and-See" for Improving Self-perceived Exertion in Patients With Post-COVID Fatigue and Dyspnea: A Randomized Clinical Trial.
| العنوان: | Educational, Exercise, and Occupational Therapy-Based Telerehabilitation Program Versus "Wait-and-See" for Improving Self-perceived Exertion in Patients With Post-COVID Fatigue and Dyspnea: A Randomized Clinical Trial. |
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| المؤلفون: | Calvo-Paniagua J; From the Gerencia Asistencial Atención Primaria de Madrid. Centro de Salud Espronceda, Madrid, Spain (JC-P); Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursery, Physiotherapy and Podiatry, Complutense University of Madrid, Madrid, Spain (MJD-A, JAV-C, MJN-S, TdC, GP-M); Grupo InPhysio, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, Spain (MJD-A, JAV-C, MJN-S, TdC, GP-M); Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain (MR-S); and Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Spain (CF-d-l-P)., Díaz-Arribas MJ, Valera-Calero JA, Ramos-Sánchez M, Fernández-de-Las-Peñas C, Navarro-Santana MJ, Del Corral T, Plaza-Manzano G |
| المصدر: | American journal of physical medicine & rehabilitation [Am J Phys Med Rehabil] 2024 Sep 01; Vol. 103 (9), pp. 797-804. Date of Electronic Publication: 2024 Jan 31. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial; Comparative Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8803677 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-7385 (Electronic) Linking ISSN: 08949115 NLM ISO Abbreviation: Am J Phys Med Rehabil Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: [Baltimore, MD] : Published by Williams & Wilkins for the Association of Academic Physiatrists, [c1988- |
| مواضيع طبية MeSH: | Dyspnea*/rehabilitation , Dyspnea*/etiology , COVID-19*/rehabilitation , Exercise Therapy*/methods , Telerehabilitation* , Quality of Life* , Fatigue*/rehabilitation , Physical Exertion*/physiology , Occupational Therapy*/methods, Humans ; Male ; Female ; Middle Aged ; SARS-CoV-2 ; Patient Education as Topic/methods ; Activities of Daily Living ; Aged |
| مستخلص: | Objective: The aim of the study was to compare the effectiveness of a telerehabilitation exercise program versus "wait-and-see" on physical exertion, quality of life, dyspnea severity, heart rate, and oxygen saturation in patients with post-COVID fatigue and dyspnea. Design: Sixty-four patients were enrolled in this randomized clinical trial. A telerehabilitation program based on patient education, physical activity, airway clearing, and breathing exercise interventions was conducted. Self-perceived physical exertion during daily living activities, dyspnea severity, health-related quality of life and physiological outcomes, and the 6-min walking test were assessed at baseline, after the program and at 1- and 3-mo follow-up periods. Results: The experimental group experienced greater improvements in self-perceived physical exertion during daily living activities, dyspnea severity, health-related quality of life, and 6-min walking test (all, P < 0.001). In addition, patients undergoing the telerehabilitation program reported lower exertion scores at rest and after the 6-min walking test (both, P < 0.001). Between-group oxygen saturation differences were found at rest ( P < 0.001), but not after the 6-min walking test ( P = 0.024). Finally, significant between-group differences were found for heart rate after the 6-min walking test ( P < 0.001). Conclusions: Although both groups showed a significant improvement after 3 mos of follow-up, the group receiving the telerehabilitation program described a greater improvement compared with the group receiving no intervention. Competing Interests: Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.) |
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| سلسلة جزيئية: | ClinicalTrials.gov NCT05121688 |
| تواريخ الأحداث: | Date Created: 20240206 Date Completed: 20240816 Latest Revision: 20240820 |
| رمز التحديث: | 20240820 |
| DOI: | 10.1097/PHM.0000000000002441 |
| PMID: | 38320238 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1537-7385 |
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| DOI: | 10.1097/PHM.0000000000002441 |