| ORIGINAL ARTICLE |
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| Year : 2022 | Volume
: 17
| Issue : 2 | Page : 110-117 |
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The effectiveness of POST-DISCHARGE telerehabilitation practices in COVID-19 patients: Tele-COVID study-randomized controlled trial
Esra Pehlivan1, İsmail Palalı2, Sibel Gayretli Atan3, Demet Turan4, Halit Çınarka4, Erdoğan Çetinkaya4
1 Department of Physiotherapy and Rehabilitation, Faculty of Hamidiye Health Sciences, University of Health Sciences, Istanbul, Turkey
2 Department of Therapy and Rehabilitation, Vocational School of Health Services, Harran University, Şanlıurfa, Turkey
3 Department of Medical Services and Techniques, School of Health Services, Harran University, Şanlıurfa, Turkey
4 Department of Chest Disease, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, University of Health Sciences, Istanbul, Turkey
Correspondence Address:
Dr. Esra Pehlivan
PT, Mekteb-i Tibbiye-i Sahane (Haydarpasa) Külliyesi Selimiye Mah. Tibbiye Cad. No: 38 34668 Üsküdar, Istanbul
Turkey
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/atm.atm_543_21
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AIMS: We aimed to investigate the effectiveness of a telerehabilitation exercise program performed without requiring any special equipment on the physical condition of COVID-19 subjects.
SETTINGS AND DESIGN: This was a randomized controlled study.
METHODS: This study included subjects with a history of hospitalization with a diagnosis of COVID-19 and discharged within 4 weeks. The subjects were divided into two groups randomly, namely telerehabilitation group (TeleGr, n = 17) or control group (CGr, n = 17). The TeleGr received breathing and range of motion exercises, active cycle of breathing technique, and an aerobic training 3 days a week for 6 weeks, while CGr received an exercise brochure with the same content. Subjects were evaluated using the modified Medical Research Council (mMRC) dyspnea score for dyspnea, 30 s sit-to-stand test (30STS) and short physical performance battery (SPPB) to determine their physical status, Saint George Respiratory Questionnaire (SGRQ) to assess quality of their life, and Beck Depression Inventory. All evaluations were carried out at home using videoconferencing.
RESULTS: A significant improvement was observed in TelerGr in terms of mMRC (P= 0.035), 30STS (P= 0.005), 5 sit-to-stand time which is one of the subtests of SPPB (P = 0.039) and SGRQ scores. Significant improvement was observed only in the pain score in the CGr (P = 0.039). There was a statistically significant difference between the groups in SGRQ activity (P = 0.035) and total (P = 0.042) scores. In addition, more symptomatic improvement was found in TeleGr.
CONCLUSION: Telerehabilitation exercise program with less technical equipment is a good alternative treatment method for COVID-19 subjects, which improves the quality of life and symptomatic status of subjects.
Clinical Trial Registration Number: nct04402983
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