The Effectiveness of Telerehabilitation-Based Physiotherapy in COVID 19 Patients

NCT04402983 | Completed

• 1 other identifier: Telerehab_Covid19
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

Problems such as breathlessness, exercise intolerance and loss of peripheral muscle strength can be observed in individuals who have been diagnosed with COVID19 and have been discharged. In our study, it was aimed to investigate the effect of telerehabilitation physical therapy intervention to these cases by using videoconferencing method on the physical condition of the cases.

Conditions

Covid19; Telerehabilitation; Physical Therapy

Keywords

exercise; videoconference

Outcome Measures

Primary Outcomes (5)

• Modified Medical Research Council Dyspnea Score

  The mMRC Dyspnea Scale is best used to establish baseline functional impairment due to dyspnea attributable to respiratory disease; tracking the mMRC over time or with therapeutic interventions is of less certain clinical utility.The severity of dyspnea is rated on a scale of 0 to 4. "O" means no dyspnea perception, "4" means severe dyspnea perception.

  Baseline to 6 weeks

• Timed up and go test

  The Timed "Up and Go" (TUG) Test measures, in seconds, the time taken by an individual to stand up from a standard arm chair (approximate seat height of 46 cm, arm height 65 cm), walk a distance of 3 meters (approximately 10 feet), turn, walk back to the chair, and sit down. Normal healthy elderly usually complete the task in 10 seconds or less. Very frail or weak elderly with poor mobility may take 2 minutes or more. Clinical guide: \<10 seconds = normal \<20 seconds = good mobility, can go out alone, mobile without a gait aid \<30 seconds = problems, cannot go outside alone, requires a gait aid A score of more than or equal to 14 seconds has been shown to indicate high risk of falls.

  Baseline to 6 weeks

• Visual analog scale to assess the pain severity

  Visual analog scale to assess the pain on a horizontal, non-calibrated line of 100 mm, ranging from very low (0) to very high (100) score.

  Baseline to 6 weeks

• The Short Physical Performance Battery (SPPB)

  The Short Physical Performance Battery (SPPB) is comprised of 3 tasks: a standing balance test (side by side, semi-tandem and tandem), a 4-m habitual gait speed, and 5 sit to stand from a chair. Each task is scored (based on time) from 0-4 points. The total score is 12 points and this represents the highest performance. It can be easily performed at home via video conferencing

  Baseline to 6 weeks

• Visual analog scale to assess the fatigue severity

  Visual analog scale to assess the fatigue severity on a horizontal, non-calibrated line of 100 mm, ranging from very low (0) to very high (100) score.

  Baseline to 6 weeks

Secondary Outcomes (2)

• BECK depression inventory

  Baseline to 6 weeks

• Saint George Respiratory Questionnaire

  Baseline to 6 weeks

Study Arms (2)

Telerehabilitation Group

EXPERIMENTAL

Physiotherapy will be carried out by conducting online conference method. Program content; Respiratory exercise (chest breathing, diaphragmatic breathing, basal expansion exercises), Breath control training, Active breathing techniques cycle Light aerobic exercise Posture exercises Self walking

Other: Physiotherapy

Control group

NO INTERVENTION

Information and exercise brochure will be provided

Interventions

Physiotherapy OTHER

Program content Respiratory exercise (chest breathing, diaphragmatic breathing, basal expansion exercises), Breath control training, Active breathing techniques cycle Light aerobic exercise Posture exercises Self walking

Telerehabilitation Group

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being between the ages of 18-75
• Being diagnosed with COVID19 and being discharged by being treated
• Having technological facilities suitable for telerehabilitation access

You may not qualify if:

• Any presence of comorbidity that may prevent them from exercising
• Not agreeing to be included in the study

Sponsors & Collaborators

• Istanbul Medipol University Hospital: lead

Study Sites (1)

University of Health Sciences Turkey

Istanbul, 34668, Turkey (Türkiye)

Location

Related Publications (1)

• Pehlivan E, Palali I, Atan SG, Turan D, Cinarka H, Cetinkaya E. The effectiveness of POST-DISCHARGE telerehabilitation practices in COVID-19 patients: Tele-COVID study-randomized controlled trial. Ann Thorac Med. 2022 Apr-Jun;17(2):110-117. doi: 10.4103/atm.atm_543_21. Epub 2022 Apr 19.

  PMID: 35651892 DERIVED

MeSH Terms

Conditions

COVID-19; Motor Activity

Interventions

Physical Therapy Modalities

Condition Hierarchy (Ancestors)

Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases; Behavior

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Officials

• Esra Pehlivan, PhD

  Saglik Bilimleri Universitesi

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Model Details: Randomized controlled clinical trial

Study Record Dates

• First Submitted: May 22, 2020
• First Posted: May 27, 2020
• Study Start: May 27, 2020
• Primary Completion: December 1, 2020
• Study Completion: December 1, 2020
• Last Updated: December 14, 2020

Record last verified: 2020-05

Locations

TU (1)