Efficacy of Synchronous and Asynchronous Telerehabilitation in COVID-19 Discharges

NCT05205434 | Completed

• 1 other identifier: BitlisErenU2
• Study Type: interventional
• Target: 57
• Locations: 1 country
• Sites: 1

Brief Summary

Investigators aimed to evaluate the effectiveness of exercise programs given by synchronous and asynchronous telerehabilitation methods in patients after discharge from COVID-19.

Conditions

COVID-19; Telerehabilitation

Keywords

COVID-19; Telerehabilitation; Exercise program; Breathing exercises

Outcome Measures

Primary Outcomes (1)

• Incremental Shuttle Walk Test (ISWT)

  The participant will be asked to walk around two 9-meter cones and complete them within the given time. Oxygen saturation and heart rate will be measured before and immediately after the test. They will be asked to self-report dyspnea and fatigue according to the modified Borg scale (0-10).

  Change from baseline walking distance (meters) of the patients at the end of the 8th week and, postintervation sixth months

Secondary Outcomes (2)

• 30-Second Chair Stand Test (30 CST)

  Change from baseline number of sitting and staying of the patients at the end of the 8th week and, postintervation sixth months

• Brief Physical Performance Battery (BPPB)

  Change from baseline score of the patients at the end of the 8th week and, postintervation sixth months

Other Outcomes (7)

• Oxygen Saturation and Heart Rate

  Change from baseline oxygen saturation (SaO2) and heart rate (beats per minute) of the patients at the end of the 8th week and, postintervation sixth months

• Dyspnea and Fatigue Level

  Change from baseline dyspnea and fatigue of the patients at the end of the 8th week and, postintervation sixth months

• Timed Up-Go Test (TUG)

  Change from baseline time (second) of the patients at the end of the 8th week and, postintervation sixth months

Study Arms (3)

Synchronous telerehabilitation program (Video conference)

EXPERIMENTAL

Participants will exercise program at home for an average of 30 minutes a day, 3 days a week, under the supervision of a physiotherapist via synchronized video conference. The program will continue for 8 weeks. The exercise program will consist of physical exercises (aerobic and strength exercises) along with breathing exercises and an educational program. Physical exercises will be adjusted in 3 different difficulty levels: sitting, standing with or without support.

Other: Synchronous telerehabilitation programme

Asynchronous telerehabilitation programme (Mobil app.)

EXPERIMENTAL

The same exercises as in the synchronous telerehabilitation program will be done at the same frequency. Participants will watch the videos sent by the investigator via the mobile application and then do the exercises at home. The participants will meet with the investigator once a week to an update exercise program.

Other: Asynchronous telerehabilitation programme

Control

NO INTERVENTION

Participants in this group will only receive an educational program

Interventions

Synchronous telerehabilitation programme OTHER

Exercise program and educational program

Also known as: Video conference

Synchronous telerehabilitation program (Video conference)

Asynchronous telerehabilitation programme OTHER

Exercise program educational program

Also known as: Mobil application

Asynchronous telerehabilitation programme (Mobil app.)

Eligibility Criteria

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

You may qualify if:

• COVID-19 patients in the subacute period discharged
• Be 18 years or older
• Having received oxygen therapy or mechanical ventilation support in the hospital
• Access to online interviews and web-based exercises with a secure internet connection
• Having sufficient speaking and hearing skills for telerehabilitation
• Volunteer to participate in research

You may not qualify if:

• Unstable clinical condition
• Having had cerebrovascular disease, intra-articular drug injection or surgery of the lower extremities in the last 6 months
• Inability to walk independently, even with an assistive device
• Having serious neuromuscular problems
• Not being cooperative enough to answer and understand questionnaires and scales

Sponsors & Collaborators

• Bitlis Eren University: lead
• Marmara University: collaborator

Study Sites (1)

Marmara University

Maltepe, Istanbul, 34000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

COVID-19

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

Study Officials

• Abdurrahman TANHAN, MSc

  Bitlis Eren University

  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: Research Assistant

Model Details: Randomized Controlled Study

Study Record Dates

• First Submitted: January 19, 2022
• First Posted: January 25, 2022
• Study Start: September 25, 2021
• Primary Completion: August 5, 2022
• Study Completion: September 7, 2022
• Last Updated: March 9, 2023

Record last verified: 2023-03

Locations

TU (1)