Efficacy of a Physical and Respiratory Rehabilitation Program for Patients With Persistent COVID-19 (SARS-CoV-2).
COPERIA-REHAB
1 other identifier
interventional
56
1 country
4
Brief Summary
The pandemic caused by SARS-CoV-2 infection has resulted, in addition to the well-known acute symptoms, in the emergence of a plethora of persistent, diffuse and heterogeneous symptoms such as fatigue, shortness of breath and cognitive dysfunction among others, that have come to be called persistent COVID. Patients have reported that physical activity, stress and sleep disturbances often trigger exacerbations of their symptoms related by some authors to the so-called Post Exertional Malaise (PEM) characteristic of Myalgic Encephalomyelitis. Similarly, by analogy with other pathologies, it has been hypothesized that optimal exercise prescription would benefit these people with persistent COVID-19 symptoms but in practice, the rehabilitation of these patients runs the risk of collapsing respiratory and physical rehabilitation services. This is why COPERIA proposes the construction of a platform for respiratory, cardiac and muscular telerehabilitation, to compare with face-to-face rehabilitation treatment and to try to predict the influence of physical activity in the prediction of PEM.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Dec 2022
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 18, 2022
CompletedFirst Posted
Study publicly available on registry
November 29, 2022
CompletedStudy Start
First participant enrolled
December 14, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 14, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
November 14, 2023
CompletedNovember 29, 2022
November 1, 2022
11 months
November 18, 2022
November 28, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Six Minutes Walking test
The 6-min walk test is a standard in cardiac rehabilitation, serving both to ecologically determine the patient's functional status and to make recommendations regarding the intensity of rehabilitative exercise. The patient is asked to run the maximum distance he/she can in 6 minutes. The length of one of the hospital corridors has been previously measured so that by counting the number of times the patient walks the distance covered is determined. In addition to the number of meters, the heart rate is monitored by means of a pectoral band, and the saturation level by means of a pulse oximeter; the BP is evaluated before and after the test. In the context of functional assessment of Persistent COVID, it has been used for the evaluation of the impact of rehabilitation measures.
8 weeks
Secondary Outcomes (6)
mMRC dyspnea scale
8 weeks
SF-36 Health Questionnaire
8 weeks
Maximal Handgrip Strenght
8 weeks
1 Minute Sit to Stand test
8 weeks
P maximal inspiratory and P maximal expiratory
8 weeks
- +1 more secondary outcomes
Other Outcomes (11)
Age
8 weeks
Sex
8 weeks
Body mass index
8 weeks
- +8 more other outcomes
Study Arms (2)
Experimental arm
EXPERIMENTALThis group will perform the rehabilitation from home or from the gym following online instructions in the COPERIA platform.
Control arm
NO INTERVENTIONThis control arm will train at the rehabilitation service or at home following the instructions provided by the rehabilitation service.
Interventions
After the randomization of the patient there will be some preliminary sessions where the means of self-monitoring training and the Borg 1/10 effort scale will be explained and training videos will be shown. Doubts will also be answered. Afterwards, training will start through the COPERIA-REHAB platform, which will last 8 weeks (6 days per week).
Eligibility Criteria
You may qualify if:
- Age ≥18 and ≤70 years of age.
- Patients with a diagnosis according to WHO criteria of persistent COVID-19 until 03/28/2022
- Patients with a Post Covid Functional Status (PCFS) ≥ 2.
- Patients who present a need for physical rehabilitation and agree to perform it.
- Patients with capacity to consent and who agree to participate in the study.
- Patients who know how to use Smartphone and/or Tablet and have at least one of these devices.
- Patients who have access to the rehabilitation tools at home or are willing to go to the gyms proposed in the study to perform the rehabilitation exercises.
You may not qualify if:
- Minors or persons judicially incapacitated.
- Previous neurological or psychiatric pathology involving neuropsychological compromise.
- Active Covid19 infection.
- Home oxygen therapy \> 16 hours or home Cpap- Bipap.
- Previous diagnosis of arrhythmia or blockage.
- Previous coronary pathology.
- Decompensated renal or metabolic disease.
- Signs or symptoms of unknown cardiac disease.
- Patients who do not agree to participate in the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Fundacin Biomedica Galicia Surlead
- University of Vigocollaborator
- Galician South Health Research Institutecollaborator
Study Sites (4)
Galicia Sur Health Research Institute (IISGS) - Hospital Álvaro Cunqueiro
Vigo, Pontevedra, 36213, Spain
School of Telecommunication Engineering (University of Vigo)
Vigo, Pontevedra, 36310, Spain
Complexo Hospitalario Universitario de Ourense
Ourense, 32002, Spain
S.S. Computer Engineering (University of Vigo)
Ourense, 32004, Spain
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 18, 2022
First Posted
November 29, 2022
Study Start
December 14, 2022
Primary Completion
November 14, 2023
Study Completion
November 14, 2023
Last Updated
November 29, 2022
Record last verified: 2022-11