Addressing Post-COVID-19 Musculoskeletal Symptoms

European University

Status: Completed

Conditions: COVID-19; Musculoskeletal Disease; SARS-CoV-2; Telemedicine; Pain; Exercise

Treatments: Other: Multicomponent exercise program; Other: Tele-health primary care rehabilitation program

Study type: Interventional

Funder types: Other

Identifiers

NCT05516836

Addressing post-COVID-19

Details and patient eligibility

About

The purpose of the study will be to evaluate the effect of a rehabilitation program on the improvement of patients with post-COVID-19 musculoskeletal symptoms, as well as to quantify the impact of telemedicine that evaluates the evolution of pain, functionality, and quality of life.

Full description

A randomized clinical trial will be conducted in 100 patients with post-COVID-19 musculoskeletal symptoms who will undergo a multicomponent rehabilitation program, together with an intervention and a follow-up using programmed telemedicine sessions. Data will be collected on the improvement of functional capacity and quality of life, in addition to assessing the evolution of musculoskeletal symptomatology, as well as pain and psychological variables. The telemedicine sessions will improve user adherence and follow-up, and the results are expected to be disseminated to the scientific community during and after the end of the study.

Enrollment: 62 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Need to be post-COVID-19 patients (ICU or non-ICU)
• Musculoskeletal symptoms
• Be of adult age (over 18 years)

Exclusion criteria

• Myocardial infarction
• Uncontrolled arrhythmia
• Recent pulmonary thromboembolism
• Terminal illness
• Patients undergoing lower limb unloading
• Lower or upper limb fractures in the last three months
• Severe pain (score greater than 7 on the VAS of 10 points)
• Suffering from the previous pathology that causes neuromuscular weakness
• Be younger than 18 and older than 65 years old
• Influenced by medication that does not allow assessment of the real muscular functionality of the patient
• Patients with cognitive impairment that would prevent them from understanding and collaborating in the performance of the rehabilitation program plus telemedicine
• Patients with cardiorespiratory instability and uncontrolled arterial hypertension
• Systemic illness (tumor and rheumatologic diseases)
• Recent unrelated trauma
• Limiting psychiatric pathology

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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62 participants in 2 patient groups

Multicomponent exercise program + Telemedicine

Experimental group

Description:

The multicomponent exercise program lasted 6 weeks with sessions twice a week for a total of 12 sessions. It will have a duration of forty minutes in which the first five and the last five will be performed at a constant load of 5% of its maximum load corresponding to the "warm-up" and "return to calm". Individualized respiratory physiotherapy exercises (diaphragmatic stimulation, positive expiratory pressure exercises, alveolar retraining and strengthening of the inspiratory musculature) will also be performed. A once a week telemedicine session will be carried out with the case group only before the face-to-face sessions, consisting of education, respiratory exercise, mobility and stretching, giving them a place to provide feedback and re-evaluate patients mid-treatment and will be aimed at assessing improvement and improving therapeutic adherence

Treatment:

Other: Tele-health primary care rehabilitation program

Other: Multicomponent exercise program

Multicomponent exercise program

Active Comparator group

Description:

The multicomponent exercise program lasted 6 weeks with sessions twice a week for a total of 12 sessions. It will have a duration of forty minutes in which the first five and the last five will be performed at a constant load of 5% of its maximum load corresponding to the "warm-up" and "return to calm". Individualized respiratory physiotherapy exercises (diaphragmatic stimulation, positive expiratory pressure exercises, alveolar retraining and strengthening of the inspiratory musculature) will also be performed.

Treatment:

Other: Multicomponent exercise program