Comparison of Pulmonary Telerehabilitation and Physical Activity Recommendations in Patients With Post Covid Fibrosis

Istanbul University - Cerrahpasa

Status: Completed

Conditions: Pulmonary Fibrosis; COVID-19

Treatments: Other: Exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT05299333

2022/25

Details and patient eligibility

About

Rehabilitation plays a very important role in the management of patients with COVID-19, focusing on respiratory and motor functions, and therefore the importance of establishing treatment strategies to ensure optimal recovery of these patients has been emphasized. It has been stated that physical activity recommendations should be clarified for the management of symptoms associated with prolonged COVID-19 Syndrome and for the continuation of activities of daily living. It has been stated that after COVID-19 pneumonia, it is necessary to evaluate the physical functions of patients with long-term follow-up and to establish rehabilitation programs. The importance of being included in the rehabilitation program was emphasized, especially for patients with lung fibrosis.

The primary aim of this study was to compare the effects of pulmonary telerehabilitation and physical activity recommendations on exercise capacity and peripheral muscle strength in patients with pulmonary fibrosis due to COVID-19.

The secondary aim of this study is to compare the effects of pulmonary telerehabilitation and physical activity recommendations on symptoms, activity and participation in patients with pulmonary fibrosis due to COVID-19.

Enrollment: 30 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• >18 years old
• Patients who have been infected with the COVID-19 virus at least three months ago and have been diagnosed with a positive PCR
• Patients with post-COVID-19 pulmonary fibrosis followed by a pulmonologist
• Patients who have sufficient technological infrastructure to participate in the telerehabilitation program and can adapt to online systems
• Patients who are clinically stable

Exclusion criteria

• Patients with orthopedic/neurological problems that prevent walking and exercise
• Patients with uncontrolled cardiovascular disease
• Patients with uncontrolled medical conditions

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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30 participants in 2 patient groups

Pulmonary Rehabilitation Group

Experimental group

Description:

A total of 24 sessions of breathing exercises and high-repetitive muscle endurance and strengthening exercises will be applied to the pulmonary telerehabilitation group for 8 weeks, two days a week and one day a week unsupervised, via online systems. High-repetition muscle endurance and strengthening exercises will be applied to large muscle groups of the lower and upper extremities by creating resistance with body weight and theraband.

Treatment:

Other: Exercise

Physical Activity Group

Active Comparator group

Description:

Respiratory exercises and physical activity recommendations will be given to the physical activity group. Physical activity recommendations are; It will include information about the importance of physical activity and walking 3-5 days a week for at least 30 minutes of moderate intensity (4-6 on the Modified Borg scale of perceived exertion level).

Treatment:

Other: Exercise