Efficacy of Synchronous and Asynchronous Telerehabilitation in COVID-19 Discharges

Bitlis Eren University

Status: Completed

Conditions: COVID-19; Telerehabilitation

Treatments: Other: Synchronous telerehabilitation programme; Other: Asynchronous telerehabilitation programme

Study type: Interventional

Funder types: Other

Identifiers

NCT05205434

BitlisErenU2

Details and patient eligibility

About

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

Full description

Fifty seven participants will be enrolled. Participants will be randomly divided into 3 groups.

For this purpose, patients will be recruited at the time of discharge from the hospital and two experimental groups with the same physical therapy and educational program will be carried out. participants in the control group will only educational program. Participants in experimental groups will be followed using videoconference interviews from synchronous telerehabilitation methods and mobile application from asynchronous telerehabilitation methods at home. These participants will be given an 8-week exercise program. The exercise program will consist of physical exercises (aerobic and strength exercises) along with breathing exercises and the patients will be evaluated before and after the treatment.

After treatment programs, the functional capacity, performance, and hemodynamic parameters of the participants will be evaluated. Quality of life, physical activity level, anxiety-depression, and fatigue severity will also be evaluated with questionnaires.

Enrollment: 57 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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

Exclusion criteria

• 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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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57 participants in 3 patient groups

Synchronous telerehabilitation program (Video conference)

Experimental group

Description:

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.

Treatment:

Other: Synchronous telerehabilitation programme

Asynchronous telerehabilitation programme (Mobil app.)

Experimental group

Description:

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.

Treatment:

Other: Asynchronous telerehabilitation programme

Control

No Intervention group

Description:

Participants in this group will only receive an educational program