The Effect of Home-based Exercise on Functional Capacity of Covid-19 Survivor With Cardiovascular Comorbidity

National Cardiovascular Center Harapan Kita Hospital Indonesia

Status: Completed

Conditions: Covid19; Cardiovascular Diseases; Breathing Exercise

Treatments: Behavioral: Second phase cardiac rehabilitation; Behavioral: Breathing and chest mobilization exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT05077943

Home based Exercise PostCovid

Details and patient eligibility

About

Objective propose: to investigate the effect of home based breathing exercise and chest mobilization on the cardiorespiratory functional capacity of Covid-19 survivors with cardiovascular comorbidity.

Breathing exercise and chest mobilization are proven to increase lung functional capacity in Covid-19 survivors. It is hypothesized that breathing exercise and chest mobilization in Covid-19 survivors will give benefits to Covid-19 survivors with cardiovascular disease.

Full description

Lung restrictive disorder is one of the reasons that induce chronic fatigue in COVID-19 (Corona Virus Disease-19) survivors. It also gives a significant effect on cardiovascular patients who are in the second phase of cardiac rehabilitation. Breathing exercise and chest mobilization are proven to increase lung functional capacity in Covid-19 survivors. On the other hand, there is still no research that shows the effectiveness of Breathing exercises and chest mobilization in Covid-19 survivors who are suffering from cardiovascular problems.

Patients in National Cardiac Center Hospital, Jakarta, with a history of Covid-19 and have cardiovascular disease are recruited. They will undergo pre and post-exercise examinations such as blood sampling, do 6 minutes walking test, Peak Cough Flow and Peak Flow Rate test, measuring the chest dimension, treadmill, and answer the European Quality of Life Five Dimension (EQ-5D) questions. With randomization, patients will be determined to treatment or control group. They will be prepared about what exercises should they do at home. Subjects will be supervised digitally and regularly through Zoom meetings. Exercises will be done for 3 months.

Enrollment: 46 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients who got infected by Covid-19 in 3 months before recruitment and suffering cardiovascular disease
• Able to communicate and operate Youtube and Zoom.

Exclusion criteria

• Limitation to move any part of the body that causes the inability to do the instructed exercise.
• Feel pain in extremities (visual analog scale >3)
• Chronic Obstructive Pulmonary Disease
• Neuromuscular disorder (stroke, peripheral neuropathy with significant motoric control disturbance
• Musculoskeletal disorder (fracture, post amputation, severe arthritis in support joints)

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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46 participants in 2 patient groups

No Breathing Exercise

Active Comparator group

Description:

Patients will do the second phase of cardiac rehabilitation for minimum 5 times per week, 30 minutes each time, in 3 months without being supervised

Treatment:

Behavioral: Second phase cardiac rehabilitation

With Breathing Exercise

Experimental group

Description:

Patients will do the second phase of cardiac rehabilitation for minimum 5 times per week, 30 minutes each time and breathing and chest mobilization exercise for 3 times per week. They will be supervised through online meetings.

Treatment:

Behavioral: Breathing and chest mobilization exercises