COVID-19 placed teams of professionals in a hostile and unfamiliar environment where the lack of knowledge of its pathology led to the adaptation of programs used so far for other conditions to try to address the immediate sequelae of COVID-19 infection. That is why the aim of this study was to assess the effects of a multicomponent exercise program (MEP) in improving cardio-respiratory performance, health status, disability due to dyspnea, aerobic capacity and endurance, and the immediate sequelae of COVID-19. Thirty-nine patients referred from different hospital services were included in this study. An intervention of seven weeks with sessions twice a week was carried out, where patients underwent intervallic training sessions followed by strengthening exercises and individualized respiratory physiotherapy exercises. The results of this study show a significant improvement in cardio-respiratory performance, health status, disability due to dyspnea, and aerobic capacity and endurance after intervention; and an increase in health status and reduction in disability due to dyspnea at the 2-year follow-up. In addition, none of the patients had any adverse effects either pre-post treatment or at the 2-year follow-up. Individualized and monitored MEP in survivors of COVID-19 showed positive effects in a pre-post evaluation and the 2-year follow up, improving the immediate sequelae of post-COVID-19 patients. This highlights the importance of the professional background of the rehabilitation teams in adapting to an unknown clinical environment.

On March 11, 2020, WHO, faced with the levels of spread and the seriousness of the situation, declares COVID-19 a pandemic. In European countries and almost everywhere else in the world, people are confined to their homes in view of the imminent situation, producing reduced mobility to essential activities. This lockdown has had repercussions at different levels: (i) Inaccessibility to face-to-face healthcare, including the loss of multidisciplinary support programs for chronic pain patients. (ii) Physical reduction or inactivity due to overloaded childcare and housework, lack of space or online resources for practice, and/or as a consequence of unrefreshing sleep. (iii) Feelings of loneliness, loss of social support, uncertainty in the provision of health care if needed, and fear of contagion when exposed to open environments for essential activities, among others. (iv) Permanent or temporary loss of employment, implementation of teleworking or remote work, modifying the usual spaces of work occupation, and the interpersonal relationships inherent to this activity. (v) Vulnerability, especially in elderly population groups, associated with exposure to a large amount of information from reliable or unreliable sources, making it difficult to understand, and make decisions. (vi) Loss of family members and relatives without the social support inherent to these events.The sum of all of them entails a series of consequences in the lives of citizens that do not go unnoticed. The use of telerehabilitation offers the possibility of providing an accesible therapeutic context (assessment, treatment, and follow-up) in situations that limit patient's relationship with the environment such as the confinement suffered. It is in this sense where it would be of interest to consider the application of these telematic therapeutic routes in other causes of lockdown or lack of accessibility due to physical, programmatic, social, or transport barriers, with the aim of reaching this target population by providing personalized care.