<scp>COVID</scp>‐19 rehabilitation delivered via a telehealth pulmonary rehabilitation model: a case series

Wootton, Sally; King, Meredith; Alison, Jennifer A.; Mahadev, Sri Hari; Chan, Andrew S. L.

doi:10.1002/rcr2.669

Cited by 41 publications

(67 citation statements)

References 10 publications

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“…Our project implemented a new telerehabilitation program, following other rehabilitation areas such as neurologic, cardiac, or musculoskeletal, and has been driven by these exceptional circumstances generated by the pandemic [ 28 , 29 , 30 ]. Telerehabilitation in COVID-19 patients, which has been proposed in case series [ 16 , 31 ], presents both possible advantages and risks in large sample sizes, such as those planned in our clinical trial.…”

Section: Discussionmentioning

confidence: 99%

“…It has been recognized as an essential component of respiratory exercises, as it allows access to patients who would benefit from rehabilitation while minimizing human-to-human contact [ 14 ]. Case series and proposals have been published regarding telerehabilitation aimed at improving the respiratory system in COVID-19 patients [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Short-Term Effects of a Respiratory Telerehabilitation Program in Confined COVID-19 Patients in the Acute Phase: A Pilot Study

González-Gerez

Saavedra-Hernández

Anarte‐Lazo

et al. 2021

IJERPH

122

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The COVID-19 pandemic has caused distress for healthcare providers due to the respiratory problems it causes, among others. In this situation, rehabilitation of the respiratory system has been suggested and implemented in different COVID-19 patients. This study evaluated the feasibility and effectiveness of a novel program based on breathing exercises through telerehabilitation tools in COVID-19 patients with mild to moderate symptomatology in the acute stage. Forty subjects were randomized in an experimental group, based on pulmonary rehabilitation, and in a control group, of which the subjects did not perform physical activity. Thirty-eight subjects, with nineteen in each group, completed the one-week intervention. We performed measurements using the Six-Minute Walk Test, Multidimensional Dyspnoea-12, Thirty-Second Sit-To-Stand Test, and Borg Scale. Both groups were comparable at baseline. Significant differences were found for all of the outcome measures in favour of the experimental group. Ninety percent adherence was found in our program. A one-week telerehabilitation program based on respiratory exercises is effective, safe, and feasible in COVID-19 patients with mild to moderate symptomatology in the acute stage.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Short-Term Effects of a Respiratory Telerehabilitation Program in Confined COVID-19 Patients in the Acute Phase: A Pilot Study

González-Gerez

Saavedra-Hernández

Anarte‐Lazo

et al. 2021

IJERPH

122

View full text Add to dashboard Cite

show abstract

“…Searching the PubMed library with the terms "pulmonary rehabilitation" AND "COVID-19" on February 7 th , 2021 yielded that only four studies have investigated the effects of PR in COVID-19 patients so far. Two studies were case series reports describing seven[24] and three[25] cases of COVID-19 PR. One study was conducted as a randomized, controlled trial in 72 patients with a severe acute course of COVID-19[26].…”

mentioning

confidence: 99%

Benefits of pulmonary rehabilitation in COVID-19: a prospective observational cohort study

et al. 2021

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BackgroundThe new Corona-Virus disease (COVID-19) can result in a large variety of chronic health issues like impaired lung function, reduced exercise performance, and diminished quality of life. Our study aimed to investigate the efficacy, feasibility, and safety of pulmonary rehabilitation (PR) in COVID-19 patients and to compare outcomes between patients with a mild/moderate and a severe/critical course of the disease.MethodsPatients in the post-acute phase of a mild to critical course of COVID-19 admitted to a comprehensive three-week inpatient PR were included in this prospective, observational cohort study. Several measures of exercise performance (6-minute walk distance, 6MWD), lung function (forced vital capacity, FVC), and quality of life (36 question short-form health survey, SF-36) were assessed before and after PR.ResultsFifty patients were included in the study (24 with mild/moderate and 26 with severe/critical COVID-19). On admission, patients had a reduced 6MWD (mild: 509 m [426–539]; severe: 344 m [244–392]), an impaired FVC (mild: 80% [59–91]; severe: 75% [60–91]) and a low SF-36 mental health score (mild: 49 pts [37–54]; severe: 39 pts [30–53]). Patients attended a median of 100% [94–100] of all provided PR sessions. At discharge, patients in both subgroups improved in 6MWD (mild/moderate: +48 m [35–113 m]; severe/critical: +124 m [75–145 m], both p<0.001), FVC (mild/moderate: +7.7% [1.0–17.8], p=0.002; severe/critical: +11.3% [1.0–16.9], p<0.001) and SF-36 mental component (mild/moderate +5.6 pts [1.4–9.2], p=0.071; severe/critical: +14.4 pts [−0.6–24.5], p<0.001). No adverse event was observed.ConclusionOur study shows that PR is a feasible, safe, and effective therapeutic option in COVID-19 patients independent of disease severity.

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“…perpetuity. preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in The copyright holder for this this version posted March 31, 2021. ; https://doi.org/10.1101/2021.03.29.21254211 doi: medRxiv preprint of functional recovery and the role of rehabilitation intervention to assist patients with exercise capacity and dyspnoea (15).…”

Section: Discussionmentioning

confidence: 99%

Limited recovery from post-acute sequelae of SARS-CoV-2 (PASC) at eight months in a prospective cohort

Darley

Dore

Byrne

et al. 2021

Preprint

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There is increasing recognition of the prolonged illness following acute coronavirus disease 2019 (COVID-1). In a longitudinal cohort of 99 patients, 32% reported persistent symptoms and 19% had Long COVID (Defined as fatigue or dyspnoea or chest tightness) at median 240 days after initial infection. There was no significant improvement in symptoms or measures of health-related quality of life between 4 and 8-month assessments. In multivariable analysis, female gender (OR 3.2, 95%CI 1.3-7.8, p=0.01) and acute COVID-19 hospitalisation (OR 3.8, 95% 1.1-13.6, p=0.04) were independently associated with Long COVID at 8-months. Only 80% patients reported full recovery at 8 months. Further research is required to understand the immunologic correlates of abnormal recovery and the long-term significance.

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COVID‐19 rehabilitation delivered via a telehealth pulmonary rehabilitation model: a case series

Cited by 41 publications

References 10 publications

Short-Term Effects of a Respiratory Telerehabilitation Program in Confined COVID-19 Patients in the Acute Phase: A Pilot Study

Short-Term Effects of a Respiratory Telerehabilitation Program in Confined COVID-19 Patients in the Acute Phase: A Pilot Study

Benefits of pulmonary rehabilitation in COVID-19: a prospective observational cohort study

Limited recovery from post-acute sequelae of SARS-CoV-2 (PASC) at eight months in a prospective cohort

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