Telerehabilitation for Post COVID-19 Condition
- Conditions
- Long COVIDChronic Fatigue Syndrome
- Interventions
- Other: Telerehabilitation program based on cardiorespiratory principles
- Registration Number
- NCT05973136
- Lead Sponsor
- Université de Sherbrooke
- Brief Summary
Telerehabilitation is a great alternative to offering care during a global pandemic. 85% of patients with COVID-19 report persistent symptoms up to 8 months after the infection. There are no clear recommendations for post-covid rehabilitation. The aims of the study are (1) to test the logistic aspect of implanting a hybrid rehabilitation program and (2) to evaluate the acceptability and the potential impact of the program on treating patients with functional limitations and persistent fatigue symptoms. It's a pre and post-study without a control group.
- Detailed Description
Telerehabilitation is a great alternative to offering care during a global pandemic. 85% of patients with COVID-19 report persistent symptoms up to 8 months after the infection. There are no clear recommendations for post-covid rehabilitation. The aims of the study are (1) to test the logistic aspect of implanting a hybrid rehabilitation program and (2) to evaluate the acceptability and the potential impact of the program on treating patients with functional limitations and persistent fatigue symptoms. It's a pre and post-study without a control group. The intervention will be based on cardiopulmonary rehabilitation principles and will be administered for 12 weeks. Fatigue, post-exertional malaise, and functional/exercise capacities will be evaluated.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 7
- Living in the community
- Living near Sherbrooke (<50km)
- Having a diagnostic of COVID-19 confirmed (PCR) and post-COVID syndrome (according to the World Health Organization criteria)
- Being aged between 25 and 65 years old
- Having access to internet at home
- Living with a family member/caregiver or having a telephone or a medical alert system (in case of emergency)
- Reporting persistent fatigue symptoms according to the Fatigue Severity Scale (FSS) (score≥4/7)
- Reporting functional limitations according to the Post-COVID-19 Functional Status scale (PCFS (score ≥2/4);
- Being able to give free and informed consent (adequate understanding of the study protocol);
- Agreeing to perform a pulmonary function test, an exercise stress test, and an ergospirometric exercise test (adequate understanding of steps and procedures);
- Having a low exercise capacity and moderate-to-severe cardiovascular risk <7 metabolic equivalent of a task (MET) or ≤9 if significant reduction of self-reported exercise tolerance according to the stress test performed on a treadmill - Cornell protocol);
- Having no other potential explanatory causes for fatigue or reduced exercise capacity according to medical evaluation
- Cognitive impairment: Mini-Mental State Examination (MMSE) ≤24/30
- Inability to perform or understand study procedures
- Medical contraindication
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Intervention group Telerehabilitation program based on cardiorespiratory principles Group of participant receiving the hybrid telerehabilitation intervention
- Primary Outcome Measures
Name Time Method Fatigue and post-exercise malaise 12 weeks This will be evaluated with the Fatigue severity scare and De Paul Symptom Questionnaire.
Acceptability 12 weeks The satisfaction of the participants will be evaluated with a questionnaire (14 questions). The questionnaire will assess patients' satisfaction with the professional, the services and the organization - Telemedicine Satisfaction. Qualitative open-ended questions will be used to determine appreciation and challenges encountered.
The feasibility of the program 12 weeks This will be evaluated by % of participants that accept to participate in the study (recruitment rate), % who completed the intervention (retention rate) and % completed session/anticipated session (adherence).
The security of the program will be evaluated by the number of falls or near fall.
Technical difficulty
- Secondary Outcome Measures
Name Time Method Heart rate variability (resting) 12 weeks Measured with the POLAR H10
Functional capacity 12 weeks Strength, assistance with walking, rising from a chair, climbing stairs, and falls questionnaire (SARC-F)
Exercise capacity 12 weeks 6-minute walk test
Lower-limb endurance (estimated) 12 weeks 1-minute sit-to-stand test
Trial Locations
- Locations (1)
Université de Sherbrooke
🇨🇦Sherbrooke, Quebec, Canada