Efficacy of Synchronous and Asynchronous Telerehabilitation in COVID-19 Discharges

Not Applicable

Completed

• Conditions: COVID-19; Telerehabilitation
• Interventions: Other: Asynchronous telerehabilitation programme; Other: Synchronous telerehabilitation programme

• Registration Number: NCT05205434
• Lead Sponsor: Bitlis Eren University

Brief Summary

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

Detailed 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.

Study Timeline

• Study Start: 2021-09-25
• Study First Submitted: 2022-01-19
• Study First Submitted QC: 2022-01-21
• Study First Posted: 2022-01-25
• Primary Completion: 2022-08-05
• Study Completion: 2022-09-07
• Status Verified: 2023-03
• Last Update Submitted: 2023-03-08
• Last Update Posted: 2023-03-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 57

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Asynchronous telerehabilitation programme (Mobil app.)	Asynchronous telerehabilitation programme	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.
Synchronous telerehabilitation program (Video conference)	Synchronous telerehabilitation programme	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.

Primary Outcome Measures

Name	Time	Method
Incremental Shuttle Walk Test (ISWT)	Change from baseline walking distance (meters) of the patients at the end of the 8th week and, postintervation sixth months	The participant will be asked to walk around two 9-meter cones and complete them within the given time. Oxygen saturation and heart rate will be measured before and immediately after the test. They will be asked to self-report dyspnea and fatigue according to the modified Borg scale (0-10).

Secondary Outcome Measures

Name	Time	Method
30-Second Chair Stand Test (30 CST)	Change from baseline number of sitting and staying of the patients at the end of the 8th week and, postintervation sixth months	The patient will be asked to sit and stand as much as possible within 30 seconds, with his hands crossed over his chest. The number of sitting and staying for 30 seconds will be noted.
Brief Physical Performance Battery (BPPB)	Change from baseline score of the patients at the end of the 8th week and, postintervation sixth months	It is a test used to evaluate the lower extremity function of patients. This battery represents the sum of 3 functional tests such as standing stance tests, 4 meters walking test and 5 times chair sit and stand (5STS). Each test is scored between 0 (not completing the test) and 4 (highest performance level)

Trial Locations

Locations (1)

Marmara University; 🇹🇷 Maltepe, İstanbul, Turkey