The pulmonary rehabilitation effect on long covid‐19 syndrome: A systematic review and meta‐analysis

Physiotherapy Research International, Journal Year: 2024, Volume and Issue: 29(2)

Published: Feb. 22, 2024

Abstract Objectives This systematic review and meta‐analysis aims to evaluate the efficacy of pulmonary rehabilitation (PR) in improving dyspnea, fatigue, physical activity, quality life, anxiety depression patients with Long COVID‐19 (LC). The impact PR on LC a comparison face‐to‐face telerehabilitation approaches was explored. Methods followed PRISMA guidelines registered PROSPERO. A literature search included PubMed, Web Science, Cochrane Library until January 2023. No language filters were applied. Randomized controlled trials, non‐randomized observational studies included. risk bias assessed using appropriate tools. Descriptive analysis performed. Forest plots presented results. Statistical analyses conducted Metafor Package R v.3.4.2. Results/Findings 16 patients. total 1027 adults varied design, seven studies, three quasi‐experimental six randomized trials. Dyspnea, function, psychological state, fatigue as outcomes. found that had significant positive effect life (both global domain), anxiety, depression. However, not significant. Heterogeneity observed some analyses, publication certain Age study design identified potential moderators. Both interventions improved studied outcomes, only differences domain favoring group. Implications Physiotherapy Practice state patients, but fatigue. Face‐to‐face have similar effects, except for life.

Language: Английский

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Post-COVID-19 Syndrome in Non-Hospitalized Individuals: Healthcare Situation 2 Years after SARS-CoV-2 Infection

Viruses, Journal Year: 2023, Volume and Issue: 15(6), P. 1326 - 1326

Published: June 5, 2023

Although “post-COVID-19 syndrome” (PCS) is reported to be common even in non-hospitalized individuals, long-term information on symptom burden, healthcare needs, utilization, and satisfaction with scarce. The objectives of this study were describe utilization experiences the offered for PCS a German sample persons 2 years after SARS-CoV-2 infection. Individuals past COVID-19 confirmed by positive polymerase chain reaction testing examined at University Hospital Augsburg from 4 November 2020 26 May 2021 completed postal questionnaire between 14 June 2022 1 2022. Participants who self-reported presence fatigue, dyspnea exertion, memory problems or concentration classified as having PCS. Of 304 participants (58.2% female, median age 53.5), 210 (69.1%) had Among these, 18.8% slight moderate functional limitations. showed significantly higher large proportion complained about lacking persistent symptoms finding competent providers. results indicate need optimize patient PCS, facilitate access specialized providers, provide treatment options primary care setting improve education

Language: Английский

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A practical framework for Long COVID treatment in primary care

Life Sciences, Journal Year: 2024, Volume and Issue: 354, P. 122977 - 122977

Published: Aug. 12, 2024

Language: Английский

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Exploring requirements for the development and implementation of VR rehabilitation programs for long/post COVID patients: a qualitative mixed-methods study

Virtual Reality, Journal Year: 2025, Volume and Issue: 29(2)

Published: March 14, 2025

Language: Английский

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Effectiveness of ReCOVery APP to Improve the Quality of Life of Long COVID Patients: A 6‐Month Follow‐Up Randomized Clinical Trial

International Journal of Clinical Practice, Journal Year: 2025, Volume and Issue: 2025(1)

Published: Jan. 1, 2025

Purpose: This study aims to analyze the medium‐term effectiveness of telerehabilitation in enhancing quality life for patients with Long COVID, using a mobile application (APP) called ReCOVery APP. The secondary purpose is identify significant factors associated an improvement and other outcomes this population. Methods: A randomized clinical trial was carried out two parallel groups involving total 100 COVID. first one (control group, n = 48) continued their usual treatment (TAU), established by primary care doctor. second (intervention 52), addition continuing TAU, attended three sessions based on motivational methodology used APP 6 months. outcome life. Results: After months, did not significantly improve among COVID patients. Poor adherence observed participants who tried it. Linear regression analyses revealed relationship between decrease number symptoms mental health–related quality. Conclusions: While research contributes valuable insights into potential patients, lack underscores need future large‐scale studies. Such should focus identifying effective strategies enhance digital interventions, such as increased professional support personalized approaches. Additionally, exploring long‐term effects could provide more comprehensive understanding its role managing Trial Registration: ISRCTN Registry identifier: ISRCTN91104012

Language: Английский

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Longitudinal Evaluation of an Integrated Post–COVID-19/Long COVID Management Program Consisting of Digital Interventions and Personal Support: Randomized Controlled Trial

Journal of Medical Internet Research, Journal Year: 2023, Volume and Issue: 25, P. e49342 - e49342

Published: Sept. 6, 2023

The postacute COVID-19 syndrome (PACS) can be addressed with multidisciplinary approaches, including professional support and digital interventions.This research aimed to test whether patients who received a health care facilitation program medical internet from human personal pilots interventions (intervention group [IG] active control [ACG]) would experience fewer symptoms have higher work ability social participation than an untreated comparison (CompG). second objective was compare the impact of diagnostic assessment tailored patients' capacity (IG) that only targeting main (ACG).In total, 1020 PACS were recruited. Using randomized controlled trial design between IG ACG, as well propensity score matching include CompG, analyses run logistic regression hierarchical-linear models.Symptoms decreased significantly in all groups over time (βT1-T2=0.13, t549=5.67, P<.001; βT2-T4=0.06, t549=2.83, P=.01), effect (β=-.15, t549=-2.65, P=.01) more pronounced ACG compared CompG (between groups: βT1-T2=0.14, t549=4.31, βT2-T4=0.14, t549=4.57, P<.001). Work lower but there no significant interaction effect. There differences ACG.Empowerment through reduces does not increase participation. More longitudinal is needed evaluate effects assessment. Social should incorporated facilitate for PACS.ClinicalTrials.gov NCT05238415; https://classic.clinicaltrials.gov/ct2/show/NCT05238415.RR2-10.1186/s12879-022-07584-z.

Language: Английский

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Different but the Same: Common Themes in Illness Experience Among People With Diverse Long COVID Symptoms and the Potential Benefits of Virtual Group Medical Visits

Journal of Patient Experience, Journal Year: 2024, Volume and Issue: 11

Published: Jan. 1, 2024

Long coronavirus disease 2019 (COVID-19) is poorly understood, widespread and debilitating. Integrative medical group visits (IMGVs) provide care virtually or in person are reimbursed by insurance payors. IMGV introduces integrative modalities such as mindfulness, nutrition, acupressure a person-centered, supportive, educational environment. To evaluate telehealth program called Nourish to Flourish (N2F) for patients with long COVID, three researchers conducted qualitative analysis of pre- post-group individual interviews. Twenty-five provided interviews, which fifteen included Main themes were unpredictable symptom patterns, common range emotions associated COVID experience, reconceptualizing self-identity, multiple barriers conventional settings, connections formed N2F. Although symptoms varied, N2F participants found commonalities their experiences living COVID. They empathized one another regarding changing symptoms, inconsistent social support, shifting identities, effective care.

Language: Английский

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Supervised Telerehabilitation and Home-Based Respiratory Muscle Training for Post–COVID-19 Condition Symptoms: A Nested Qualitative Study Exploring the Perspectives of Participants in a Randomized Controlled Trial

Physical Therapy, Journal Year: 2024, Volume and Issue: 104(5)

Published: March 20, 2024

Abstract Objective The purpose of this study was to describe the experiences individuals with post–coronavirus 19 (COVID-19) condition symptoms who underwent a supervised telerehabilitation and home-based respiratory muscle training (TSHB-RMT) program. Methods A qualitative descriptive conducted. Participants were recruited using purposeful sampling. inclusion criteria consisted of: patients aged over 18 years presented persistent COVID-19 fatigue dyspnea for at least 3 months after diagnosis. In total, 28 included. In-depth interviews researcher field notes used collect data. thematic analysis performed. Results Three themes reflect patients’ perspective on TSHB-RMT before program (reasons participating), during treatment program, upon completion study. Among reasons participation, participants highlighted absence improvement treatment, feeling abandoned forgotten by health system. required discipline behalf patients. Mondays Tuesdays most difficult days performing therapy, physical therapist perceived as tool adherence, change, source validated information. positive effects quite soon; however, it necessary extend follow-up completing because they due lack guidance exercise supervision. Conclusion This described relevant aspects that professionals should consider when providing treatment. Impact requires discipline, perseverance, effort, commitment group. is facilitates adherence participation. are rapidly perceived, leading improved self-confidence autonomy; increase time.

Language: Английский

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A First Randomized Eight-Week Multidisciplinary Telerehabilitation Study for the Post-COVID-19 Condition: Improvements in Health- and Pain-Related Parameters

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(2), P. 486 - 486

Published: Jan. 14, 2025

Background/Objectives: This study investigates the effects of multidisciplinary telerehabilitation for post-COVID-19 condition. Methods: Recruitment was announced during 2021/22 through COVID patient organisation in Sweden. The key inclusion criteria were persistent symptoms and functional impairments longer than 12 weeks after an acute SARS-CoV-2 infection, a stable health condition, satisfactory skills to use Internet. Participants randomised into rehabilitation group or waiting list. Telerehabilitation performed by team. Measured outcomes included health- pain-related parameters disability eight when followed up six months. Results: In total, 164 participants registered study. Of them, 67 participated eight-week programme (mean age 43, 78% women) 42 stayed on list 47, 88% weeks. Sixty from 21 completed data at six-month follow-up. results show greater improvements both within months (Cohen’s d effect size varied between moderate large). However, no statistically significant differences found groups, except being lower risk anxiety measured based Hospital Anxiety Depression Scale compared those Conclusions: indicate that is beneficial improving people suffering condition should be further developed adapted similar conditions, such as chronic pain, fatigue, etc.

Language: Английский

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Addressing post-COVID-19 musculoskeletal symptoms through pulmonary rehabilitation with an evidence-based eHealth education tool: Preliminary results from a pilot randomized controlled clinical trial

Medicine, Journal Year: 2025, Volume and Issue: 104(10), P. e41583 - e41583

Published: March 7, 2025

The coronavirus disease (COVID-19) pandemic has led to a global health crisis with significant long-term consequences, including musculoskeletal symptoms such as fatigue, myalgia, and chronic pain. These issues, often linked altered nociceptive processing, impair quality of life are exacerbated in severe cases by intensive care unit-acquired weakness from immobilization mechanical ventilation. Early rehabilitation, particularly pulmonary rehabilitation (PR), is crucial for mitigating these effects. Telerehabilitation, leveraging telemedicine, offers an innovative, accessible alternative, providing personalized programs that improve adherence recovery. Recent studies highlight telerehabilitation's benefits alongside traditional methods, underscoring its potential managing post-COVID-19 sequelae. This study aimed evaluate the effects PR eHealth education tool (ET) on pain, functionality, life, psychological factors patients compare telerehabilitation versus face-to-face approaches regarding treatment adherence. pilot randomized controlled trial included 12 COVID-19. participants were randomly assigned program or without evidence-based ET. Primary outcomes pain reduction improvements functional capacity, measured over 45-week period. secondary outcome was rehabilitation. A kinesiophobia found ET group (P = .048), although no differences observed Barthel index, 6-minute walk test results between groups. Clinically relevant telemedicine group. An effective reducing kinesiophobia, highlighting address aspects However, further needed assess physical

Language: Английский

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