Rehabilitation Interventions for Physical Capacity and Quality of Life in Adults With Post–COVID-19 Condition

JAMA Network Open, Journal Year: 2023, Volume and Issue: 6(9), P. e2333838 - e2333838

Published: Sept. 19, 2023

Importance Current rehabilitation guidelines for patients with post–COVID-19 condition (PCC) are primarily based on expert opinions and observational data, there is an urgent need evidence-based interventions to support PCC. Objective To synthesize the findings of existing studies that report physical capacity (including functional exercise capacity, muscle function, dyspnea, respiratory function) quality life outcomes following in Data Sources A systematic electronic search was performed from January 2020 until February 2023, MEDLINE, Scopus, CINAHL, Clinical Trials Registry. Key terms were used identify potentially relevant included long-covid , post-covid sequelae therapy activity randomized controlled trial . Study Selection This study clinical trials compared training exercise-based either placebo, usual care, waiting list, or control Extraction Synthesis followed Preferred Reporting Items Systematic Reviews Meta-Analyses. pairwise bayesian random-effects meta-analysis using vague prior distributions. Risk bias assessed Cochrane risk tool version 2, certainty evidence evaluated GRADE system by 2 independent researchers. Main Outcomes Measures The primary outcome measured at closest postintervention time point 6-minute walking test. Secondary fatigue, lower limb life. All defined a priori. Continuous reported as standardized mean differences (SMDs) 95% credible intervals (CrIs) binary summarized odds ratios CrIs. between-trial heterogeneity quantified between-study variance, τ Results Of 1834 identified records, 1193 screened, 14 (1244 patients; 45% female participants; median [IQR] age, 50 [47 56] years) analyses. Rehabilitation associated improvements (SMD, −0.56; CrI, −0.87 −0.22) moderate 7 (389 participants). These had 99% posterior probability superiority when current standard care. value (0.04; 0.00 0.60) indicated low statistical heterogeneity. However, significant uncertainty imprecision regarding experiencing exercise-induced adverse events (odds ratio, 1.68; 0.32 9.94). Conclusions Relevance this review suggest life, high improvement care; other outcomes. Given surrounding safety outcomes, additional enhanced monitoring necessary.

Language: Английский

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Effectiveness of a telerehabilitation intervention using ReCOVery APP of long COVID patients: a randomized, 3-month follow-up clinical trial

Scientific Reports, Journal Year: 2023, Volume and Issue: 13(1)

Published: May 16, 2023

The main objective of this study is to analyze the clinical efficacy telerehabilitation in recovery Long COVID patients through ReCOVery APP for 3 months, administered Primary Health Care context. second identify significant models associated with an improvement variables. An open-label randomized trial was conducted using two parallel groups a total 100 patients. first group follows treatment as usual methods established by their general practitioner (control group) and same also uses (intervention group). After intervention, no differences were found favour intervention. Regarding adherence, 25% participants made use APP. Linear regression model establishes that time predicts physical function (b = 0.001; p 0.005) community social support 0.004; 0.021). In addition, increase self-efficacy health literacy contribute improving cognitive 0.346; 0.001) reducing number symptoms 0.226; 0.002), respectively. conclusion, can Trial Registration No.: ISRCTN91104012.

Language: Английский

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Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice on telerehabilitation. The European PRM position (UEMS PRM Section)

European Journal of Physical and Rehabilitation Medicine, Journal Year: 2024, Volume and Issue: 60(2)

Published: March 13, 2024

iNtroductioN: the evidence on utility and effectiveness of rehabilitation interventions delivered via telerehabilitation is growing rapidly.telerehabilitation expected to have a key role in future.aiM: aim this evidence-based position paper (Ebpp) improve prM physicians' professional practice be functioning reduce activity limitations and/or participation restrictions individuals with variety disabling health conditions.MEthods: produce recommendations for physicians telerehabilitation, systematic review literature consensus procedure by means delphi process been performed involving delegates all European countries represented uEMs section.rEsults: reported together 32 resulting from procedure.coNclusioNs: it recommended that deliver services remotely, digital or using communication technologies eligible individuals, whenever required feasible conditions favor patient his/her family, based compliance relevant regulations.This EBPP represents official Union through section designates telerehabilitation.

Language: Английский

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Emerging trends in management of long COVID with a focus on pulmonary rehabilitation: A review

The Clinical Respiratory Journal, Journal Year: 2024, Volume and Issue: 18(5)

Published: May 1, 2024

Abstract Long COVID, or post‐acute sequelae of COVID‐19 (PASC), represents a complex condition with persistent symptoms following SARS‐Cov‐2 infection. The include fatigue, dyspnoea, cognitive impairment, decreased quality life in variable levels severity. Potential mechanisms behind long COVID vascular damage, immune dysregulation and viral persistence. Diagnosing involves medical evaluation by multidisciplinary team assessment scoring systems development. Treatment strategies are symptom‐focused, encompassing care, rehabilitation tailored exercise programmes. Pulmonary rehabilitation, an effective critical component management, has shown promise, particularly for patients respiratory such as dyspnoea. These programmes, which combine exercise, breathing techniques, education psychological support, improve symptoms, overall recovery. Innovative technologies, telemedicine, wearable devices, telerehabilitation, transforming management. Telemedicine facilitates consultations interventions, eliminating healthcare access barriers. Wearable devices enable remote continuous monitoring during their activities. Telerehabilitation proven to be safe feasible have high potential This review provides concise overview its definition, prevalence, mechanisms, clinical manifestations, diagnosis management approaches. It emphasizes the significance approach treatment focus on pulmonary innovative technology advances effectively address COVID.

Language: Английский

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Efficacy of Telerehabilitation Protocols for Improving Functionality in Post-COVID-19 Patients

Life, Journal Year: 2025, Volume and Issue: 15(1), P. 44 - 44

Published: Jan. 1, 2025

Background and Aims: Telerehabilitation is essential for the recovery of post-COVID-19 patients, improving exercise tolerance, dyspnea, functional capacity, daily activity performance. This study aimed to describe telerehabilitation protocols specifically designed individuals with sequelae. Materials Methods: A systematic review was conducted registration number CRD42023423678, based on searches developed in following databases: ScienceDirect, Scopus, Dimensions.ai PubMed, using keywords such as “telerehabilitation” “COVID-19”. The final search date July 2024. selection studies involved an initial calibration process, followed by independent filtering researchers. criteria were applied prior critical appraisal, data extraction, risk bias assessment. Results: After reviewing 405 full-text papers, 14 articles included that focused interventions patients. These remote delivery protocols, vital sign monitoring, virtual supervision physical therapists. reported improvements function, muscle performance, lung psychological outcomes. Significant gains observed strength, mobility, well reductions fatigue, quality life, particularly social domains. Intervention aerobic, respiratory exercises, monitored tools heart rate monitors smartphones. Conclusions: positively impacts volumes, pulmonary capacities, dyspnea reduction, functionality, independence

Language: Английский

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Chinese herbal medicine for dyspnea and persistent symptoms of long COVID: a systematic review and meta-analysis of randomized controlled trials

Journal of Integrative Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

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Telerehabilitation in patients with long COVID-19 syndrome

European Journal of Internal Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

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Virtual recovery: efficacy of telerehabilitation on dyspnea, pain, and functional capacity in post-COVID-19 syndrome

Irish Journal of Medical Science (1971 -), Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 8, 2025

Language: Английский

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Low-Cost Telerehabilitation in Low- and Middle-Income Countries (LMICs): Overcoming Barriers to Access and Improving Healthcare Delivery

Neurorehabilitation, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 9, 2025

Background Telerehabilitation (TR) holds promise for addressing healthcare disparities in low- and middle-income countries (LMICs), where access to rehabilitation services is often limited due economic, geographical, infrastructure barriers. Despite its potential, TR faces unique challenges LMICs, including inadequate digital infrastructure, affordable devices, variable internet connectivity. Objective This study investigates the feasibility, barriers, outcomes of implementing low-cost interventions LMICs. Method A narrative review was conducted studies were analyzed cost-effectiveness, patient adherence, clinical efficacy. Results Findings indicate that can significantly improve accessibility with positive patients stroke, musculoskeletal disorders, chronic pain. led a 40–60% reduction travel-related costs patients, adherence rates comparable in-person sessions. However, reliable devices major particularly rural areas, highlighting divide within LMIC populations. Innovative solutions, such as asynchronous video-based therapy, found effective overcoming connectivity challenges. Conclusion Low-cost viable approach enhancing offering substantial reductions cost travel Addressing through scalable, offline-enabled platforms could enhance TR’s reach Further research necessary develop sustainable models tailored specific needs

Language: Английский

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Multimodal Telerehabilitation in Post COVID-19 Condition Recovery: A Series of 12 Cases

Reports — Medical Cases Images and Videos, Journal Year: 2025, Volume and Issue: 8(1), P. 35 - 35

Published: March 20, 2025

Background: Post COVID-19 Condition is a recently recognized syndrome characterized by the persistence of various symptoms, including dyspnea, physical and mental fatigue, post-exertional malaise. Currently, there no established treatment or clear consensus on effectiveness rehabilitation, given that patients could benefit from home-based telerehabilitation, defined as remote rehabilitation using telematic systems, may be an option to reach more population with persistent symptoms. Therefore, it necessary show efficacy this approach benefits multimodal strategy in these patients. Methods: Patients underwent home 12-week synchronous telerehabilitation system. The intervention included therapeutic education respiratory rehabilitation. following variables were analyzed: Fatigue, quality life, strength, aerobic capacity, upper lower limb strength. Conclusions: After 12 weeks, significant improvements found However, improvement was dyspnea scores, which did not correlate Interestingly, post-intervention correlation emerged between distance covered capacity perceived suggesting asynchronous viable for

Language: Английский

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