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

Physiotherapy Research International, Год журнала: 2024, Номер 29(2)

Опубликована: Фев. 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.

Язык: 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, Год журнала: 2024, Номер 60(2)

Опубликована: Март 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.

Язык: Английский

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The effect of telerehabilitation on balance in stroke patients: is it more effective than the traditional rehabilitation model? A meta-analysis of randomized controlled trials published during the COVID-19 pandemic

Frontiers in Neurology, Год журнала: 2023, Номер 14

Опубликована: Май 17, 2023

Objective Telerehabilitation and telemedicine have gradually gained popularity. In 2019, the outbreak of COVID-19 started in Wuhan then spread across world. To date, most countries opted to coexist with virus. However, patients, especially those who suffered a stroke, should take measures avoid being infected any disease as much possible since infectious can lead adverse events for them. be beneficial stroke patients they are less likely by recent years, several studies on telerehabilitation been conducted globally. This meta-analysis aimed investigate effects balance ability compare efficacy conventional rehabilitation telerehabilitation, explore characteristics rehabilitation, provide recommendations programs context global pandemic. Methods We searched Pubmed, Embase, Web Science, The Cochrane Library databases from 1 January 2020 31 December 2022 randomized controlled trials published English that evaluated improvement function after compared differences between (TR) (CR). random-effects model was utilized calculate mean (MDs) 95% confidence intervals (CIs) estimate intervention effects. Statistical heterogeneity assessed according I 2 values. risk bias measured using risk-of-bias assessment tool. Results included nine system evaluation, all which were pooled analysis. All outcomes experimental control groups improved over time. comparison concluded people received had significant Berg Balance Scale (MD = 2.80; CI 0.61, 4.98, P < 0.05, I2 51.90%) Fugl-Meyer Assessment 8.12; 6.35, 9.88, 0) controls. Timed Up Go test −4.59; −5.93, –.25, Tinetti Performance-Oriented Mobility Assessment—Balance 2.50; 0.39, 4.61, 0.05) scored better group than group. There no other two groups. Conclusion Studies changes medical conditions during pandemic also demonstrated that, achieves similar act continuation model. Owing different equipment its curative effect static reactive may different. Currently, more conducive patients' abilities, while is effective balance. Therefore, further needed investigating difference varied devices programs. Further research addition, such large body literature sample size support definitive findings based Systematic review registration CRD42023389456.

Язык: Английский

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Rehabilitation of Patients with Post-COVID-19 Syndrome: A Narrative Review

Progress in Rehabilitation Medicine, Год журнала: 2023, Номер 8(0), С. n/a - n/a

Опубликована: Янв. 1, 2023

Objectives : We aimed to review the most recent articles on rehabilitation of patients after coronavirus disease 2019 (COVID-19) and identify methods effects such patients.

Язык: Английский

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Exploring the Use of Mobile Health for the Rehabilitation of Long COVID Patients: A Scoping Review

Healthcare, Год журнала: 2024, Номер 12(4), С. 451 - 451

Опубликована: Фев. 10, 2024

The COVID-19 pandemic has led to a substantial revolution in the incorporation of digital solutions healthcare. This systematic review investigates enduring physical and psychological consequences individuals experience up two years post-recovery. Additionally, it focuses on examining influence mHealth interventions these effects. Significantly, 41.7% survivors lingering symptoms that have not been addressed, while 14.1% encounter difficulties returning work. presence anxiety, compromised respiratory functioning, persistent highlight immediate requirement for specific therapies. Telehealth, particularly telerehabilitation, presents itself as possible way address difficulties. study thoroughly examines 10 studies encompassing 749 patients, investigating efficacy telerehabilitation therapies addressing various health markers. Telerehabilitation-based breathing exercises yield enhancements functional performance, dyspnea, overall well-being. results emphasize potential favorable effect patient outcomes; however, more research is needed strengthen existing evidence base, one most important limitations limited number trials evaluation varied analysis highlights significance post-COVID care calls ongoing improve comprehension implementation telehealth swiftly changing healthcare environment.

Язык: Английский

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Leveraging Mobile Health for Rehabilitation of Long-COVID Patients: A Scoping Review

Опубликована: Янв. 10, 2024

The COVID-19 pandemic has led to a substantial revolution in the incorporation of digital solutions healthcare. This systematic review investigates enduring physical and psychological consequences individuals experience up two years post-recovery. Additionally, it focuses on examining influence mHealth interventions these effects. Significantly, 41.7% survivors lingering symptoms that have not been addressed, while 14.1% encounter difficulties returning work. presence anxiety, compromised respiratory functioning, persistent highlight immediate requirement for specific therapies. Telehealth, particularly telerehabilitation, presents itself as possible way address difficulties. study thoroughly examines 10 studies encompassing 749 patients, investigating efficacy telerehabilitation therapies addressing various health markers. Telerehabilitation-based breathing exercises yield enhancements functional performance, dyspnea, overall well-being. results emphasize potential favorable effect patient outcomes, however more research is needed strengthen existing evidence basis one most important limitation limited number trials evaluation varied analysis highlights significance post-COVID care calls ongoing improve comprehension implementation telehealth swiftly changing healthcare environment.

Язык: Английский

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Effectiveness of telerehabilitation in patients with post-COVID-19: a systematic review and meta-analysis of randomised controlled trials

BMJ Open, Год журнала: 2024, Номер 14(7), С. e074325 - e074325

Опубликована: Июль 1, 2024

Objective To assess the effects of telerehabilitation on clinical symptoms, physical function, psychological function and quality life (QoL) in patients with post-COVID-19. Design Systematic review meta-analysis randomised controlled trials (RCTs). Data sources PubMed, Web Science, Embase Cochrane Library were searched for publications from 1 January 2020 to 17 April 2024. Eligibility criteria RCTs investigating post-COVID-19 included. The outcomes interest encompassed QoL. Only studies reported English extraction synthesis Two reviewers independently extracted data evaluated risk bias. Statistical analysis was conducted using Review Manager V.5.3, employing mean difference (MD) a 95% CI, corresponding P value used ascertain treatment effect between groups. Heterogeneity quantified I 2 statistic. evidence assessed by GRADE. Results 16 (n=1129) included this systematic review, 15 which (n=1095, comparisons) meta-analysis. primary pooled demonstrated that, compared no rehabilitation or usual care, can improve (measured 30 s sit-to-stand test [6 RCTs, n=310, MD=1.58 stands, CI 0.50 2.66; p=0.004]; 6 min walking distance n=324, MD=76.90 m, 49.47 104.33; p<0.00001]; 36-item short-form health survey [5 n=380, MD=6.12 units, 2.85 9.38; p=0.0002]). However, results did not indicate significant improvements pulmonary graded as low Hospital Anxiety Depression Scale-anxiety very other outcomes. overall completion rate 78.26%, reports severe adverse events any trials. Conclusions Despite lack certain variables, could be an effective safe option enhancing It is advisable conduct further well-designed continue in-depth exploration topic. Study registration PROSPERO, CRD42023404647.

Язык: Английский

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Evolution of long COVID over two years in hospitalised and non-hospitalised survivors in Bangladesh: a longitudinal cohort study

Journal of Global Health, Год журнала: 2025, Номер 15

Опубликована: Март 14, 2025

In developing settings, comparative data on COVID hospitalised survivors (HS) and non-hospitalised (NHS) is scarce. We determined burdens, incidence, evolution, associated factors of long COVID-19 over two years among these groups. conducted a longitudinal cohort study in Dhaka, Bangladesh, recruited confirmed from December 2020 to May 2021 (previously reported). 346 underwent in-person follow-ups at five, nine, 18 months post-infection. The assessment included symptoms, cardiorespiratory function, neuropsychiatric conditions, quality life, laboratory tests. outcomes one or more symptoms and/or signs indicative COVID, aligning closely with the World Health Organization definition post-COVID-19 condition. Of participants, we 326 analysis. 78% HS (n/N = 171/219) 62% NHS 55/89) reported least sequela symptom. had higher odds palpitations, headaches, dizziness, sleeping difficulties, brain fog, muscle weakness, joint pain, hypertension, insulin requirement, poor prolonged corrected QT intervals electrocardiogram compared (95% confidence interval (CI)>1). Regarding sequelae-symptoms, neurological outcomes, restrictive spirometry findings, abnormalities remained unchanged, although psychiatric sequelae, exercise capacity improved both Hospital readmission rates significantly increased (P < 0.05). incidence cough, hypertension were CI>1). Two vaccine doses decreased risk respiratory (adjusted ratio (aRR) 0.76; 95% CI 0.63-0.91) sequelae (aRR 0.78; 0.66-0.92) than no doses. survivors, particularly HS, experienced burden persistent health issues after infection. However, vaccination reduced outcomes. These findings highlight importance ongoing programs need for targeted rehabilitation services low-resource settings.

Язык: Английский

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

Reports — Medical Cases Images and Videos, Год журнала: 2025, Номер 8(1), С. 35 - 35

Опубликована: Март 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

Язык: Английский

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Course of neuropsychological health in post-COVID patients differs 6 and 12 months after inpatient rehabilitation

Frontiers in Psychiatry, Год журнала: 2025, Номер 16

Опубликована: Апрель 25, 2025

Rehabilitation is an effective and feasible approach for post-COVID patients to improve mental health cognitive complaints. However, knowledge regarding the long-term impact of rehabilitation on neuropsychological these lacking. This study aims investigate psychological health, fatigue, function 6 12 months after inpatient patients, who acquired COVID-19 in workplace. In addition, group differences outcome parameters according sex, age, acute COVID status, socioeconomic profession, pre-existing diseases will be detected. longitudinal observational examined changes 127 with as occupational disease or work accident. Symptoms depression anxiety, fatigue severity, somatic symptom trauma-related symptoms, functioning were assessed at beginning well six rehabilitation. Group concerning existing prior also analyzed. The results showed that improvements direct severity could not maintained discharge. Contrary, patients' stable during follow-up. Significant observed diseases. highlights importance aftercare process implementation adequate individualized therapeutic interventions such support strengthen self-management skills.The registered German Clinical Trials Register identifier DRKS00022928.

Язык: Английский

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