None listed
Conditions
Brief summary
Studies in the literature agree on the necessity of rehabilitation practices and exercises for individuals with COVID-19. However, studies on this subject mostly remained at the level of compilation. The rapid spread and serious mortality and morbidity rates of COVID-19 are cited as the justified reasons for this. Since life changes very rapidly in this rapidly developing process, there are still a very limited number of prospective studies on these patients. Liu et al. applied respiratory muscle training, coughing exercises, diaphragmatic training, stretching exercises and home exercise programs for a total of 6 weeks in the form of 2 sessions/week within the scope of respiratory rehabilitation to elderly patients with COVID-19. Ultimately, respiratory function, quality of life, and anxiety improved in elderly patients with COVID-19 undergoing respiratory rehabilitation; however, no statistically significant change was observed in depression and activities of daily living. In another study planned by Gonzalez-Gerez et al., but whose results have not yet been published, it was planned to investigate the effects of home breathing exercises, non-specific exercises, and mental exercises in patients diagnosed with COVID-19. No other prospective studies have been found in the literature on the application and results of home exercise protocols in the acute period in individuals with mild COVID-19. For this reason, the aim of this study is to determine the dyspnea, fatigue, anxiety, depression, balance and lower extremity muscle functions of these individuals with an exercise training program consisting of respiratory and non-specific general body exercises applied remotely for four weeks to individuals who are self-isolating at home due to COVID-19 disease. to investigate its effects.
Interventions
Measurements:
Before and after the exercise training applied for 4 weeks in total, all evaluations (including dyspnea, fatigue, anxiety, depression, balance and functional mobility) are being made as a one-to-one online interview by a specialist physiotherapist.
Physical exercise program:
Afterwards, all patients are being divided into training and control groups in which patients are performing different exercise programs via online video-conferencing.
*The following exercise program is being
Measurements: Before and after the exercise training applied for 4 weeks in total, all evaluations (including dyspnea, fatigue, anxiety, depression, balance and functional mobility) are being made as a one-to-one online interview by a specialist physiotherapist. Physical exercise program: Afterwards, all patients are being divided into training and control groups in which patients are performing different exercise programs via online video-conferencing. *The following exercise program is being applied to the patients in the training group by another physiotherapist via one-to-one online video phone call, phone voice call and/or online video-conferencing with Microsoft Teams, depending on individuals' opportunities and availability, during 30-45 minutes per a day, 3 days per a week and totally 4-week: -Thoracic Expansion Exercises -Non-specific general body exercises with body weight Moreover, a home program is being applied to the patients in the training group which is totally continuing during 30-45 minutes per a day. Verbal confirmation at end of online sessions is used to monitor adherence to the home program in the training group. The home program for training group includes; 1) thoracic expansion exercises: 4 times a day and other days of week 2) same non-specific general body exercises with body weight (including squat, lunge, bridge, extensions of hip, knee, elbow and upper body, shoulder flexion, shuttle pull and stretching exercises): on other days of the week, once a day 3) physical activity recommendation including walking in the room and/or home is being given to the patients.
Sponsors
GÜLSAH BARGI
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
• Adult individuals aged 18 and over who volunteered to participate in the research • Individuals who can understand and answer surveys • Compatible individuals who can perform exercises and have good cooperation. • Individuals have technology such as smart phone or computer, ipad, laptop etc. where surveys and exercises can be applied. • Individuals with a positive Polymerase Chain Reaction (PCR) test result • Individuals who are compatible with COVID-19 infection as a result of chest X-ray or lung tomography, although the PCR test result is negative. • Individuals diagnosed with COVID-19 and self-isolating at home and following up for recovery
Exclusion criteria
• Individuals with unstable angina pectoris, uncompensated heart failure, myocardial infarction in the past month, uncontrolled diabetes, hypertension above 180/110 mmHg, and/or severe neuropathy which may pose a risk during exercise practices • Individuals diagnosed with COVID-19 and recovered by self-isolation at home • Pregnant women • Individuals with serious psychiatric illness and therefore unable to adapt to exercise sessions • Individuals with severe cognitive impairment • Individuals with ongoing orthopedic, neurological, cardiovascular disorders and/or problems which are independent of COVID-19 • Individuals with severe muscle spasm, involuntary weight loss, symptom inconsistency • Individuals with severe dyspnea at rest and/or minimal effort, cyanosis, and/or hemoptysis
Outcome results
None listed