COVID-19, Post Intensive Care Syndrome
Conditions
Keywords
Aerobic exercise, COVID-19 Survivors, Post Intensive Care Syndrome
Brief summary
To investigate the effects of aerobic exercise program on physical activity, aerobic capacity, anxiety& depression in Covid-19 survivors discharged from Intensive Care Unit. There is evidence in the literature that post-intensive case survivors who have been mechanically ventilated will likely experience short- and medium-term consequences in the form of Post Intensive Care Syndrome (PICS).
Detailed description
The notion that patients surviving intensive care and mechanical ventilation for several weeks can be discharged home without further medical attention is a dangerous illusion. Post-Intensive Care Syndrome and other severe conditions will require not only adequate screening but early rehabilitation and other interventions. So, this focused control trial will contribute particularly to determining the Effects of the Aerobic Exercise Program in Covid-19 Survivors with Post-Intensive Care Syndrome.
Interventions
OTHERAerobic Exercise Training
Warm-up: 5 minutes Aerobic Training Treadmill/cycle ergometer Frequency:3 days a week Intensity:40-70% of HR max(Start from 40% than increment to as per patient tolerance) Total Duration:6 weeks. Duration of each session:15-30 mins. Cool-down: 5 minutes
OTHERHome Plan
* Positions to ease breathlessness * Controlled breathing/Deep breathing\*10 Reps\* TD,s * Progressive Muscle Relaxation Exercises. * ROM & Flexibility Exercises. 3 days a week for 6 weeks.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
30 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Patients undergo mechanical ventilation in the ICU. * Recovered from Covid-19 & Discharged from ICU within the past 2 months. * Hospital Anxiety and Depression Scale (HADS)\>8. * Scale≥ 2 on MRC Dyspnoea Scale. * Subjects consenting to participate in the study.
Exclusion criteria
* Positive Covid-19 Test. * COPD and other respiratory diseases. * Pre-existing psychotic dementia-type illness. * Acute neurologic diseases (meningitis, ischemic hemorrhagic stroke). * Patients with chronic systemic disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospital Anxiety and Depression | 6 weeks | Changes from baseline till 6 weeks, Assessed through Hospital Anxiety and Depression Scale (HADS): Questionnaire comprises seven questions for anxiety and seven questions for depression, and takes 2-5min to complete. Scoring is as followed: 0-7 = Normal 8-10 = Borderline abnormal (borderline case) 11-21 = Abnormal (case) |
| 6 min walk test: Distance (meters) | 6 weeks | Changes from the baseline till the 6th week, 6 min walk test (6 MWT) was used to measure Functional capacity. It is a submaximal exercise test that can aid in assessing the functional capacity of patients with cardiopulmonary diseases, in this test we find out the maximum distance in meters that an individual covers in 6 min without any support. |
Countries
Pakistan
Outcome results
None listed