COVID-19, Post-Acute COVID-19 Syndrome
Conditions
Keywords
Long COVID, COVID-19
Brief summary
The purpose of the study is to assess the physiologic, immunologic, and mental health effects of an exercise and pulmonary rehabilitation program on patients with Long COVID-19 (LC).
Detailed description
1.0 Objectives 1.1 Describe the purpose, specific aims, or objectives. The purpose is to assess the physiologic, immunologic, and mental health effects of a rehabilitation program on patients with Long COVID-19 (LHC). 1.2 State the hypotheses to be tested. Long COVID-19 Patients who enroll and complete a 10 week program of Physiologic and Psychological Rehabilitation will have reduced Long COVID-19 Symptoms, Improved Physical Status, Reduced Inflammatory Markers, and Augmented Psychological Well Being.
Interventions
OTHEROn Site Exercise Rehabilitation
The subject will receive on site standard pulmonary and exercise rehabilitation, educational instruction on balance and strength training, stretching, nutrition, hydration, pacing, proper breathing, small or mini-lectures, and information on relaxation techniques.
Sponsors
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Participants receive on site low to intermediate intensity exercise rehabilitation.
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Long COVID-19 Infection (Documented by PCR or patient report) * Age \>= 18 years old. * At least 12 weeks since the initial COVID Infection. * One or more of the following symptom/signs: Fatigue, Dyspnea, Exercise Intolerance, Post Exertional Malaise and/or Difficulty Breathing. * Able to perform a cardiopulmonary exercise test.
Exclusion criteria
* Patients is not able to perform technically acceptable pulmonary function tests and symptom-limited cardiopulmonary cycle ergometry tests. * Patients who desaturate to SpO2 \<80% on screening incremental exercise testing. * Patients who have completed a pulmonary rehabilitation program in the six weeks prior to the screening visit or patients who are currently in a pulmonary rehabilitation program. * Patients who have taken an investigational drug within one month or six half-lives (whichever is greater) prior to screening visit (Visit 1). * Pregnant or nursing women. * Women of childbearing potential who are not using a highly effective method of birth control. Female patients will be considered of childbearing potential unless surgically sterilized by hysterectomy or bilateral tubal ligation, or post-menopausal for at least two years. * Patients who are currently participating in another interventional study. * Malignancy for which the patient has undergone resection, radiation therapy, or chemotherapy within the last 2 years * Any other significant disease than COVID-19 which, in the opinion of the investigator, may i) put the patient at risk because of participation in the study, ii) influence the results of the study (e.g. Insulin or testosterone therapy, systemic corticosteroids, HIV, etc), iii) cause concern regarding the patient's ability to participate in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in aerobic capacity (Peak Oxygen Uptake) at 10 weeks after rehabilitation comprehensive (normal intensity) pulmonary rehabilitation program. | 10 weeks | Cardopulmonary - Exercise Outcomes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fatigue Severity Scale (FSS) | 10 weeks | Change in a Fatigue Score - 9 questions -1 (strongly disagree) to 7 (strongly agree). Total score from 7 to 54. Lower numbers are better. |
| General Anxiety Disorder Screener (GAD-7) | 10 weeks | Change in Anxiety scores - 7 questions. 0-Not at all to 3 Nearly Every Day - Scores from 0-21. Lower numbers are better. |
| Pittsburg Sleep Quality Score (PSQI) | 10 weeks | Change in Sleep Quality Index - Scores from 0 to 42. Lower scores are better. A score \> 5 indicates poor sleep quality. |
| Short Form (SF-36) | 10 weeks | Quality of Life - 36 Item Short Form Survey. 8 subdomains - Potential scores 0 to 100 (100 being best) in each domain. |
| Modified DePaul Assessment for Post-Exertional Malaise (DSQ-PEM) | 10 weeks | Questions 6-10 Specific to PEM. All questions are Yes/No, No is best. |
| Patient Health Questionnaire (PHQ-9) | 10 weeks | Change in Depression scores - 9 questions that are scored from 0-3. Total scores 0-27. Lower scores are better. |
| Modified Medical Research Council Dyspnea Scale (mMRC) | 10 weeks | Score ranges from 0 to 4. Lower scores are better. |
Countries
United States
Outcome results
None listed