Cardiopulmonary
Conditions
Brief summary
The purpose of this RETROSPECTIVE study was to compare the effect of a hospital and home-based cardiopulmonary rehabilitation (CPR) program on exercise endurance and quality of life in post-acute COVID-19 patients. 88 post-acute COVID-19 patients were divided two groups according to receiving hospital (n=45) or home-based CPR (n=43)in our rehabilitation clinic between January and July 2021. Both protocols consisted of aerobic, breathing and flexibility exercises. Hospital-based CPR: three or four days per week for a total of 20 sessions. Home-based CPR: three or four days/a week over a period of six weeks. The results of six meters walk test (6MWT) for exercise endurance as a main outcome measure, and Borg-dyspnea/fatigue, the visual analog scale (VAS) for pain and the Short Form-36 (SF-36) as secondary outcome measures before and after treatment were recorded.
Interventions
Both protocols consisted of aerobic, breathing and flexibility exercises. Hospital-based CPR: three or four days per week for a total of 20 sessions. Home-based CPR: three or four days/a week over a period of six weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* being 18 years or older * having COVID-19 treatment (home quarantine/hospital/intensive care unit) according to a positive polymerase chain reaction (PCR) test in a nasopharyngeal + oropharyngeal swab or chest computed tomography (CT) * participating in a home-based exercise program (for 6 weeks) or hospital-based CPR (for 12-20 sessions) due to post-acute COVID-19 symptoms (fatigue, myalgia, dyspnea).
Exclusion criteria
* Patients who had both a negative PCR test and chest CT * Patients who had not completed the six minute walk test (6MWT), Borg scales, Short Form-36 and Visual analog scale-pain. * Acute COVID-19 patients (patients whose symptoms had started less than one month previous)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Exercise endurance | One day before exercise programme start and one day later exercise programme ends | Six minutes walk test (All patients walked along a 30-meter-long corridor without obstacles at their normal walking speed, how many meters they walked was noted.) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dyspnea | One day before exercise programme start and one day later exercise programme ends | Borg scale were also measured before and after 6MWT for perceived dyspnea (scale range from 0 to 10) |
| Muscle fatigue | One day before exercise programme start and one day later exercise programme ends | Borg muscle fatigue (scale range from 6 to 20: higher values show more severe symptoms) |
| short form 36 | One day before exercise programme start and one day later exercise programme ends | A quality-of-life assessment was performed using the Short Form-36, which has 36 items regarding physical function, physical role, emotional role, energy, body pain, mental health, general health, and social function. The scale ranges from 0 (poor health) to 100 (perfect health) |
| Musculoskeletal Pain | One day before exercise programme start and one day later exercise programme ends | Visual analog scale-pain was used to measure general body musculoskeletal pain, which was assessed from 0 (no pain) to 10 (worst possible pain) |
Countries
Turkey (Türkiye)