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Telerehabilitation After Coronavirus

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StatusRecruiting
Sponsors
KTO Karatay University

Keywords

Abstract

The aim of the study is to investigate the effects of telerehabilitation program on COVID-19 symptoms, quality of life, level of depression, perception of dyspnea, sleep, fatigue, kinesiophobia and patient satisfaction in individuals diagnosed with COVID-19.

Description

Because of the risk of infection, telerehabilitation applications are recommended for patients with COVID-19. There are no studies in the literature evaluating the effectiveness of telerehabilitation program after COVID-19. In particular, the importance of the first eight weeks after the disease was emphasized.

It is thought that the telerehabilitation program will improve the functional capacities and quality of life of patients in order to adapt to the daily life after the infection more easily, to cope with the symptoms brought about by the disease more easily and to prevent the respiratory distress, intensive care stay and inactivity due to muscle weakness.

Dates

Last Verified: 06/30/2020
First Submitted: 07/13/2020
Estimated Enrollment Submitted: 07/13/2020
First Posted: 07/15/2020
Last Update Submitted: 07/22/2020
Last Update Posted: 07/26/2020
Actual Study Start Date: 06/18/2020
Estimated Primary Completion Date: 10/18/2020
Estimated Study Completion Date: 12/18/2020

Condition or disease

COVID

Intervention/treatment

Other: Aerobic Exercise Training

Behavioral: Patient Education

Other: Aerobic + Respiratory Training Group

Phase

-

Arm Groups

ArmIntervention/treatment
Sham Comparator: Patient Education Group
Information training about COViD-19 and its symptoms, hygiene education, family education
Experimental: Aerobic Training Group
Teaching and regular follow-up of aerobic exercises shown online
Experimental: Aerobic + Respiratory Training Group
Teaching and regular follow-up of aerobic and respiratory exercises shown online
Other: Aerobic + Respiratory Training Group
Respiratory exercises that one can do on their own after being shown online

Eligibility Criteria

Ages Eligible for Study 25 Years To 25 Years
Sexes Eligible for StudyAll
Accepts Healthy VolunteersYes
Criteria

Inclusion Criteria:

- volunteering to participate in the study

- at least once diagnosed with COVID-19,

- has a cognitive level that can adapt to online exercises,

- having a physical condition suitable for exercises

- staying in hospital due to covid-19

Exclusion Criteria:

- refuse to participate in the study

- having neurological, cardiac, respiratory disease that prevents exercise

Outcome

Primary Outcome Measures

1. Dyspnoea [baseline]

It will be evaluated by the Modified Medical Research Council (mMRC). It consists of 5 items between 0 and 4. The increase in the score indicates the severity of dyspnea.

2. Anxiety and Depression [baseline]

It will be evaluated by the Hospital Anxiety and Depression Scale (HADS). The questionnaire comprises seven questions for anxiety and seven questions for depression, and takes 2-5min to complete. Although the anxiety and depression questions are interspersed within the questionnaire, it is vital that these are scored separately. Cut-off scores are available for quantification, for example a score of 8 or more for anxiety. The increase in the score indicates the severity of anxiety and depression.

3. Sleep Quality [baseline]

It will be evaluated by pittsburgh sleep quality index

4. Health Related Quality of Life [baseline]

It will be evaluated by SF-36

5. Dyspnoea [6 weeks later]

It will be evaluated by the Modified Medical Research Council (mMRC). It will be evaluated by the Modified Medical Research Council (mMRC). It consists of 5 items between 0 and 4. The increase in the score indicates the severity of dyspnea.

6. Anxiety and Depression [6 weeks later]

It will be evaluated by the Hospital Anxiety and Depression Scale (HADS). The questionnaire comprises seven questions for anxiety and seven questions for depression, and takes 2-5min to complete. Although the anxiety and depression questions are interspersed within the questionnaire, it is vital that these are scored separately. Cut-off scores are available for quantification, for example a score of 8 or more for anxiety. The increase in the score indicates the severity of anxiety and depression.

7. Sleep Quality [6 weeks later]

It will be evaluated by pittsburgh sleep quality index

8. Health Related Quality of Life [6 weeks later]

It will be evaluated by SF-36

Secondary Outcome Measures

1. Kinesiophobia [baseline]

It will be evaluated by Kinesiophobia Causes Scale. The questionnaire consist of 20 closed questions, assessed in a range from 0 to 100 - a higher score indicating a higher fear of movement

2. Patient Satisfaction [6 weeks later]

It will be evaluated by patient satisfaction scale. Likert scale questionnaire proposed seven dimensions of patient satisfaction directed toward their doctors. These are general satisfaction, technical quality, interpersonal manner, communication, financial aspects, time spent with doctor, and accessibility and convenience. Increased score indicates decreased satisfaction. The minimum score is 18, the maximum score is 90.

3. Fatigue [baseline]

It will be evaluated by Fatigue Severity Scale. A self-report scale of nine items about fatigue, its severity and how it affects certain activities. Answers are scored on a seven point scale where 1 = strongly disagree and 7 = strongly agree. This means the minimum score possible is nine and the highest is 63.

4. Kinesiophobia [6 weeks later]

It will be evaluated by Kinesiophobia Causes Scale. The questionnaire consist of 20 closed questions, assessed in a range from 0 to 100 - a higher score indicating a higher fear of movement

5. Fatigue [6 weeks later]

It will be evaluated by Fatigue Severity Scale. A self-report scale of nine items about fatigue, its severity and how it affects certain activities. Answers are scored on a seven point scale where 1 = strongly disagree and 7 = strongly agree. This means the minimum score possible is nine and the highest is 63.

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