Pulmonary Tele-rehabilitation and Progressive Muscle Relaxation on Discharged Covid-19 Patients

Iran University of Medical Sciences58 enrolled

Overview

The aim of this study is to investigate efficacy of internet based pulmonary rehabilitation and progressive muscle relaxation program on functional capacity, depression and anxiety, dyspnea, fatigue, sleep quality and quality of life in covid19 patients after hospital discharge

Novel coronavirus disease 2019 (covid19) could cause respiratory and physical dysfunction, anxiety and depression, fatigue and affect sleep quality and quality of life in infected patient after hospital discharge. there is expect that pulmonary rehabilitation can improve these symptoms and prevent complications in these cases. It seems that Progressive muscle relaxation exercise could improve pulmonary rehabilitation effect. Due to social isolation of Covid 19 patients after hospital discharge, internet base rehabilitation will be used in this study. participants will be randomized in two pulmonary tele-rehabilitation groups after hospital discharge. One group will be received pulmonary rehabilitation include education, breathing exercises, aerobic and upper and lower limbs muscle strengthening exercises. Another group will be perform progressive muscle relaxation in addition of these exercise. Treatment duration is 6 week with 5 days/week frequency. Two exercise sessions per week will be supervised with expert physiotherapist via videoconferencing. Outcomes will be measured at baseline, within two week and at the end of six week exercises program.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Enrollment

Conditions

Covid19

Interventions

Pulmonary telerehabilitationOTHER

pulmonary telerehabilitation program include breathing exercise,aerobics exercise and upper and lower limbs muscle strengthening exercise

progressive muscle relaxation trainingOTHER

summarized Jacobson progressive muscle relaxation training method

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Covid 19 patient that confirmed with polymerase chain reaction test (PCR) * Hospitalized Corvid 19 patients after discharge * Accessibility to internet and using video call Exclusion Criteria: * Mental and physical disability * Uncontrolled cardiac dysfunction such as arrhythmia * Sever neurological condition such as guillain-barre and stroke * Uncontrolled diabetes or blood pressure * Pregnant women * Re-hospitalization during treatment program * Chronic pulmonary and kidney condition

Locations (1)

Iran university of medical sciences

Tehran, Iran

Outcomes

Primary Outcomes

Functional capacity

six minute walk test (6MWT)

Time frame: change from baseline in 6MWT at 2 and 6 weeks

Secondary Outcomes

dyspnea

Borg scale, The borg scale is a self-rating tool to measure the degree of breathlessness on a scale from 0 to 10, higher score mean worse dyspnea

Time frame: change from baseline in Borg scale at 2 and 6 weeks

Sleep quality

petersburg sleep quality index (PSQI), PSQI is a eighteen item scale.The total scores range is 0-21. A higher score indicates a worse sleep quality.

Time frame: change from baseline in PSQI at 6 week

anxiety and depression

hospital anxiety and depression scale (HADS), HADS is a fourteen item scale. Seven of the items relate to anxiety and seven relate to depression.The total scores range is 0-21 for both depression and anxiety scores. A higher score indicates a worse depression and anxiety.

Time frame: change from baseline in HADS at 6 week

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.