Aerobic Exercise and Covid-19 Survivors With Post-Intensive Care Syndrome (Pics)

Riphah International University60 enrolled

Overview

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).

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

COVID-19 Post Intensive Care Syndrome

Interventions

Aerobic Exercise TrainingOTHER

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

Home PlanOTHER

* 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.

Eligibility

Sex: ALLMin age: 30 YearsMax age: 60 Years

Medical Language ↔ Plain English

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.

Locations (1)

Allama Iqbal International Hospital & Mega Medical Complex.

Rawalpindi, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Hospital Anxiety and Depression

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)

Time frame: 6 weeks

6 min walk test: Distance (meters)

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.

Time frame: 6 weeks

Data from ClinicalTrials.gov

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