Is tele-rehabilitation superior to home exercise program in COVID-19 survivors following discharge from intensive care unit? - A study protocol of a randomized controlled trial
Is tele-rehabilitation superior to home exercise program in COVID-19 survivors following discharge from intensive care unit? - A study protocol of a randomized controlled trial
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DOI：
10.1002/pri.1920
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发表时间：
2021-07-08
影响因子：
1.7
通讯作者：
Ozyemisci Taskiran, Ozden
中科院分区：
文献类型：
--
作者：
Turan, Zeynep;Topaloglu, Mahir;Ozyemisci Taskiran, Ozden
背景和目的：评估COVID-19患者从重症监护室出院后的肺康复至关重要。由于交通问题和对传染性的谨慎，可能很难参加康复计划。远程康复可以作为一个有利的选择。本研究的主要目的是调查是否监督远程康复是上级到家庭锻炼计划步行距离和次要的肌肉力量，肌肉耐力，生活质量，体力活动水平和自觉呼吸disability.Methods：这是一个随机评估盲对照试验，两组，远程康复和家庭锻炼。122名从重症监护室出院的COVID-19幸存者将被分为两组。远程康复组将在家中通过互联网远程监督下接受呼吸，有氧，姿势，伸展，强化练习，每周3天，持续10周。家庭锻炼组将在他们自己的家中接受相同的计划，他们将每周被称为。患者将在开始时、计划结束时、康复后第6个月和第12个月进行评估。主要结局是6分钟步行距离的变化;次要结局是生活质量、身体功能、健康状况、呼吸困难和肌肉力量的变化。康复方案的详细描述将指导规划康复计划，并帮助如何设计一项疗效研究，比较COVID-19中不同的康复模式。19名从重症监护室出院后的幸存者，对文献做出了循证贡献。
Background and Purpose: Evaluating the patients with COVID-19 following discharge from intensive care unit for pulmonary rehabilitation is crucial. It could be difficult to participate rehabilitation program due to transportation problems and cautions for contagiousness. Tele-rehabilitation could serve as a favorable alternative. The primary aim of this study is to investigate whether supervised tele-rehabilitation is superior to home exercise program regarding walking distance and secondarily muscle strength, muscle endurance, quality of life, physical activity level and perceived respiratory disability.Methods: This is a randomized assessor blinded control trial with two groups; tele-rehabilitation and home exercise. One hundred twenty-two COVID-19 survivors following discharge from intensive care unit will be allocated into two groups. The tele-rehabilitation group will receive breathing, aerobic, posture, stretching, strengthening exercises at their home under remote supervision via Internet for 3 days/week for 10 weeks. Home exercise group will receive the same program at their home on their own and they will be called weekly. The patients will be evaluated at the beginning, at the end of the program, 6th and 12th months following the rehabilitation. The primary outcome is the change in 6-minute walking distance; the secondary outcomes are changes in quality of life, physical function, health status, dyspnea and muscle strength.Impact Statement: This detailed description of the rehabilitation protocol will guide to plan the rehabilitation program and help how to design an efficacy study comparing different models of rehabilitation in COVID-19 survivors following discharge from intensive care unit with evidence-based contribution to the literature.