Efficacy of Telerehabilitation Protocols for Improving Functionality in Post-COVID-19 Patients.

Publication date: Jan 01, 2025

Telerehabilitation is essential for the recovery of post-COVID-19 patients, improving exercise tolerance, dyspnea, functional capacity, and daily activity performance. This study aimed to describe telerehabilitation protocols specifically designed for individuals with post-COVID-19 sequelae. A systematic review was conducted with registration number CRD42023423678, based on searches developed in the following databases: ScienceDirect, Scopus, Dimensions. ai and PubMed, using keywords such as “telerehabilitation” and “COVID-19”. The final search date was July 2024. The selection of studies involved an initial calibration process, followed by independent filtering by the researchers. The selection criteria were applied prior to critical appraisal, data extraction, and the risk of bias assessment. After reviewing 405 full-text papers, 14 articles were included that focused on telerehabilitation interventions for post-COVID-19 patients. These interventions were designed for remote delivery and included exercise protocols, vital sign monitoring, and virtual supervision by physical therapists. The studies reported improvements in physical function, muscle performance, lung capacity, and psychological outcomes. Significant gains were observed in strength, mobility, and functional capacity, as well as reductions in dyspnea, fatigue, and improvements in quality of life, particularly in social domains. Intervention protocols included aerobic, strength, and respiratory exercises, monitored using tools such as heart rate monitors and smartphones. Telerehabilitation positively impacts lung volumes, pulmonary capacities, dyspnea reduction, functionality, muscle performance, and independence in post-COVID-19 patients.

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Concepts Keywords
Crd42023423678 COVID-19
Dyspnea functional status
July lung injury
Smartphones post-acute COVID-19 syndrome
Therapists telerehabilitation

Semantics

Type Source Name
disease MESH COVID-19
disease MESH dyspnea
disease MESH sequelae
disease IDO process
disease IDO quality
disease IDO intervention
disease MESH Long Covid
drug DRUGBANK Coenzyme M
disease MESH lung injury
disease MESH functional status
disease MESH syndrome
disease MESH infections
drug DRUGBANK Oxygen
disease MESH acute respiratory distress syndrome
disease IDO infection
disease MESH sepsis
pathway KEGG Endocytosis
disease IDO replication
disease IDO production
pathway REACTOME Release
disease MESH hypoxemia
disease MESH respiratory failure
disease MESH scarring
disease MESH inflammation
disease MESH pneumonia
disease MESH immobilization
disease MESH mobility limitations
disease MESH brain fog
disease MESH lung diseases
drug DRUGBANK Ranitidine
drug DRUGBANK Methionine
drug DRUGBANK Albendazole
drug DRUGBANK Isoxaflutole
disease MESH lifestyle
disease IDO symptom
drug DRUGBANK Spinosad
drug DRUGBANK Bentiromide

Original Article

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