Tele‐rehabilitation in COVID‐19 survivors (TERCOV): An investigator‐initiated, prospective, multi‐center, real‐world study

Introduction Center‐based rehabilitation is limited by COVID‐19 infectivity and social distancing policy. We hypothesized that discharged patients benefit from 8‐week home‐based tele‐rehabilitation (tele‐PR) using mobile phones and low‐cost instruments. Methods The TERCOV (Tele‐rehabilitation in COV...

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Veröffentlicht in:	Physiotherapy research international : the journal for researchers and clinicians in physical therapy 2024-10, Vol.29 (4), p.e2137-n/a
Hauptverfasser:	Wen, Geyi, Yang, Lulu, Qumu, Shiwei, Situ, Xuanming, Lei, Jieping, Yu, Biqin, Liu, Bing, Liang, Yajun, He, Jiaze, Wang, Rujuan, Ni, Fang, Wu, Changrong, Zheng, Xing, Yin, Yao, Lin, Jing, Bao, Jiangping, Yang, Ting, Hu, Yi, Cheng, Zhenshun, Guo, Guangyun
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Sprache:	eng
Schlagworte:	Adult Aged Breathing Exercises - methods COVID-19 COVID‐19 sequelae Exercise Therapy - methods Exercise Tolerance - physiology Female Humans Male Middle Aged mMRC Pandemics Prospective Studies pulmonary rehabilitation Quality of Life SARS-CoV-2 Survivors Telerehabilitation tele‐PR
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container_title	Physiotherapy research international : the journal for researchers and clinicians in physical therapy
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creator	Wen, Geyi Yang, Lulu Qumu, Shiwei Situ, Xuanming Lei, Jieping Yu, Biqin Liu, Bing Liang, Yajun He, Jiaze Wang, Rujuan Ni, Fang Wu, Changrong Zheng, Xing Yin, Yao Lin, Jing Bao, Jiangping Yang, Ting Hu, Yi Cheng, Zhenshun Guo, Guangyun
description	Introduction Center‐based rehabilitation is limited by COVID‐19 infectivity and social distancing policy. We hypothesized that discharged patients benefit from 8‐week home‐based tele‐rehabilitation (tele‐PR) using mobile phones and low‐cost instruments. Methods The TERCOV (Tele‐rehabilitation in COVID‐19 survivors) is an investigator‐initiated, prospective, multi‐center, real‐world study. After proper assessment, 186 discharge patients received tele‐PR by smartphone, including breathing exercise, respiratory muscle training, aerobic exercise, and resistance training. Physicians, physiotherapists, and nurses provided guidance through smartphone applications. The primary outcome was six‐minute walk distance (6MWD). The secondary outcomes included hand grip, short physical performance battery, maximal inspiratory pressure, maximal expiratory pressure, self‐rating anxiety/depression scale (SAS/SDS), 36‐item short‐form health survey (SF‐36) and international physical activity questionnaire. Results Dyspnea subgroups were more functionally impaired. After tele‐PR, improvements were observed in exercise capacity(∆6MWD: 16.80 m, 95% CI 1.18–32.42, p
doi_str_mv	10.1002/pri.2137
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We hypothesized that discharged patients benefit from 8‐week home‐based tele‐rehabilitation (tele‐PR) using mobile phones and low‐cost instruments. Methods The TERCOV (Tele‐rehabilitation in COVID‐19 survivors) is an investigator‐initiated, prospective, multi‐center, real‐world study. After proper assessment, 186 discharge patients received tele‐PR by smartphone, including breathing exercise, respiratory muscle training, aerobic exercise, and resistance training. Physicians, physiotherapists, and nurses provided guidance through smartphone applications. The primary outcome was six‐minute walk distance (6MWD). The secondary outcomes included hand grip, short physical performance battery, maximal inspiratory pressure, maximal expiratory pressure, self‐rating anxiety/depression scale (SAS/SDS), 36‐item short‐form health survey (SF‐36) and international physical activity questionnaire. Results Dyspnea subgroups were more functionally impaired. After tele‐PR, improvements were observed in exercise capacity(∆6MWD: 16.80 m, 95% CI 1.18–32.42, p < 0.0001), limb muscle function (∆SPPB 0.25 points, 95% CI 0.05–0.46), respiratory muscle strength (∆MIP 16.50 cm H2O, 95% CI 9.22–23.78, p < 0.0001; ∆MEP: 12.09 cm H2O, 95% CI 3.48–20.70, p = 0.0002), health‐related quality of life (∆SF‐36 49.85, 95% CI: 21.01–78.69, p < 0.0001), physical activity(∆HEPA 13.01%, p = 0.0029). Anxiety reduced in patients with mMRC ≥ 2 (∆SAS = −4.19 points, CI −8.16 to −0.22, p = 0.03). Greater change was seen in dyspnea patients. Implications on Physiotherapy Practice Supervised/semi‐supervised tele‐PR is a promising option during the pandemic. Patients with Dyspnea benefit more.</description><identifier>ISSN: 1358-2267</identifier><identifier>ISSN: 1471-2865</identifier><identifier>EISSN: 1471-2865</identifier><identifier>DOI: 10.1002/pri.2137</identifier><identifier>PMID: 39425529</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Aged ; Breathing Exercises - methods ; COVID-19 ; COVID‐19 sequelae ; Exercise Therapy - methods ; Exercise Tolerance - physiology ; Female ; Humans ; Male ; Middle Aged ; mMRC ; Pandemics ; Prospective Studies ; pulmonary rehabilitation ; Quality of Life ; SARS-CoV-2 ; Survivors ; Telerehabilitation ; tele‐PR</subject><ispartof>Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2024-10, Vol.29 (4), p.e2137-n/a</ispartof><rights>2024 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2127-c550ae1f7a3246593438e06bf249fa99d64f3ae1b2f82bbb3bd31b7814e3b20d3</cites><orcidid>0000-0001-6757-7830 ; 0000-0002-7027-5179 ; 0000-0003-3287-7838 ; 0000-0002-2882-5210 ; 0009-0000-9076-2989</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpri.2137$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpri.2137$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39425529$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wen, Geyi</creatorcontrib><creatorcontrib>Yang, Lulu</creatorcontrib><creatorcontrib>Qumu, Shiwei</creatorcontrib><creatorcontrib>Situ, Xuanming</creatorcontrib><creatorcontrib>Lei, Jieping</creatorcontrib><creatorcontrib>Yu, Biqin</creatorcontrib><creatorcontrib>Liu, Bing</creatorcontrib><creatorcontrib>Liang, Yajun</creatorcontrib><creatorcontrib>He, Jiaze</creatorcontrib><creatorcontrib>Wang, Rujuan</creatorcontrib><creatorcontrib>Ni, Fang</creatorcontrib><creatorcontrib>Wu, Changrong</creatorcontrib><creatorcontrib>Zheng, Xing</creatorcontrib><creatorcontrib>Yin, Yao</creatorcontrib><creatorcontrib>Lin, Jing</creatorcontrib><creatorcontrib>Bao, Jiangping</creatorcontrib><creatorcontrib>Yang, Ting</creatorcontrib><creatorcontrib>Hu, Yi</creatorcontrib><creatorcontrib>Cheng, Zhenshun</creatorcontrib><creatorcontrib>Guo, Guangyun</creatorcontrib><title>Tele‐rehabilitation in COVID‐19 survivors (TERCOV): An investigator‐initiated, prospective, multi‐center, real‐world study</title><title>Physiotherapy research international : the journal for researchers and clinicians in physical therapy</title><addtitle>Physiother Res Int</addtitle><description>Introduction Center‐based rehabilitation is limited by COVID‐19 infectivity and social distancing policy. We hypothesized that discharged patients benefit from 8‐week home‐based tele‐rehabilitation (tele‐PR) using mobile phones and low‐cost instruments. Methods The TERCOV (Tele‐rehabilitation in COVID‐19 survivors) is an investigator‐initiated, prospective, multi‐center, real‐world study. After proper assessment, 186 discharge patients received tele‐PR by smartphone, including breathing exercise, respiratory muscle training, aerobic exercise, and resistance training. Physicians, physiotherapists, and nurses provided guidance through smartphone applications. The primary outcome was six‐minute walk distance (6MWD). The secondary outcomes included hand grip, short physical performance battery, maximal inspiratory pressure, maximal expiratory pressure, self‐rating anxiety/depression scale (SAS/SDS), 36‐item short‐form health survey (SF‐36) and international physical activity questionnaire. Results Dyspnea subgroups were more functionally impaired. After tele‐PR, improvements were observed in exercise capacity(∆6MWD: 16.80 m, 95% CI 1.18–32.42, p < 0.0001), limb muscle function (∆SPPB 0.25 points, 95% CI 0.05–0.46), respiratory muscle strength (∆MIP 16.50 cm H2O, 95% CI 9.22–23.78, p < 0.0001; ∆MEP: 12.09 cm H2O, 95% CI 3.48–20.70, p = 0.0002), health‐related quality of life (∆SF‐36 49.85, 95% CI: 21.01–78.69, p < 0.0001), physical activity(∆HEPA 13.01%, p = 0.0029). Anxiety reduced in patients with mMRC ≥ 2 (∆SAS = −4.19 points, CI −8.16 to −0.22, p = 0.03). Greater change was seen in dyspnea patients. Implications on Physiotherapy Practice Supervised/semi‐supervised tele‐PR is a promising option during the pandemic. Patients with Dyspnea benefit more.</description><subject>Adult</subject><subject>Aged</subject><subject>Breathing Exercises - methods</subject><subject>COVID-19</subject><subject>COVID‐19 sequelae</subject><subject>Exercise Therapy - methods</subject><subject>Exercise Tolerance - physiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>mMRC</subject><subject>Pandemics</subject><subject>Prospective Studies</subject><subject>pulmonary rehabilitation</subject><subject>Quality of Life</subject><subject>SARS-CoV-2</subject><subject>Survivors</subject><subject>Telerehabilitation</subject><subject>tele‐PR</subject><issn>1358-2267</issn><issn>1471-2865</issn><issn>1471-2865</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtKAzEUhoMo1hv4BJJlhY7mMld3pd4KhYpUt0Myc0Yj6UxNMi3dufABfEafxNRWXbk65_B__PznR-iYkjNKCDufGXXGKE-20B4NExqwNI62_c6jNGAsTjpo39oXQkgaJ2QXdXgWsihi2R56n4CGz7cPA89CKq2ccKqpsarxYPw4vPQKzbBtzVzNG2Nxd3J174XTC9xfQXOwTj0J1xgPqlo5JRyUPTwzjZ1B4dQcenjaaqe8XkDtwPSwAaH9uWiMLrF1bbk8RDuV0BaONvMAPVxfTQa3wWh8Mxz0R0HBKEuCIoqIAFolgrMwjjIe8hRILCsWZpXIsjIOK-4ByaqUSSm5LDmVSUpD4JKRkh-g7trX53ttffZ8qmwBWosamtbmnNKUkyiN2R9a-FesgSr3HU-FWeaU5KvOV3e-6tyjJxvXVk6h_AV_SvZAsAYWSsPyX6P87n74bfgFpvyQbw</recordid><startdate>202410</startdate><enddate>202410</enddate><creator>Wen, Geyi</creator><creator>Yang, Lulu</creator><creator>Qumu, Shiwei</creator><creator>Situ, Xuanming</creator><creator>Lei, Jieping</creator><creator>Yu, Biqin</creator><creator>Liu, Bing</creator><creator>Liang, Yajun</creator><creator>He, Jiaze</creator><creator>Wang, Rujuan</creator><creator>Ni, Fang</creator><creator>Wu, Changrong</creator><creator>Zheng, Xing</creator><creator>Yin, Yao</creator><creator>Lin, Jing</creator><creator>Bao, Jiangping</creator><creator>Yang, Ting</creator><creator>Hu, Yi</creator><creator>Cheng, Zhenshun</creator><creator>Guo, Guangyun</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6757-7830</orcidid><orcidid>https://orcid.org/0000-0002-7027-5179</orcidid><orcidid>https://orcid.org/0000-0003-3287-7838</orcidid><orcidid>https://orcid.org/0000-0002-2882-5210</orcidid><orcidid>https://orcid.org/0009-0000-9076-2989</orcidid></search><sort><creationdate>202410</creationdate><title>Tele‐rehabilitation in COVID‐19 survivors (TERCOV): An investigator‐initiated, prospective, multi‐center, real‐world study</title><author>Wen, Geyi ; 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We hypothesized that discharged patients benefit from 8‐week home‐based tele‐rehabilitation (tele‐PR) using mobile phones and low‐cost instruments. Methods The TERCOV (Tele‐rehabilitation in COVID‐19 survivors) is an investigator‐initiated, prospective, multi‐center, real‐world study. After proper assessment, 186 discharge patients received tele‐PR by smartphone, including breathing exercise, respiratory muscle training, aerobic exercise, and resistance training. Physicians, physiotherapists, and nurses provided guidance through smartphone applications. The primary outcome was six‐minute walk distance (6MWD). The secondary outcomes included hand grip, short physical performance battery, maximal inspiratory pressure, maximal expiratory pressure, self‐rating anxiety/depression scale (SAS/SDS), 36‐item short‐form health survey (SF‐36) and international physical activity questionnaire. Results Dyspnea subgroups were more functionally impaired. After tele‐PR, improvements were observed in exercise capacity(∆6MWD: 16.80 m, 95% CI 1.18–32.42, p < 0.0001), limb muscle function (∆SPPB 0.25 points, 95% CI 0.05–0.46), respiratory muscle strength (∆MIP 16.50 cm H2O, 95% CI 9.22–23.78, p < 0.0001; ∆MEP: 12.09 cm H2O, 95% CI 3.48–20.70, p = 0.0002), health‐related quality of life (∆SF‐36 49.85, 95% CI: 21.01–78.69, p < 0.0001), physical activity(∆HEPA 13.01%, p = 0.0029). Anxiety reduced in patients with mMRC ≥ 2 (∆SAS = −4.19 points, CI −8.16 to −0.22, p = 0.03). Greater change was seen in dyspnea patients. Implications on Physiotherapy Practice Supervised/semi‐supervised tele‐PR is a promising option during the pandemic. Patients with Dyspnea benefit more.</abstract><cop>United States</cop><pmid>39425529</pmid><doi>10.1002/pri.2137</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0001-6757-7830</orcidid><orcidid>https://orcid.org/0000-0002-7027-5179</orcidid><orcidid>https://orcid.org/0000-0003-3287-7838</orcidid><orcidid>https://orcid.org/0000-0002-2882-5210</orcidid><orcidid>https://orcid.org/0009-0000-9076-2989</orcidid></addata></record>
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subjects	Adult Aged Breathing Exercises - methods COVID-19 COVID‐19 sequelae Exercise Therapy - methods Exercise Tolerance - physiology Female Humans Male Middle Aged mMRC Pandemics Prospective Studies pulmonary rehabilitation Quality of Life SARS-CoV-2 Survivors Telerehabilitation tele‐PR
title	Tele‐rehabilitation in COVID‐19 survivors (TERCOV): An investigator‐initiated, prospective, multi‐center, real‐world study
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