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- Title
Cardiopulmonary Rehabilitation Versus Home-Based Exercise Program for Post-Acute COVID-19 Symptoms.
- Authors
BAKILAN, Fulya; GÖKMEN, İsmail Güneş; ORTANCA, Burcu; UÇAN, Anıl; EYİGÜN, Emine; MUTLU, Fezan; GÖKMEN, Hatice Merve; EKİM, Ayşe
- Abstract
Objective: The need for cardiopulmonary rehabilitation (CPR) for post-acute coronavirus disease-2019 (COVID-19) symptoms such as dyspnea and fatigue is known. However, rehabilitation units cannot handle all post-acute COVID-19 patients also this would be a huge economic burden. This study aimed to compare the effect of CPR and home-based exercise programs on exercise endurance and quality of life in post-acute COVID-19 patients. Material and Methods: This retrospective study was conducted with the records of 88 post-acute COVID-19 patients who received CPR (n=45) or home exercise programs (n=43). Both programs included aerobic, breathing, and flexibility exercises (CPR: three or four days per week for a total of 20 sessions, home exercise program: three or four days per week over a period of six weeks). The results of the six-minute walk test (6MWT) were used for exercise endurance as a primary outcome measure. Borg-dyspnea/fatigue, the visual analog scale (VAS) for pain, and the Short Form-36 (SF-36) were used as secondary outcome measures. All before and after primary and secondary outcome measurements were recorded. Results: Borg-dyspnea (p=0.004), fatigue (p=0.001), VAS-pain (p=0.034), SF-36: physical function (p=0.023), physical role (p=0.049), emotional role (p=0.038), bodily pain (p=0.021) energy (p=0.001) showed more improvement in CPR group than home exercise program group. However, improvements in the 6MWT were similar in both groups(p=0.266). Conclusion: Considering that both CPR and home-based exercise programs showed similar effects on exercise endurance, we believe home exercise programs which are also safe and cost-effective could be an alternative to CPR programs.
- Subjects
EXERCISE physiology; HEALTH status indicators; STRETCH (Physiology); T-test (Statistics); DATA analysis; EXERCISE therapy; EVALUATION of human services programs; POST-acute COVID-19 syndrome; FATIGUE (Physiology); QUESTIONNAIRES; RETROSPECTIVE studies; HEALTH surveys; DESCRIPTIVE statistics; MANN Whitney U Test; CHI-squared test; BREATHING exercises; PHYSICAL fitness; QUALITY of life; AEROBIC exercises; STATISTICS; PAIN; HOME rehabilitation; DYSPNEA; COMPARATIVE studies; DATA analysis software; QUALITY assurance; CARDIAC rehabilitation; SYMPTOMS
- Publication
Journal of Physical Medicine & Rehabilitation Sciences, 2024, Vol 27, Issue 2, p105
- ISSN
1309-3843
- Publication type
Article
- DOI
10.31609/jpmrs.2023-99394