Effect of Pulmonary Rehabilitation Program on Post Hospitalization Severe COVID- 19 Patients
Condition: Post COVID-19 Condition
MeSH terms: COVID-19
Study type: Interventional

Summary: 
      COVID-19 infection was discovered to be the major global cause of a serious respiratory
      illness toward the end of 2019. The majority of COVID-19 patients experience mild disease,
      while about 14% go on to have severe disease and 6% end up in critical condition. An
      evidence-based standard of therapy called pulmonary rehabilitation includes exercise
      training, education, and behavior modification to help people with lung illness feel better
      physically and mentally.

      The aim of the study to evaluate the effect of pulmonary rehabilitation program on severe
      post covid19 patients (post hospitalization) regarding pulmonary function tests and dyspnea
      score.
    

Detailed description: 
      SARS CoV-2 infection has caused substantial death, morbidity, and unprecedented strain on the
      world's healthcare systems . When the illness is minor, it typically takes two weeks from the
      onset of symptoms till recovery, and when it is severe or critical, it may take three to six
      weeks. It should be mentioned that approximately 75% to 80% of hospitalized patients will
      remain there for more than 21 days .

      After the virus is defeated, COVID-19 can have serious aftereffects on the patient, with
      bilateral pneumonia. As a result, physiotherapy is essential in this pandemic and will play a
      major role in helping many patients' health. A 20-30% reduction in pulmonary capacity has
      already been reported in recent studies .

      Although pulmonary rehabilitation has been suggested following severe COVID-19, there is a
      lack of data showing effectiveness on recovery of physical and psychosocial parameters in
      severe COVID-19 patients following hospitalization.

      The aim of the study is to evaluate the effect of pulmonary rehabilitation program on severe
      post covid19 patients (post hospitalization) regarding pulmonary function tests and dyspnea
      score.

      50 patients were enrolled in the study post hospitalization due to severe COVID 19 infection.
      Dyspnea score, Spirometry and 6minute walk test were performed upon discharge. Pulmonary
      rehabilitation program was performed. Follow up assessment of the same parameters was done 6
      weeks after the program.

      These results were compared with another 50 patients who were admitted in hospital due to
      severe COVID 19 infection but no pulmonary rehabilitation program was performed to them after
      hospitalization.
    

Intervention name(s): respiratory exercises - incentive spirometer - walking
Intervention type(s): Combination Product
Intervention description(s): respiratory exercises (in form of diaphragmatic breathing, pursed lip breathing exercise and incentive spirometer), rehab exercise program and walking exercise.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: 50 patients were enrolled in the study post hospitalization due to severe COVID 19 infection. Dyspnea score, Spirometry and 6minute walk test were performed upon discharge. Pulmonary rehabilitation program was performed. Follow up assessment of the same parameters was done 6 weeks after the program.
These results were compared with another 50 patients who were admitted in hospital due to severe COVID 19 infection but no pulmonary rehabilitation program was performed to them after hospitalization.
Masking: None (Open Label)
Primary purpose: Supportive Care