Telerehabilitation After Coronavirus

Study Overview
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Brief Summary
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The aim of the study is to investigate the effects of telerehabilitation program on COVID-19 symptoms, quality of life, level of depression, perception of dyspnea, sleep, fatigue, kinesiophobia and patient satisfaction in individuals diagnosed with COVID-19.

Detailed Description
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Because of the risk of infection, telerehabilitation applications are recommended for patients with COVID-19. There are no studies in the literature evaluating the effectiveness of telerehabilitation program after COVID-19. In particular, the importance of the first eight weeks after the disease was emphasized. It is thought that the telerehabilitation program will improve the functional capacities and quality of life of patients in order to adapt to the daily life after the infection more easily, to cope with the symptoms brought about by the disease more easily and to prevent the respiratory distress, intensive care stay and inactivity due to muscle weakness.

Official Title
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Telerehabilitation After Covid-19: Effectiveness of Respiratory and Aerobic Training

Conditions
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COVID

Intervention / Treatment
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* Other: Aerobic Exercise Training
* Behavioral: Patient Education
* Other: Respiratory Exercise Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: volunteering to participate in the study at least once diagnosed with COVID-19, has a cognitive level that can adapt to online exercises, having a physical condition suitable for exercises staying in hospital due to covid-19 Exclusion Criteria: refuse to participate in the study having neurological, cardiac, respiratory disease that prevents exercise

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: It is planned to include 3 groups in the study. The group 1 will be informed about covid-19 and hygiene. Aerobic exercise will be offered to Group 2, aerobic exercise + breathing exercises will be offered to Group 3. The persons to be included in the groups will be determined randomly.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Sham Comparator: Patient Education Group<br>Information training about COViD-19 and its symptoms, hygiene education, family education | Behavioral: Patient Education<br>* Patient education about covid-19 and hygiene education<br>|
| Experimental: Aerobic Training Group<br>Teaching and regular follow-up of aerobic exercises shown online | Other: Aerobic Exercise Training<br>* Aerobic exercises using all body muscles and that one can do on their own after being shown online<br>Behavioral: Patient Education<br>* Patient education about covid-19 and hygiene education<br>|
| Experimental: Aerobic + Respiratory Training Group<br>Teaching and regular follow-up of aerobic and respiratory exercises shown online | Other: Aerobic Exercise Training<br>* Aerobic exercises using all body muscles and that one can do on their own after being shown online<br>Behavioral: Patient Education<br>* Patient education about covid-19 and hygiene education<br>Other: Respiratory Exercise Training<br>* Respiratory exercises that one can do on their own after being shown online<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dyspnoea | It will be evaluated by the Modified Medical Research Council (mMRC). It consists of 5 items between 0 and 4. The increase in the score indicates the severity of dyspnea. | baseline | 
| Anxiety and Depression | It will be evaluated by the Hospital Anxiety and Depression Scale (HADS). The questionnaire comprises seven questions for anxiety and seven questions for depression, and takes 2-5min to complete. Although the anxiety and depression questions are interspersed within the questionnaire, it is vital that these are scored separately. Cut-off scores are available for quantification, for example a score of 8 or more for anxiety. The increase in the score indicates the severity of anxiety and depression. | baseline | 
| Sleep Quality | It will be evaluated by pittsburgh sleep quality index | baseline | 
| Health Related Quality of Life | It will be evaluated by SF-36 | baseline | 
| Dyspnoea | It will be evaluated by the Modified Medical Research Council (mMRC). It will be evaluated by the Modified Medical Research Council (mMRC). It consists of 5 items between 0 and 4. The increase in the score indicates the severity of dyspnea. | 6 weeks later | 
| Anxiety and Depression | It will be evaluated by the Hospital Anxiety and Depression Scale (HADS). The questionnaire comprises seven questions for anxiety and seven questions for depression, and takes 2-5min to complete. Although the anxiety and depression questions are interspersed within the questionnaire, it is vital that these are scored separately. Cut-off scores are available for quantification, for example a score of 8 or more for anxiety. The increase in the score indicates the severity of anxiety and depression. | 6 weeks later | 
| Sleep Quality | It will be evaluated by pittsburgh sleep quality index | 6 weeks later | 
| Health Related Quality of Life | It will be evaluated by SF-36 | 6 weeks later | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Kinesiophobia | It will be evaluated by Kinesiophobia Causes Scale. The questionnaire consist of 20 closed questions, assessed in a range from 0 to 100 - a higher score indicating a higher fear of movement | baseline | 
| Patient Satisfaction | It will be evaluated by patient satisfaction scale. Likert scale questionnaire proposed seven dimensions of patient satisfaction directed toward their doctors. These are general satisfaction, technical quality, interpersonal manner, communication, financial aspects, time spent with doctor, and accessibility and convenience. Increased score indicates decreased satisfaction. The minimum score is 18, the maximum score is 90. | 6 weeks later | 
| Fatigue | It will be evaluated by Fatigue Severity Scale. A self-report scale of nine items about fatigue, its severity and how it affects certain activities. Answers are scored on a seven point scale where 1 = strongly disagree and 7 = strongly agree. This means the minimum score possible is nine and the highest is 63. | baseline | 
| Kinesiophobia | It will be evaluated by Kinesiophobia Causes Scale. The questionnaire consist of 20 closed questions, assessed in a range from 0 to 100 - a higher score indicating a higher fear of movement | 6 weeks later | 
| Fatigue | It will be evaluated by Fatigue Severity Scale. A self-report scale of nine items about fatigue, its severity and how it affects certain activities. Answers are scored on a seven point scale where 1 = strongly disagree and 7 = strongly agree. This means the minimum score possible is nine and the highest is 63. | 6 weeks later | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Covid-19, Telerehabilitation, Respiratory Exercises, Aerobic Exercises