Comparison of Pulmonary Telerehabilitation and Physical Activity Recommendations in Patients With Post Covid Fibrosis

Study Overview
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Brief Summary
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Rehabilitation plays a very important role in the management of patients with COVID-19, focusing on respiratory and motor functions, and therefore the importance of establishing treatment strategies to ensure optimal recovery of these patients has been emphasized. It has been stated that physical activity recommendations should be clarified for the management of symptoms associated with prolonged COVID-19 Syndrome and for the continuation of activities of daily living. It has been stated that after COVID-19 pneumonia, it is necessary to evaluate the physical functions of patients with long-term follow-up and to establish rehabilitation programs. The importance of being included in the rehabilitation program was emphasized, especially for patients with lung fibrosis. The primary aim of this study was to compare the effects of pulmonary telerehabilitation and physical activity recommendations on exercise capacity and peripheral muscle strength in patients with pulmonary fibrosis due to COVID-19. The secondary aim of this study is to compare the effects of pulmonary telerehabilitation and physical activity recommendations on symptoms, activity and participation in patients with pulmonary fibrosis due to COVID-19.

Official Title
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Comparison of the Effectiveness of Pulmonary Telerehabilitation and Physical Activity Recommendations in Patients With Pulmonary Fibrosis Due to COVID-19

Conditions
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COVID-19, Pulmonary Fibrosis

Intervention / Treatment
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* Other: Exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: >18 years old Patients who have been infected with the COVID-19 virus at least three months ago and have been diagnosed with a positive PCR Patients with post-COVID-19 pulmonary fibrosis followed by a pulmonologist Patients who have sufficient technological infrastructure to participate in the telerehabilitation program and can adapt to online systems Patients who are clinically stable Exclusion Criteria: Patients with orthopedic/neurological problems that prevent walking and exercise Patients with uncontrolled cardiovascular disease Patients with uncontrolled medical conditions

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Pulmonary Rehabilitation Group<br>A total of 24 sessions of breathing exercises and high-repetitive muscle endurance and strengthening exercises will be applied to the pulmonary telerehabilitation group for 8 weeks, two days a week and one day a week unsupervised, via online systems. High-repetition muscle endurance and strengthening exercises will be applied to large muscle groups of the lower and upper extremities by creating resistance with body weight and theraband. | Other: Exercise<br>* High repetition muscle endurance and strengthening exercises Walking<br>|
| Active Comparator: Physical Activity Group<br>Respiratory exercises and physical activity recommendations will be given to the physical activity group. Physical activity recommendations are; It will include information about the importance of physical activity and walking 3-5 days a week for at least 30 minutes of moderate intensity (4-6 on the Modified Borg scale of perceived exertion level). | Other: Exercise<br>* High repetition muscle endurance and strengthening exercises Walking<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Exercise capacity | Six minute walk test and | 1 week-8 week | 
| Exercise capacity | Shuttle walk tests | 1 week-8 week | 
| Peripheral muscle strength | Hand-held dynamometer | 1 week-8 week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Physical activity | Pedometer and activity monitor | 1 week-8 week | 
| Symptoms | Modified Medical Research Council Dyspnea Scale stratifies severity of dyspnea in respiratory diseases | 1 week-8 week | 
| Symptoms | Fatigue Severity Scale (FSS) is a method of evaluating the impact of fatigue. FSS contains nine statements that rate the severity of your fatigue symptoms. A low value indicates strong disagreement with the statement, whereas a high value indicates strong agreement. | 1 week-8 week | 
| Physical fitness | 1 min sit to stand test | 1 week-8 week | 
| Functionality | Post covid-19 functionality scale (PCFS): The PCFS scale stratifies functional status limitation as follows: grade 0 (No functional limitations), grade 1 (Negligible functional limitations), grade 2 (Slight functional limitations), grade 3 (Moderate functional limitations), grade 4 (Severe functional limitations), and grade 5 (death) | 1 week-8 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Post covid fibrosis, Pulmonary Rehabilitation, Physical Activity