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

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机构: [1]China Japan Friendship Hosp, Ctr Resp Med, Dept Pulm & Crit Care Med, 2 East Yinghua Rd, Beijing 100029, Peoples R China [2]Chinese Acad Med Sci, Inst Resp Med, 2 East Yinghua Rd, Beijing 100029, Peoples R China [3]Natl Clin Res Ctr Resp Dis, 2 East Yinghua Rd, Beijing 100029, Peoples R China [4]Natl Ctr Resp Med, 2 East Yinghua Rd, Beijing 100029, Peoples R China [5]First Peoples Hosp Yunnan Prov, Dept Pulm & Crit Care Med, Kunming, Peoples R China [6]Capital Med Univ, Beijing, Peoples R China [7]Capital Med Univ, Fangzhuang Community Hlth Serv Ctr, Beijing, Peoples R China [8]China Japan Friendship Hosp, Dept Rehabil Med, Beijing, Peoples R China [9]Zhongshan Orthoped Hosp, Dalian, Liaoning, Peoples R China [10]China Japan Friendship Hosp, Inst Clin Med Sci, Data & Project Management Unit, Beijing, Peoples R China [11]Cent Hosp Wuhan, Dept Pulm & Crit Care Med, 26 Shengli Rd, Wuhan 430014, Hubei, Peoples R China [12]Wuhan Univ, Zhongnan Hosp, Dept Pulm & Crit Care Med, 169 Donghu Rd, Wuhan 430071, Hubei, Peoples R China [13]Chinese Acad Med Sci, Wuhan Res Ctr Infect Dis & Canc, 169 Donghu Rd, Wuhan 430071, Hubei, Peoples R China [14]Wuhan Fourth Hosp, Dept Pulm & Crit Care Med, 28 Baofeng Rd, Wuhan 430030, Hubei, Peoples R China
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关键词: COVID-19 sequelae mMRC pulmonary rehabilitation tele-PR

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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(triangle 6MWD: 16.80 m, 95% CI 1.18-32.42, p < 0.0001), limb muscle function (triangle SPPB 0.25 points, 95% CI 0.05-0.46), respiratory muscle strength (triangle MIP 16.50 cm H2O, 95% CI 9.22-23.78, p < 0.0001; triangle MEP: 12.09 cm H2O, 95% CI 3.48-20.70, p = 0.0002), health-related quality of life (triangle SF-36 49.85, 95% CI: 21.01-78.69, p < 0.0001), physical activity(triangle HEPA 13.01%, p = 0.0029). Anxiety reduced in patients with mMRC >= 2 (triangle 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.

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第一作者机构: [1]China Japan Friendship Hosp, Ctr Resp Med, Dept Pulm & Crit Care Med, 2 East Yinghua Rd, Beijing 100029, Peoples R China [2]Chinese Acad Med Sci, Inst Resp Med, 2 East Yinghua Rd, Beijing 100029, Peoples R China [3]Natl Clin Res Ctr Resp Dis, 2 East Yinghua Rd, Beijing 100029, Peoples R China [4]Natl Ctr Resp Med, 2 East Yinghua Rd, Beijing 100029, Peoples R China [5]First Peoples Hosp Yunnan Prov, Dept Pulm & Crit Care Med, Kunming, Peoples R China
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通讯机构: [1]China Japan Friendship Hosp, Ctr Resp Med, Dept Pulm & Crit Care Med, 2 East Yinghua Rd, Beijing 100029, Peoples R China [2]Chinese Acad Med Sci, Inst Resp Med, 2 East Yinghua Rd, Beijing 100029, Peoples R China [3]Natl Clin Res Ctr Resp Dis, 2 East Yinghua Rd, Beijing 100029, Peoples R China [4]Natl Ctr Resp Med, 2 East Yinghua Rd, Beijing 100029, Peoples R China [12]Wuhan Univ, Zhongnan Hosp, Dept Pulm & Crit Care Med, 169 Donghu Rd, Wuhan 430071, Hubei, Peoples R China [13]Chinese Acad Med Sci, Wuhan Res Ctr Infect Dis & Canc, 169 Donghu Rd, Wuhan 430071, Hubei, Peoples R China
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