%0 Journal Article
%A Calvo Paniagua, José
%A Díaz Arribas, María José
%A Valera Calero, Juan Antonio
%A Ramos Sánchez, Mabel
%A Fernández de las Peñas, César
%A Navarro Santana, Marcos José
%A Del Corral Núñez-Flores, Tamara
%A Plaza Manzano, Gustavo
%T An Educational, Exercise and Occupational Therapy-Based Telerehabilitation Program versus ‘Wait-and-See’ for Improving Self-Perceived Exertion in Patients with post-COVID Fatigue and Dyspnea: A Randomized Clinical Trial
%D 2024
%@ 1537-7385
%U https://hdl.handle.net/20.500.14352/104808
%X Objective To compare the effectiveness of a tele-rehabilitation exercise program versus ‘wait-and-see’ on physical exertion, quality of life, dyspnea severity, heart rate and oxygen saturation in patients with post-COVID fatigue and dyspnea.Design Sixty-four patients were enrolled in this randomized clinical trial. A tele-rehabilitation program based on patient education, physical activity, airway clearing, and breathing exercise interventions was conducted. Self-perceived physical exertion during daily living activities, dyspnea severity, health-related quality of life and physiological outcomes and the 6-minute walking test (6MWT) were assessed at baseline, after the program and at 1- and 3-months follow-up periods.Results The experimental group experienced greater improvements in self-perceived physical exertion during daily living activities, dyspnea severity, health-related quality of life and 6MWT (all, p < 0.001). Additionally, patients undergoing the tele-rehabilitation program reported lower exertion scores at rest and after the 6MWT (both, p < 0.001). Between-group oxygen saturation differences were found at rest (p < 0.001), but not after the 6MWT (p = 0.024). Finally, significant between-group differences were found for heart rate after the 6MWT (p < 0.001).Conclusion Although both groups showed a significant improvement after 3 months of follow-up, the group receiving the tele-rehabilitation program described a greater improvement compared with the group receiving no intervention.
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