RT Journal Article T1 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 A1 Calvo Paniagua, José A1 Díaz Arribas, María José A1 Valera Calero, Juan Antonio A1 Ramos Sánchez, Mabel A1 Fernández de las Peñas, César A1 Navarro Santana, Marcos José A1 Del Corral Núñez-Flores, Tamara A1 Plaza Manzano, Gustavo AB 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. PB Lippincott Williams & Wilkins SN 1537-7385 YR 2024 FD 2024 LK https://hdl.handle.net/20.500.14352/104808 UL https://hdl.handle.net/20.500.14352/104808 LA eng NO Calvo-Paniagua, J., Díaz-Arribas, M. J., Valera-Calero, J. A., Ramos-Sánchez, M., Fernández-de-Las-Peñas, C., Navarro-Santana, M. J., ... & Plaza-Manzano, G. (2024). 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. American Journal of Physical Medicine & Rehabilitation, 10-1097. DS Docta Complutense RD 31 dic 2025