2026-06-08T01:17:09Zhttps://docta.ucm.es/rest/oai/request

oai:docta.ucm.es:20.500.14352/1048082025-09-18T15:50:44Zcom_20.500.14352_14col_20.500.14352_15

00925njm 22002777a 4500 dc Calvo Paniagua, José author Díaz Arribas, María José author Valera Calero, Juan Antonio author Ramos Sánchez, Mabel author Fernández de las Peñas, César author Navarro Santana, Marcos José author Del Corral Núñez-Flores, Tamara author Plaza Manzano, Gustavo author 2024 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. 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. 1537-7385 10.1097/phm.0000000000002441 https://hdl.handle.net/20.500.14352/104808 https://doi.org/10.1097/phm.0000000000002441 https://journals.lww.com/ajpmr/abstract/9900/an_educational,_exercise_and_occupational.406.aspx 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