Calvo Paniagua, JoséDíaz Arribas, María JoséValera Calero, Juan AntonioRamos Sánchez, MabelFernández de las Peñas, CésarNavarro Santana, Marcos JoséDel Corral Núñez-Flores, TamaraPlaza Manzano, Gustavo2024-06-102024-06-102024Calvo-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, 10-1097.1537-738510.1097/phm.0000000000002441https://hdl.handle.net/20.500.14352/104808Objective 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.engAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/journal articlehttps://doi.org/10.1097/phm.0000000000002441https://journals.lww.com/ajpmr/abstract/9900/an_educational,_exercise_and_occupational.406.aspxembargoed access615.8COVID-19Physical ExertionPhysiotherapyFisioterapia (Enfermería, Fisioterapia y Podología)3213.11 Fisioterapia