Efficacy of Synchronous and Asynchronous Telerehabilitation in COVID-19 Discharges

Efficacy of Synchronous and Asynchronous Telerehabilitation in COVID-19 Discharges

Investigators aimed to evaluate the effectiveness of exercise programs given by synchronous and asynchronous telerehabilitation methods in patients after discharge from COVID-19.

Fifty seven participants will be enrolled. Participants will be randomly divided into 3 groups.

For this purpose, patients will be recruited at the time of discharge from the hospital and two experimental groups with the same physical therapy and educational program will be carried out. participants in the control group will only educational program. Participants in experimental groups will be followed using videoconference interviews from synchronous telerehabilitation methods and mobile application from asynchronous telerehabilitation methods at home. These participants will be given an 8-week exercise program. The exercise program will consist of physical exercises (aerobic and strength exercises) along with breathing exercises and the patients will be evaluated before and after the treatment.

After treatment programs, the functional capacity, performance, and hemodynamic parameters of the participants will be evaluated. Quality of life, physical activity level, anxiety-depression, and fatigue severity will also be evaluated with questionnaires.

Inclusion Criteria:

• COVID-19 patients in the subacute period discharged
• Be 18 years or older
• Having received oxygen therapy or mechanical ventilation support in the hospital
• Access to online interviews and web-based exercises with a secure internet connection
• Having sufficient speaking and hearing skills for telerehabilitation
• Volunteer to participate in research

Exclusion Criteria:

• Unstable clinical condition
• Having had cerebrovascular disease, intra-articular drug injection or surgery of the lower extremities in the last 6 months
• Inability to walk independently, even with an assistive device
• Having serious neuromuscular problems
• Not being cooperative enough to answer and understand questionnaires and scales