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Length of hospitalization for COVID-19 infection may be increased due to the persistence of fatigue in 29-46% of cases. Its management is essential to prevent the chronic fatigue . Chronic fatigue syndrome affected between 30 and 40% of patients with SARS in 2003 or MERS in 2005 and persisted beyond 3 years. There is currently no specific treatment for acute or <4 months asthenia. To avoid the transition to chronicity, some authors recommend respecting a long rest period. However, a program combining adapted physical activity and therapeutic patient education has already shown significant benefits for combating recent or semi-recent fatigue following a cardiovascular pathology and even during cancer treatments. Therefore, the existing care pathway for hospitalized patients with COVID-19 was adapted, combining exercise training and therapeutic patient education workshops.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CoviMouv' program | Patients who have benefited from the CoviMouv' program (supervised physical activity program + therapeutic education program) will be included. |
| |
| control group | Patients with autonomous physical activity at home or with a community-based physiotherapist will be included. They will have support for the resumption of an adapted physical activity in autonomy, according to the results of the aerobic and anaerobic tests carried out during the initial evaluation (delivery of a training booklet). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CoviMouv' program | Other |
All the sessions are led by a professional of adapted physical activity and will be personalized and adapted to the functional tests carried out during the initial evaluation.
|
| Measure | Description | Time Frame |
|---|---|---|
| Fatigue evaluation | assessed by Chalder Fatigue Scale (CFQ11) with score from 0 to 33. High scores represent high levels of fatigue. | At 1 Month |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life (MOS-SF 12) | assessed by the medical outcome study short form questionnaire (MOS-SF 12, score from 0 to 100). High scores represent high patient's ability. | At 1 Month |
| Aerobic performances |
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Inclusion Criteria:
Exclusion Criteria:
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Acute fatigue post-COVID-19
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| Name | Affiliation | Role |
|---|---|---|
| David HUPIN, MD | Centre Hospitalier Universitaire de Saint Etienne | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chu Saint-Etienne | Saint-Etienne | France |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| D005221 | Fatigue |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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|
| Control | Other | The CoviMouv' program is not presented to theses patients They have support for the resumption of an adapted physical activity in autonomy, according to the results of the aerobic and anaerobic tests carried out during the initial evaluation (delivery of a training booklet). |
|
Assessed by the 6-minute walk test (6MWT, walking distance in meter)
| At 1 Month |
| Anaerobic performances | assessed by the handgrip (muscular strength of biceps in kilogram) | At 1 Month |
| Physical activity | assessed by the adult physical activity questionnaire (APAQ, time spend to physical activity in hours/day) | At 1 Month |
| return to work | Time needed to return to work (for active workers, time in weeks). | At 1 Month |
| previous activities | Time needed to return to previous activities (for retirees, time in weeks). | At 1 Month |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001519 | Behavior |