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Implementing a Pulmonary Telerehabilitation Program for Young Adults with Post-COVID-19 Conditions: A Pilot Study.
Wilmer Esparza1,2, Alfredo Noboa2, Camila Madera1
1School of Physical Therapy, Pontifical Catholic University of Ecuador, Quito 170143, Ecuador.
Healthcare (Basel, Switzerland)
|September 28, 2024
Summary
Pulmonary telerehabilitation (PTR) effectively improved physical and cardiorespiratory capacity in young adults with post-COVID-19 conditions (PCC). The program reduced heart rate, respiratory rate, and dyspnea, demonstrating feasibility and positive outcomes.
Area of Science:
- Cardiorespiratory physiotherapy
- Digital health interventions
- Long COVID management
Background:
- Pulmonary telerehabilitation (PTR) is recognized for enhancing respiratory function.
- Evidence for PTR's efficacy in youth with post-COVID-19 conditions (PCC) is limited.
- This study investigates the impact of a PTR program on young adults experiencing PCC.
Purpose of the Study:
- To evaluate the effectiveness of a remote, asynchronous PTR program for young adults with PCC.
- To assess the program's impact on cardiorespiratory capacity, physical function, and vital signs.
- To determine the feasibility of implementing PTR in this demographic.
Main Methods:
- Sixteen young adults with PCC were randomized into a control group (CG) or an experimental group (EG).
- The EG engaged in a 12-session remote PTR program featuring diaphragmatic breathing and aerobic exercises.
- Assessments included vital signs (SpO2, HR, RR, BP), physical capacity (sit-to-stand), cardiorespiratory capacity (6-Minute Walk Test), and perceived exertion (Borg scale).
Main Results:
- Significant improvements were observed in SpO2, physical capacity, and respiratory capacity in the EG.
- Heart rate (HR) and respiratory rate (RR) significantly decreased in the EG.
- No significant changes in blood pressure (BP) were noted, and perceived exertion decreased for physical but not cardiorespiratory capacity.
Conclusions:
- The remote PTR program is a feasible and effective intervention for young individuals with PCC.
- The program successfully enhanced physical and cardiorespiratory capacity.
- PTR demonstrated efficacy in reducing key symptoms like elevated HR, RR, and dyspnea in this population.
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