Remote Rehabilitation System for Patients after COVID-19 in Tyumen Region: a Prospective Comparative Randomized Study of 100 Patients

Abstract

AIM. To evaluate the system of remote rehabilitation for patients after coronavirus infection (COVID-19) in Tyumen region and its first results. MATERIAL AND METHODS. A randomized trial, including 100 cases in patients who had had a moderately severe coronavirus infection. The following were analyzed: dyspnea progression (according to mMRS), the Borg test progression, Stange and Henci functional tests, and quality of life results according to the EQ-5D questionnaire. Telemedicine interaction was carried out using the Telemed72 application. The rehabilitation program included physical exercises and video classes. RESULTS AND DISCUSSION. There were no major problems with remote communication between the patient and the therapist in the course of the telerehabilitation. At the end of the rehabilitation period, two groups showed some positive changes. Group 1 reduced the severity of dyspnea by 2 points, Group 2 – by 1.5 points, the data of functional breathing tests improved, muscle strength increased and self-evaluation of the quality of life also improved. Contact with a medical professional during telerehabilitation sessions and exercising under the remote supervision of a specialist are of great importance for the patient. This preserves the principle of continuity and consistency in rehabilitation care. CONCLUSION. A system of telerehabilitation has been launched in Tyumen region. The patients, participating in remote tele-rehabilitation sessions, demonstrate improvements in functional breathing tests and quality of life scores. Expanding the boundaries of distant rehabilitation beyond large scientific and clinical centres will require training in the use of videoconferencing and operating special equipment.