Abstract
Post-COVID-19 syndrome (PCS) causes persistent symptoms that impair quality of life, and telerehabilitation (TR) provides an effective remote alternative for addressing these challenges. This study aimed to evaluate the effects of a TR-based exercise program on dyspnea, pain intensity, and functional capacity in individuals with PCS. Sixty PCS patients were randomized into a telerehabilitation group (TG, n = 32) or a control group (CG, n = 28). The TG received supervised TR sessions twice a week for 6 weeks, while the CG performed unsupervised home exercises. Assessments were conducted at the baseline and the end of 6 weeks. TG showed significantly greater improvements compared to CG. mMRC decreased by 1.16 (95% CI, 0.93-1.38) vs. 0.36 (95% CI, 0.17-0.55), NPRS by 1.44 (95% CI, 0.95-1.92) vs. 0.6 (95% CI, 0.28-0.93), and 5-TST improved by 6.8 s (95% CI, 5.59-8.01) vs. 2.12 s (95% CI, 1.08-3.17). Significant differences were also observed for PSQI (p = 0.018) and HADS-anxiety (p = 0.001). A TR-based exercise program significantly reduced dyspnea and pain intensity while improving functional capacity in PCS patients, making it an effective alternative to unsupervised exercise regimens. This study is prospectively registered at NCT05381675( clinicaltrials.gov ).
Published Version
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