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Exercise Program for COVID-19 Survivors: A Telerehabilitation Framework

Year 2021, Volume: 11 Issue: 2, 367 - 370, 30.06.2021
https://doi.org/10.33808/clinexphealthsci.776350

Abstract

Coronavirus disease (COVID-19) is a serious acute respiratory syndrome that has been recognized as a pandemic disease caused by Coronavirus 2 (SARS-CoV-2). The complications related to coronavirus itself, physically inactive period due to symptoms of disease and lockdown may also influence the functional capacities of COVID-19 survivors negatively. It may lead to obstructions in engaging with previous activities of daily living. As a physiotherapy intervention, exercise treatment is one of the novel approaches to support these individuals after the COVID-19 treatment. However, there is limited access to physiotherapy and rehabilitation services during pandemic conditions because of lockdown, especially for infected patients. For increasing accessibility to physiotherapy and rehabilitation care, the World Confederation of Physical Therapy has published a report advising the home-based exercise interventions via Telerehabilitation. Up to date, there is no published framework for structured exercise programs for this population, yet. Since the individual differences in functional levels and possible differences in the severity of coronavirus infection, the physiotherapy, and rehabilitation exercise program should be structured individually for COVID-19 survivors. This document suggests a framework for physical therapists to put into practice an exercise training via telerehabilitation in COVID-19 survivors. The proposed framework has consisted of determination of eligible and risky COVID-19 patients for intervention, physiotherapy assessment tools, 6-week exercise prescription based on FIIT-VP principle (frequency, intensity, time, type, volume, and progression) and criteria for ending exercise.

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References

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  • 5. World Health Organization. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). Accessed:24.07.2020. Available from: URL: https://www.who.int/publications-detail/report-of-the-who-china-joint-mission-on-coronavirus-disease-2019-(covid-19)
  • 6. Madjid M, Safavi-Naeini P, Solomon SD, Vardeny O. Potential effects of coronaviruses on the cardiovascular system a review. JAMA Cardiol 2020; DOI:10.1001/jamacardio.2020.1286. [Epub ahead of print].
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  • 8. Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, Chang J, Hong C, Zhou Y, Wang D, Miao X, Li Y, Hu B. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA neurology 2020; 77(6):683-690.
  • 9. Cheval B, Sivaramakrishnan H, Maltagliati S, Fessler L, Forestier C, Sarrazin P, Orsholts D, Chalabaev A, Sander D, Ntoumanis N, Boisgontier MP. Relationships Between Changes in Self-Reported Physical Activity and Sedentary Behaviours and Health During the Coronavirus (COVID-19) Pandemic in France and Switzerland. SportRxiv. 2020. Doi: https://doi.org/10.31236/osf.io/ydv84. [Epub ahead of print].
  • 10. Pasanen T, Tolvanen S, Heinonen A, Kujala UM. Exercise therapy for functional capacity in chronic diseases: an overview of meta-analyses of randomised controlled trials. BJSM 2017; 51(20), 1459-1465.
  • 11. World Confederation for Physical Therapy. Information and resources about COVID-19. Accessed: 23.06.2020. Avaliable From: URL: https://www.wcpt.org/news/Novel-Coronavirus-2019-nCoV. 2020.
  • 12. Huang G, Ismail H, Murnane A, Kim P, Riedel B. Structured exercise program prior to major cancer surgery improves cardiopulmo¬nary fitness: a retrospective cohort study. Support Care Cancer 2015; 24:2277–85.
  • 13. Laddu DR, Lavie CJ, Phillips SA, Arena R. Physical activity for immunity protection: Inoculating populations with healthy living medicine in preparation for the next pandemic. Progress in cardiovascular diseases 2020; Doi: 10.1016/j.pcad.2020.04.006. [Epub ahead of print].
  • 14. Liu K, Zhang W, Yang Y, Zhang J, Li Y, Chen Y. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complementary therapies in clinical practice 2020; 39:101166.
  • 15. Lau MC, Ng YF, Jones YM, Lee WC, Siu HK, Hui SC. A randomised controlled trial of the effectiveness of an exercise training program in patients recovering from severe acute respiratory syndrome. Australian Journal of Physiotherapy 2005; 51:213–219.
  • 16. World Health Organization Regional Office for Europe. Support for Rehabilitation: Self-Management after COVID-19. Related Illness 2020; Accessed:05.07.2020 Available from: URL: https://www.who.int/publications/m/item/support-for-rehabilitation-self-management-after-covid-19-related-illness.
  • 17. Mador MJ, Rodis A, Magalang UJ. Reproducibility of Borg scale measurements of dyspnea during exercise in patients with COPD. Chest, 1995, 107.6: 1590-1597.
  • 18. World Health Organization. Global recommendations on physical activity for health. 2010. Accessed 22.06.2020. Available from: URL: https://apps.who.int/iris/bitstream/handle/10665/44399/9789241599979_eng.pdf?sequence=1
  • 19. World Health Organization. Physical Activity. 2020. Accessed: 22.06.2020. Available from: URL:https://www.who.int/news-room/fact-sheets/detail/physical-activity.
  • 20. Hammami A, Harrabi B, Mohr M, Krustrup P. Physical activity and coronavirus disease 2019 (COVID-19): specific recommendations for home-based physical training. Managing Sport and Leisure, 2020, 1-6.
Year 2021, Volume: 11 Issue: 2, 367 - 370, 30.06.2021
https://doi.org/10.33808/clinexphealthsci.776350

Abstract

Project Number

-

References

  • 1. World Health Organization. Clinical management of COVID-19: interim guidance. 2020 May 27. (Accessed:14.06.2020) Available From: URL: https://www.who.int/publications/i/item/clinical-management-of-covid-19.
  • 2. T.C. Sağlık Bakanlığı Halk Sağlığı Genel Müdürlüğü. COVID-19 Rehberi. 2020 July 29. (Accessed: 31.06.2020) Available From: URL: https://covid19bilgi.saglik.gov.tr/tr/covid-19-rehberi.html
  • 3. Kakodkar P, KAKA N, BAIG MN. A comprehensive literature review on the clinical presentation, and management of the pandemic coronavirus disease 2019 (COVID-19). Cureus 2020; 12.4.
  • 4. World Health Organization. Coronavirus disease (COVID-19) pandemic 2020. Accessed:24.07.2020. Available from: URL: https://www.who.int/emergencies/diseases/novel-coronavirus-2019?gclid=EAIaIQobChMI6Nv8tLfm6gIVUe3tCh2faQ6yEAAYASAAEgIBlPD_BwE.
  • 5. World Health Organization. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). Accessed:24.07.2020. Available from: URL: https://www.who.int/publications-detail/report-of-the-who-china-joint-mission-on-coronavirus-disease-2019-(covid-19)
  • 6. Madjid M, Safavi-Naeini P, Solomon SD, Vardeny O. Potential effects of coronaviruses on the cardiovascular system a review. JAMA Cardiol 2020; DOI:10.1001/jamacardio.2020.1286. [Epub ahead of print].
  • 7. Spruit MA, Holland AE, Singh SJ, Troosters T. Report of an Ad-Hoc International Task Force to develop an expert-based opinion on early and short-term rehabilitative interventions (after the acute hospital setting) in COVID-/19 survivors. https://ers.app.box.com/s/npzkvigtl4w3pb0vbsth4y0fxe7ae9z9. Accessed:24.06.2020
  • 8. Mao L, Jin H, Wang M, Hu Y, Chen S, He Q, Chang J, Hong C, Zhou Y, Wang D, Miao X, Li Y, Hu B. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA neurology 2020; 77(6):683-690.
  • 9. Cheval B, Sivaramakrishnan H, Maltagliati S, Fessler L, Forestier C, Sarrazin P, Orsholts D, Chalabaev A, Sander D, Ntoumanis N, Boisgontier MP. Relationships Between Changes in Self-Reported Physical Activity and Sedentary Behaviours and Health During the Coronavirus (COVID-19) Pandemic in France and Switzerland. SportRxiv. 2020. Doi: https://doi.org/10.31236/osf.io/ydv84. [Epub ahead of print].
  • 10. Pasanen T, Tolvanen S, Heinonen A, Kujala UM. Exercise therapy for functional capacity in chronic diseases: an overview of meta-analyses of randomised controlled trials. BJSM 2017; 51(20), 1459-1465.
  • 11. World Confederation for Physical Therapy. Information and resources about COVID-19. Accessed: 23.06.2020. Avaliable From: URL: https://www.wcpt.org/news/Novel-Coronavirus-2019-nCoV. 2020.
  • 12. Huang G, Ismail H, Murnane A, Kim P, Riedel B. Structured exercise program prior to major cancer surgery improves cardiopulmo¬nary fitness: a retrospective cohort study. Support Care Cancer 2015; 24:2277–85.
  • 13. Laddu DR, Lavie CJ, Phillips SA, Arena R. Physical activity for immunity protection: Inoculating populations with healthy living medicine in preparation for the next pandemic. Progress in cardiovascular diseases 2020; Doi: 10.1016/j.pcad.2020.04.006. [Epub ahead of print].
  • 14. Liu K, Zhang W, Yang Y, Zhang J, Li Y, Chen Y. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complementary therapies in clinical practice 2020; 39:101166.
  • 15. Lau MC, Ng YF, Jones YM, Lee WC, Siu HK, Hui SC. A randomised controlled trial of the effectiveness of an exercise training program in patients recovering from severe acute respiratory syndrome. Australian Journal of Physiotherapy 2005; 51:213–219.
  • 16. World Health Organization Regional Office for Europe. Support for Rehabilitation: Self-Management after COVID-19. Related Illness 2020; Accessed:05.07.2020 Available from: URL: https://www.who.int/publications/m/item/support-for-rehabilitation-self-management-after-covid-19-related-illness.
  • 17. Mador MJ, Rodis A, Magalang UJ. Reproducibility of Borg scale measurements of dyspnea during exercise in patients with COPD. Chest, 1995, 107.6: 1590-1597.
  • 18. World Health Organization. Global recommendations on physical activity for health. 2010. Accessed 22.06.2020. Available from: URL: https://apps.who.int/iris/bitstream/handle/10665/44399/9789241599979_eng.pdf?sequence=1
  • 19. World Health Organization. Physical Activity. 2020. Accessed: 22.06.2020. Available from: URL:https://www.who.int/news-room/fact-sheets/detail/physical-activity.
  • 20. Hammami A, Harrabi B, Mohr M, Krustrup P. Physical activity and coronavirus disease 2019 (COVID-19): specific recommendations for home-based physical training. Managing Sport and Leisure, 2020, 1-6.
There are 20 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Review
Authors

Eren Timurtaş 0000-0001-9033-4327

Aysel Yıldız Özer 0000-0003-0739-6143

Ender Ersin Avcı 0000-0002-8089-0351

İlkşan Demirbüken 0000-0003-0566-5784

Mine Gülden Polat 0000-0002-9705-9740

Project Number -
Publication Date June 30, 2021
Submission Date August 1, 2020
Published in Issue Year 2021 Volume: 11 Issue: 2

Cite

APA Timurtaş, E., Özer, A. Y., Avcı, E. E., Demirbüken, İ., et al. (2021). Exercise Program for COVID-19 Survivors: A Telerehabilitation Framework. Clinical and Experimental Health Sciences, 11(2), 367-370. https://doi.org/10.33808/clinexphealthsci.776350
AMA Timurtaş E, Özer AY, Avcı EE, Demirbüken İ, Polat MG. Exercise Program for COVID-19 Survivors: A Telerehabilitation Framework. Clinical and Experimental Health Sciences. June 2021;11(2):367-370. doi:10.33808/clinexphealthsci.776350
Chicago Timurtaş, Eren, Aysel Yıldız Özer, Ender Ersin Avcı, İlkşan Demirbüken, and Mine Gülden Polat. “Exercise Program for COVID-19 Survivors: A Telerehabilitation Framework”. Clinical and Experimental Health Sciences 11, no. 2 (June 2021): 367-70. https://doi.org/10.33808/clinexphealthsci.776350.
EndNote Timurtaş E, Özer AY, Avcı EE, Demirbüken İ, Polat MG (June 1, 2021) Exercise Program for COVID-19 Survivors: A Telerehabilitation Framework. Clinical and Experimental Health Sciences 11 2 367–370.
IEEE E. Timurtaş, A. Y. Özer, E. E. Avcı, İ. Demirbüken, and M. G. Polat, “Exercise Program for COVID-19 Survivors: A Telerehabilitation Framework”, Clinical and Experimental Health Sciences, vol. 11, no. 2, pp. 367–370, 2021, doi: 10.33808/clinexphealthsci.776350.
ISNAD Timurtaş, Eren et al. “Exercise Program for COVID-19 Survivors: A Telerehabilitation Framework”. Clinical and Experimental Health Sciences 11/2 (June 2021), 367-370. https://doi.org/10.33808/clinexphealthsci.776350.
JAMA Timurtaş E, Özer AY, Avcı EE, Demirbüken İ, Polat MG. Exercise Program for COVID-19 Survivors: A Telerehabilitation Framework. Clinical and Experimental Health Sciences. 2021;11:367–370.
MLA Timurtaş, Eren et al. “Exercise Program for COVID-19 Survivors: A Telerehabilitation Framework”. Clinical and Experimental Health Sciences, vol. 11, no. 2, 2021, pp. 367-70, doi:10.33808/clinexphealthsci.776350.
Vancouver Timurtaş E, Özer AY, Avcı EE, Demirbüken İ, Polat MG. Exercise Program for COVID-19 Survivors: A Telerehabilitation Framework. Clinical and Experimental Health Sciences. 2021;11(2):367-70.

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