Addressing post-COVID-19 musculoskeletal symptoms through pulmonary rehabilitation with an evidence-based eHealth education tool: Preliminary results from a pilot randomized controlled clinical trial

Background: The coronavirus disease (COVID-19) pandemic has led to a global health crisis with significant long-term consequences, including musculoskeletal symptoms such as fatigue, myalgia, and chronic pain. These issues, often linked to altered nociceptive processing, impair quality of life and a...

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Authors: Sánchez Romero, Eleuterio, García Barredo Restegui, Teresa, Martínez Rolando, Lidia, Villafañe, Jorge Hugo, Galán Fraguas, Andrea, Jurado Molina, Rebeca, Cuenca Zaldívar, Juan Nicolás, Soto Goñí, Xabier A., Martínez Lozano, Pedro
Format: article
Publication Date:2025
Country:España
Institution:Universidad Europea (UEM)
Repository:ABACUS. Repositorio de Producción Científica
Language:English
OAI Identifier:oai:abacus.universidadeuropea.com:11268/14391
Online Access:http://hdl.handle.net/11268/14391
Access Level:Open access
Keyword:Síndrome Post Agudo de COVID-19
Kinesiofobia
Políticas de eSalud
Pandemia
Rehabilitación médica
Goal 3: Ensure healthy lives and promote well-being for all at all ages
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spelling Addressing post-COVID-19 musculoskeletal symptoms through pulmonary rehabilitation with an evidence-based eHealth education tool: Preliminary results from a pilot randomized controlled clinical trialSánchez Romero, EleuterioGarcía Barredo Restegui, TeresaMartínez Rolando, LidiaVillafañe, Jorge HugoGalán Fraguas, AndreaJurado Molina, RebecaCuenca Zaldívar, Juan NicolásSoto Goñí, Xabier A.Martínez Lozano, PedroSíndrome Post Agudo de COVID-19KinesiofobiaPolíticas de eSaludPandemiaRehabilitación médicaGoal 3: Ensure healthy lives and promote well-being for all at all agesBackground: The coronavirus disease (COVID-19) pandemic has led to a global health crisis with significant long-term consequences, including musculoskeletal symptoms such as fatigue, myalgia, and chronic pain. These issues, often linked to altered nociceptive processing, impair quality of life and are exacerbated in severe cases by intensive care unit-acquired weakness from immobilization and mechanical ventilation. Early rehabilitation, particularly pulmonary rehabilitation (PR), is crucial for mitigating these effects. Telerehabilitation, leveraging telemedicine, offers an innovative, accessible alternative, providing personalized programs that improve adherence and recovery. Recent studies highlight telerehabilitation’s benefits alongside traditional methods, underscoring its potential for managing post-COVID-19 musculoskeletal sequelae. This study aimed to evaluate the effects of PR and an eHealth education tool (ET) on pain, functionality, quality of life, and psychological factors in post-COVID-19 patients with musculoskeletal symptoms and to compare telerehabilitation versus face-to-face approaches regarding treatment adherence. Methods: This pilot randomized controlled trial included 12 patients with musculoskeletal symptoms of COVID-19. The participants were randomly assigned to a PR program with or without an evidence-based eHealth ET. Primary outcomes included pain reduction and improvements in functional capacity, quality of life, and psychological factors measured over a 45-week period. The secondary outcome was adherence to rehabilitation. Results: A significant reduction in kinesiophobia was found in the eHealth ET group (P = .048), although no significant differences were observed in pain, Barthel index, or 6-minute walk test results between the groups. Clinically relevant improvements were observed in the telemedicine group. Conclusions: An evidence-based eHealth ET was effective in reducing kinesiophobia, highlighting its potential to address psychological aspects of post-COVID-19 recovery. However, further studies are needed to assess its long-term effects on physical recovery.20252025-03-1820252025-01-0120252025-01-01journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/11268/14391reponame:ABACUS. Repositorio de Producción Científicainstname:Universidad Europea (UEM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccessoai:abacus.universidadeuropea.com:11268/143912026-06-11T12:41:27Z
dc.title.none.fl_str_mv Addressing post-COVID-19 musculoskeletal symptoms through pulmonary rehabilitation with an evidence-based eHealth education tool: Preliminary results from a pilot randomized controlled clinical trial
title Addressing post-COVID-19 musculoskeletal symptoms through pulmonary rehabilitation with an evidence-based eHealth education tool: Preliminary results from a pilot randomized controlled clinical trial
spellingShingle Addressing post-COVID-19 musculoskeletal symptoms through pulmonary rehabilitation with an evidence-based eHealth education tool: Preliminary results from a pilot randomized controlled clinical trial
Sánchez Romero, Eleuterio
Síndrome Post Agudo de COVID-19
Kinesiofobia
Políticas de eSalud
Pandemia
Rehabilitación médica
Goal 3: Ensure healthy lives and promote well-being for all at all ages
title_short Addressing post-COVID-19 musculoskeletal symptoms through pulmonary rehabilitation with an evidence-based eHealth education tool: Preliminary results from a pilot randomized controlled clinical trial
title_full Addressing post-COVID-19 musculoskeletal symptoms through pulmonary rehabilitation with an evidence-based eHealth education tool: Preliminary results from a pilot randomized controlled clinical trial
title_fullStr Addressing post-COVID-19 musculoskeletal symptoms through pulmonary rehabilitation with an evidence-based eHealth education tool: Preliminary results from a pilot randomized controlled clinical trial
title_full_unstemmed Addressing post-COVID-19 musculoskeletal symptoms through pulmonary rehabilitation with an evidence-based eHealth education tool: Preliminary results from a pilot randomized controlled clinical trial
title_sort Addressing post-COVID-19 musculoskeletal symptoms through pulmonary rehabilitation with an evidence-based eHealth education tool: Preliminary results from a pilot randomized controlled clinical trial
dc.creator.none.fl_str_mv Sánchez Romero, Eleuterio
García Barredo Restegui, Teresa
Martínez Rolando, Lidia
Villafañe, Jorge Hugo
Galán Fraguas, Andrea
Jurado Molina, Rebeca
Cuenca Zaldívar, Juan Nicolás
Soto Goñí, Xabier A.
Martínez Lozano, Pedro
author Sánchez Romero, Eleuterio
author_facet Sánchez Romero, Eleuterio
García Barredo Restegui, Teresa
Martínez Rolando, Lidia
Villafañe, Jorge Hugo
Galán Fraguas, Andrea
Jurado Molina, Rebeca
Cuenca Zaldívar, Juan Nicolás
Soto Goñí, Xabier A.
Martínez Lozano, Pedro
author_role author
author2 García Barredo Restegui, Teresa
Martínez Rolando, Lidia
Villafañe, Jorge Hugo
Galán Fraguas, Andrea
Jurado Molina, Rebeca
Cuenca Zaldívar, Juan Nicolás
Soto Goñí, Xabier A.
Martínez Lozano, Pedro
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv Síndrome Post Agudo de COVID-19
Kinesiofobia
Políticas de eSalud
Pandemia
Rehabilitación médica
Goal 3: Ensure healthy lives and promote well-being for all at all ages
topic Síndrome Post Agudo de COVID-19
Kinesiofobia
Políticas de eSalud
Pandemia
Rehabilitación médica
Goal 3: Ensure healthy lives and promote well-being for all at all ages
description Background: The coronavirus disease (COVID-19) pandemic has led to a global health crisis with significant long-term consequences, including musculoskeletal symptoms such as fatigue, myalgia, and chronic pain. These issues, often linked to altered nociceptive processing, impair quality of life and are exacerbated in severe cases by intensive care unit-acquired weakness from immobilization and mechanical ventilation. Early rehabilitation, particularly pulmonary rehabilitation (PR), is crucial for mitigating these effects. Telerehabilitation, leveraging telemedicine, offers an innovative, accessible alternative, providing personalized programs that improve adherence and recovery. Recent studies highlight telerehabilitation’s benefits alongside traditional methods, underscoring its potential for managing post-COVID-19 musculoskeletal sequelae. This study aimed to evaluate the effects of PR and an eHealth education tool (ET) on pain, functionality, quality of life, and psychological factors in post-COVID-19 patients with musculoskeletal symptoms and to compare telerehabilitation versus face-to-face approaches regarding treatment adherence. Methods: This pilot randomized controlled trial included 12 patients with musculoskeletal symptoms of COVID-19. The participants were randomly assigned to a PR program with or without an evidence-based eHealth ET. Primary outcomes included pain reduction and improvements in functional capacity, quality of life, and psychological factors measured over a 45-week period. The secondary outcome was adherence to rehabilitation. Results: A significant reduction in kinesiophobia was found in the eHealth ET group (P = .048), although no significant differences were observed in pain, Barthel index, or 6-minute walk test results between the groups. Clinically relevant improvements were observed in the telemedicine group. Conclusions: An evidence-based eHealth ET was effective in reducing kinesiophobia, highlighting its potential to address psychological aspects of post-COVID-19 recovery. However, further studies are needed to assess its long-term effects on physical recovery.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025-03-18
2025
2025-01-01
2025
2025-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/11268/14391
url http://hdl.handle.net/11268/14391
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution-NonCommercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:ABACUS. Repositorio de Producción Científica
instname:Universidad Europea (UEM)
instname_str Universidad Europea (UEM)
reponame_str ABACUS. Repositorio de Producción Científica
collection ABACUS. Repositorio de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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