Therapeutic pulmonary telerehabilitation protocol for patients affected by COVID-19, confined to their homes: study protocol for a randomized controlled trial

Background: In December 2019, 27 cases of pneumonia, of unknown cause, were identified in the province of Hubei (China). The WHO declared the situation as a Public Health Emergency of International Concern, and it was finally declared a global pandemic on March 11, 2020. The Spanish Government oblig...

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Autores: González-Gerez, Juan José, Bernal Utrera, Carlos, Anarte-Lazo, Ernesto, García-Vidal, José Antonio, Botella-Rico, Jose Martín, Rodríguez Blanco, Cleofás
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Recursos:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/147761
Acesso em linha:https://hdl.handle.net/11441/147761
https://doi.org/10.1186/s13063-020-04494-w
Access Level:acceso abierto
Palavra-chave:COVID-19
Coronavirus infections
Exercise therapy
Pandemics
Physical therapy specialty
Pulmonary ventilation
Randomized controlled trial
Telerehabilitation
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spelling Therapeutic pulmonary telerehabilitation protocol for patients affected by COVID-19, confined to their homes: study protocol for a randomized controlled trialGonzález-Gerez, Juan JoséBernal Utrera, CarlosAnarte-Lazo, ErnestoGarcía-Vidal, José AntonioBotella-Rico, Jose MartínRodríguez Blanco, CleofásCOVID-19Coronavirus infectionsExercise therapyPandemicsPhysical therapy specialtyPulmonary ventilationRandomized controlled trialTelerehabilitationBackground: In December 2019, 27 cases of pneumonia, of unknown cause, were identified in the province of Hubei (China). The WHO declared the situation as a Public Health Emergency of International Concern, and it was finally declared a global pandemic on March 11, 2020. The Spanish Government obliges the entire population to remain confined to their homes, with the exception of essential basic services, to stop the spread of COVID-19. Home isolation implies a notable physical deconditioning. Telerehabilitation methods have reported positive experiences, and we propose to study in affected patients of COVID-19, due to the general house confinement of the entire Spanish population. Methods: Patients will be recruited in the regions of Andalusia, Murcia, and Valencia (Spain). Patients will remain confined to their homes, and there, they will carry out their assigned exercise program, which will be controlled telematically. Evaluators will attend to carry out all measurements at the beginning, during, and end of the study, telematically controlled. The patients will be randomly divided into three groups, two of them will perform a home exercise program (breathing exercises or non-specific exercises for muscle toning) and the third group will perform sedentary activities, using mental activation techniques, and will act as a sham group. We will evaluate respiratory variables and other variables of the physical state through physical tests, effort, and perceived fatigue. The data will be statistically analyzed, and the hypotheses will be tested between the groups, using the SPSS software, v.24, considering a 95% confidence interval. Discussion: We will analyze the results, in terms of the level of fatigue and perceived exertion, physical health, and maintenance of respiratory activity of two types of exercise programs, toning and respiratory, applied in patients affected by COVID-19 during the period of home confinement. We intend to investigate a field not previously studied, such as the repercussion of carrying out a toning and respiratory exercise program in these patients, in historical circumstances that no one had previously observed in Spain, since the general population has never been forced to remain confined in their homes, due to a pandemic infection, by a coronavirus (COVID-19). Observing the effects that these two home exercise programs could produce in patients infected with COVID-19, we will try to better analyze and understand the mechanisms that are associated with the worsening of breathing in this type of patient.BMCFisioterapia2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/147761https://doi.org/10.1186/s13063-020-04494-wreponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésTrials, 21 (1), 588.https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-020-04494-winfo:eu-repo/semantics/openAccessoai:idus.us.es:11441/1477612026-06-17T12:51:07Z
dc.title.none.fl_str_mv Therapeutic pulmonary telerehabilitation protocol for patients affected by COVID-19, confined to their homes: study protocol for a randomized controlled trial
title Therapeutic pulmonary telerehabilitation protocol for patients affected by COVID-19, confined to their homes: study protocol for a randomized controlled trial
spellingShingle Therapeutic pulmonary telerehabilitation protocol for patients affected by COVID-19, confined to their homes: study protocol for a randomized controlled trial
González-Gerez, Juan José
COVID-19
Coronavirus infections
Exercise therapy
Pandemics
Physical therapy specialty
Pulmonary ventilation
Randomized controlled trial
Telerehabilitation
title_short Therapeutic pulmonary telerehabilitation protocol for patients affected by COVID-19, confined to their homes: study protocol for a randomized controlled trial
title_full Therapeutic pulmonary telerehabilitation protocol for patients affected by COVID-19, confined to their homes: study protocol for a randomized controlled trial
title_fullStr Therapeutic pulmonary telerehabilitation protocol for patients affected by COVID-19, confined to their homes: study protocol for a randomized controlled trial
title_full_unstemmed Therapeutic pulmonary telerehabilitation protocol for patients affected by COVID-19, confined to their homes: study protocol for a randomized controlled trial
title_sort Therapeutic pulmonary telerehabilitation protocol for patients affected by COVID-19, confined to their homes: study protocol for a randomized controlled trial
dc.creator.none.fl_str_mv González-Gerez, Juan José
Bernal Utrera, Carlos
Anarte-Lazo, Ernesto
García-Vidal, José Antonio
Botella-Rico, Jose Martín
Rodríguez Blanco, Cleofás
author González-Gerez, Juan José
author_facet González-Gerez, Juan José
Bernal Utrera, Carlos
Anarte-Lazo, Ernesto
García-Vidal, José Antonio
Botella-Rico, Jose Martín
Rodríguez Blanco, Cleofás
author_role author
author2 Bernal Utrera, Carlos
Anarte-Lazo, Ernesto
García-Vidal, José Antonio
Botella-Rico, Jose Martín
Rodríguez Blanco, Cleofás
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Fisioterapia
dc.subject.none.fl_str_mv COVID-19
Coronavirus infections
Exercise therapy
Pandemics
Physical therapy specialty
Pulmonary ventilation
Randomized controlled trial
Telerehabilitation
topic COVID-19
Coronavirus infections
Exercise therapy
Pandemics
Physical therapy specialty
Pulmonary ventilation
Randomized controlled trial
Telerehabilitation
description Background: In December 2019, 27 cases of pneumonia, of unknown cause, were identified in the province of Hubei (China). The WHO declared the situation as a Public Health Emergency of International Concern, and it was finally declared a global pandemic on March 11, 2020. The Spanish Government obliges the entire population to remain confined to their homes, with the exception of essential basic services, to stop the spread of COVID-19. Home isolation implies a notable physical deconditioning. Telerehabilitation methods have reported positive experiences, and we propose to study in affected patients of COVID-19, due to the general house confinement of the entire Spanish population. Methods: Patients will be recruited in the regions of Andalusia, Murcia, and Valencia (Spain). Patients will remain confined to their homes, and there, they will carry out their assigned exercise program, which will be controlled telematically. Evaluators will attend to carry out all measurements at the beginning, during, and end of the study, telematically controlled. The patients will be randomly divided into three groups, two of them will perform a home exercise program (breathing exercises or non-specific exercises for muscle toning) and the third group will perform sedentary activities, using mental activation techniques, and will act as a sham group. We will evaluate respiratory variables and other variables of the physical state through physical tests, effort, and perceived fatigue. The data will be statistically analyzed, and the hypotheses will be tested between the groups, using the SPSS software, v.24, considering a 95% confidence interval. Discussion: We will analyze the results, in terms of the level of fatigue and perceived exertion, physical health, and maintenance of respiratory activity of two types of exercise programs, toning and respiratory, applied in patients affected by COVID-19 during the period of home confinement. We intend to investigate a field not previously studied, such as the repercussion of carrying out a toning and respiratory exercise program in these patients, in historical circumstances that no one had previously observed in Spain, since the general population has never been forced to remain confined in their homes, due to a pandemic infection, by a coronavirus (COVID-19). Observing the effects that these two home exercise programs could produce in patients infected with COVID-19, we will try to better analyze and understand the mechanisms that are associated with the worsening of breathing in this type of patient.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/147761
https://doi.org/10.1186/s13063-020-04494-w
url https://hdl.handle.net/11441/147761
https://doi.org/10.1186/s13063-020-04494-w
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Trials, 21 (1), 588.
https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-020-04494-w
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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