Review article: Telerehabilitation interventions for rehabilitation and management of post-COVID-19 patients: A comprehensive review

Main Article Content

Simaporn Promsarn
Wilawan Ketpan
Rattanapond Pankratuk
Pairoj Suraprapapich

Abstract

The COVID-19 pandemic has posed significant challenges to healthcare systems worldwide, impacting patients during the disease’s acute and post-acute phases. Telerehabilitation has emerged as a promising approach to address the rehabilitation needs of individuals recovering from COVID-19. This comprehensive review examines the effectiveness and feasibility of telerehabilitation strategies for managing post[1]acute COVID-19 symptoms and promoting recovery. Through a systematic review and meta-analysis, various studies have demonstrated the potential benefits of telerehabilitation interventions in improving functional capacity, exercise perception, and quality of life among post-COVID-19 patients. Telerehabilitation programs have been successfully implemented across primary care settings, offering supervised home-based exercise training that targets physical and respiratory functions. Moreover, innovative tools such as mobile applications have been employed to enhance patient engagement and track progress. While the evidence indicates positive outcomes, there is a need for further investigation to explore the effects of telerehabilitation on additional variables such as cardiopulmonary function, anxiety, depression, and long-term outcomes. Despite limitations, telerehabilitation has shown promise in addressing the persistent symptoms and complications associated with post-acute COVID-19 syndrome. The integration of telerehabilitation into clinical care frameworks has the potential to improve patient access, engagement, and overall recovery during the ongoing pandemic and beyond. Continued research and development are essential to optimize telerehabilitation strategies for long-term COVID-19 management.

Article Details

How to Cite
Promsarn, S. ., Ketpan, W. ., Pankratuk, R. ., & Suraprapapich, P. . (2024). Review article: Telerehabilitation interventions for rehabilitation and management of post-COVID-19 patients: A comprehensive review. Journal of Associated Medical Sciences, 57(3), 184–191. Retrieved from https://he01.tci-thaijo.org/index.php/bulletinAMS/article/view/266236
Section
Review Articles

References

Cerfoglio S, Capodaglio P, Rossi P, et al. Tele rehabilitation interventions for motor symptoms in COVID-19 Patients: A narrative review. Bioengineering (Basel) 2023; 10(6): 650. doi: 10.3390/bioengineering 10060650.

Nalbandian A, Sehgal K, Gupta A, et al. Post-acute COVID-19 syndrome. Nat Med. 2021; 27: 601-15. doi: 10.1038/s41591-021-01283-z.

Valverde-Martínez MÁ, López-Liria R, Martínez-Cal J, Benzo-Iglesias MJ, Torres-Álamo L, Rocamora-Pérez P. Telerehabilitation, A viable option in patients with persistent post-COVID syndrome: A systematic review. Healthcare (Basel). 2023; 11(2): 187. doi: 10.3390/ healthcare11020187.

Bernal-Utrera C, Montero-Almagro G, Anarte-Lazo E, Gonzalez-Gerez JJ, Rodriguez-Blanco C, Saavedra Hernandez M. Therapeutic exercise interventions through telerehabilitation in patients with post COVID-19 symptoms: A systematic review. J Clin Med. 2022; 11(24): 7521. doi: 10.3390/jcm11247521.

Pehlivan E, Palalı İ, Atan SG, Turan D, Çınarka H, Çetinkaya E. The effectiveness of POST-DISCHARGE telerehabilitation practices in COVID-19 patients: Tele-COVID study-randomized controlled trial. Ann Thorac Med. 2022; 17(2): 110-7. doi: 10.4103/atm. atm_543_21.

Li J, Xia W, Zhan C, et al. A telerehabilitation programme in post-discharge COVID-19 patients (TERECO): a randomised controlled trial. Thorax. 2022; 77(7): 697-706. doi: 10.1136/thoraxjnl-2021-217382.

Huang J, Fan Y, Zhao K, et al. Do patients with and survivors of COVID-19 benefit from telerehabilitation? A meta-analysis of randomized controlled trials. Front Public Health .2022; 10: 954754. doi: 10.3389/ fpubh.2022.954754.

Rodriguez-Blanco C, Gonzalez-Gerez JJ, Bernal-Utrera C, Anarte-Lazo E, Perez-Ale M, Saavedra-Hernandez M. Short-Term Effects of a Conditioning Tele rehabilitation Program in Confined Patients Affected by COVID-19 in the Acute Phase. A Pilot Randomized Controlled Trial. Medicina (Kaunas). 2021; 57(7): 684. doi: 10.3390/medicina57070684.

Vieira AGDS, Pinto ACPN, Garcia BMSP, Eid RAC, Mól CG, Nawa RK. Telerehabilitation improves physical function and reduces dyspnoea in people with COVID-19 and post-COVID-19 conditions: a systematic review. J Physiother. 2022; 68(2): 90-8. doi: 10.1016/j.jphys.2022.03.011.

Gonzalez-Gerez JJ, Saavedra-Hernandez M, Anarte-Lazo E, Bernal-Utrera C, Perez-Ale M, Rodriguez-Blanco C. Short-term effects of a respiratory telerehabilitation program in confined COVID-19 patients in the acute phase: A pilot study. Int J Environ Res Public Health. 2021; 18(14): 7511. doi: 10.3390/ijerph18147511.

Peng Y, Zhang K, Wang L, et al. Effect of a telehealth based exercise intervention on the physical activity of patients with breast cancer: A systematic review and meta-analysis. Asia Pac J Oncol Nurs. 2022; 9(12): 100117. doi: 10.1016/j.apjon.2022.100117.

Kim SY, Daley K, Pruski AD, et al. Implementation of a framework for telerehabilitation in clinical care across the continuum during COVID-19 and beyond. Am J Phys Med Rehabil. 2022; 101(1): 53-60. doi:10. 1097/PHM.0000000000001904.

Samper-Pardo M, León-Herrera S, Oliván-Blázquez B, Méndez-López F, Domínguez-García M, Sánchez Recio R. Effectiveness of a telerehabilitation intervention using ReCOVery APP of long COVID patients: a randomized, 3-month follow-up clinical trial. Sci Rep. 2023; 13(1): 7943. doi: 10.1038/s41598- 023-35058-y.

Zasadzka E, Trzmiel T, Pieczyńska A, Hojan K. Modern technologies in the rehabilitation of patients with multiple sclerosis and their potential application in times of COVID-19. Medicina (Kaunas). 2021; 57(6): 549. doi: 10.3390/medicina57060549.

Werneke MW, Deutscher D, Grigsby D, Tucker CA, Mioduski JE, Hayes D. Telerehabilitation during the COVID-19 pandemic in oOutpatient rehabilitation settings: A descriptive study. Phys Ther. 2021; 101(7): pzab110. doi: 10.1093/ptj/pzab110.

Rodríguez-Blanco C, Bernal-Utrera C, Anarte-Lazo E, et al. Breathing exercises versus strength exercises through telerehabilitation in coronavirus disease 2019 patients in the acute phase: A randomized controlled trial. Clin Rehabil .2022; 36(4): 486-97. doi: 10.1177/02692155211061221.

Seid AA, Aychiluhm SB, Mohammed AA. Effectiveness and feasibility of telerehabilitation in patients with COVID-19: a systematic review and meta-analysis. BMJ Open. 2022; 12(10): e063961. doi: 10.1136/bmjopen-2022-063961.

Pescaru CC, Crisan AF, Marc M, et al. A systematic review of telemedicine-driven pulmonary rehabilitation after the acute phase of COVID-19. J Clin Med. 2023; 12(14): 4854. doi: 10.3390/jcm12144854.

Chen JJ, Cooper DM, Haddad F, Sladkey A, Nussbaum E, Radom-Aizik S. Tele-exercise as a promising tool to promote exercise in children with cystic fibrosis. Front Public Health. 2018; 6: 269. doi: 10.3389/fpubh.2018.00269.

Dalbosco-Salas M, Torres-Castro R, Rojas Leyton A, et al. Effectiveness of a primary care telerehabilitation program for post-COVID-19 patients: A feasibility study. J Clin Med. 2021; 10(19): 4428. doi: 10.3390/jcm10194428.

Hajibashi A, Sarrafzadeh J, Amiri A, Salehi R, Vasaghi Gharamaleki B. Effect of progressive muscle relaxation as an add-on to Pulmonary telerehabilitation in discharged patients with COVID-19: A randomised controlled trial. Complement Ther Clin Pract. 2023; 51: 101730. doi: 10.1016/j.ctcp.2023.101730.

Bernal-Utrera C, Anarte-Lazo E, De-La-Barrera-Aranda E, et al. Perspectives and attitudes of patients with COVID-19 toward a telerehabilitation programme: A qualitative study. Int J Environ Res Public Health. 2021; 18(15): 7845. doi: 10.3390/ijerph18157845.

Martin I, Braem F, Baudet L, et al. Follow-up of functional exercise capacity in patients with COVID-19: It is improved by telerehabilitation. Respir Med. 2021; 183: 106438. doi: 10.1016/j.rmed.2021.106438.

Estebanez-Pérez MJ, Martín-Valero R, Vinolo-Gil MJ, Pastora-Bernal JM. Effectiveness of digital physiotherapy practice compared to usual care in long COVID patients: A systematic review. Healthcare (Basel). 2023; 11(13): 1970. doi: 10.3390/healthcare11131970.