The aim of this study is to investigate efficacy of internet based pulmonary rehabilitation and progressive muscle relaxation program on functional capacity, depression and anxiety, dyspnea, fatigue, sleep quality and quality of life in covid19 patients after hospital discharge
Novel coronavirus disease 2019 (covid19) could cause respiratory and physical dysfunction,
anxiety and depression, fatigue and affect sleep quality and quality of life in infected
patient after hospital discharge. there is expect that pulmonary rehabilitation can improve
these symptoms and prevent complications in these cases. It seems that Progressive muscle
relaxation exercise could improve pulmonary rehabilitation effect. Due to social isolation of
Covid 19 patients after hospital discharge, internet base rehabilitation will be used in this
study. participants will be randomized in two pulmonary tele-rehabilitation groups after
hospital discharge. One group will be received pulmonary rehabilitation include education,
breathing exercises, aerobic and upper and lower limbs muscle strengthening exercises.
Another group will be perform progressive muscle relaxation in addition of these exercise.
Treatment duration is 6 week with 5 days/week frequency. Two exercise sessions per week will
be supervised with expert physiotherapist via videoconferencing.
Outcomes will be measured at baseline, within two week and at the end of six week exercises
program.
Other: Pulmonary telerehabilitation
pulmonary telerehabilitation program include breathing exercise,aerobics exercise and upper and lower limbs muscle strengthening exercise
Other: progressive muscle relaxation training
summarized Jacobson progressive muscle relaxation training method
Inclusion Criteria:
- Covid 19 patient that confirmed with polymerase chain reaction test (PCR)
- Hospitalized Corvid 19 patients after discharge
- Accessibility to internet and using video call
Exclusion Criteria:
- Mental and physical disability
- Uncontrolled cardiac dysfunction such as arrhythmia
- Sever neurological condition such as guillain-barre and stroke
- Uncontrolled diabetes or blood pressure
- Pregnant women
- Re-hospitalization during treatment program
- Chronic pulmonary and kidney condition