- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05402007
Effects of Cardiopulmonary Rehabilitation in Participants With Post-COVID 19 Syndrome.
Clinical and Functional Effects of Supervised and Unsupervised Cardiopulmonary Rehabilitation in POST-COVID-19 Syndrome: Clinical and Randomized Trial
COVID-19 is an emerging pandemic disease caused by severe acute respiratory syndrome (SARS-CoV-2). Although the majority of patients infected with SARS-CoV-2 are asymptomatic or have mild symptoms, some patients develop severe symptoms that can protractedly impair their quality of life and functional capacity. SARS-CoV-2 is closely related to severe acute respiratory syndrome (SARS) with direct and indirect effects on several systems, especially the musculoskeletal system, in addition to the respiratory system. Some of these symptoms persist for a long period, called Post-Covid-19 Syndrome, directly interfering with the functional capacity and quality of life of these participants. Cardiopulmonary Rehabilitation exercises are focused on restoring functional capacity in patients affected by cardiopulmonary diseases. The primary objective of this study is to evaluate the clinical and functional effects of a quarterly Cardiopulmonary Rehabilitation exercise program for participants with post-COVID-19 syndrome.
The secondary objectives will be: To compare the effects of a supervised program of 12 weeks of supervised exercises and a program of self-performed home exercises, guided by an exercise booklet, of the same duration on muscle strength and peripheral resistance; Compare the effects of a 12-week supervised exercise program and a self-performed home exercise program, guided by an exercise booklet, of the same duration on levels of fatigue and dyspnea in patients with post-COVID-19 syndrome; Compare the effects of a 12-week supervised exercise program and a self-performed home exercise program, guided by an exercise booklet, of the same duration on health-related quality of life and post-COVID-19 functional status.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a randomized, controlled, double-blind treatment trial with a 1:1 allocation ratio.
Participants: Patients will be recruited at the Central Hospital of the Military Police and in the specialized multidisciplinary follow-up outpatient clinic after COVID-19. The participants will be adults (≥18 years and ≤ 65 years), with a previous diagnosis COVID-19, who required hospitalization and need for invasive mechanical ventilation for at least 7 days and who were discharged from the hospital between August and Dec 2021.
Intervention and comparison:
This study will be divided into three groups: control group, face-to-face intervention group and home intervention group. Both groups will be evaluated before and after the study period, however the control group will only receive the treatment offered to the other groups after the end of the study. Physical functions and functional capacity will be evaluated.
After ensuring that patients meet the inclusion criteria, they will be divided into groups that will receive supervised care in a supervised Pulmonary Rehabilitation Center, with protocoled exercises, the other group will receive a booklet of self-explanatory exercises for performing the exercises in home, and the control group that will not receive intervention in this period.
The intervention groups should perform the exercises in the period of 12 weeks, 2 times a week, totaling 24 intervention sessions.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Ana Carolina Sebastião da Silva
- Phone Number: +5521970084169
- Email: carol.marques_125@hotmail.com
Study Locations
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RJ
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Rio De Janeiro, RJ, Brazil, 21073-460
- Centro de Fisiatria e Reabilitação da Polícia Militar- RJ
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients previously diagnosed with COVID-19, who required hospitalization and required invasive mechanical ventilation for at least 7 days and who were discharged between August and December 2021 to minimize regression to mean;
- Both sexes;
- Over 18 years old and under 65 years old.
Exclusion Criteria:
- Need for supplemental home oxygen;
- Motor or neurological or cognitive alteration that contraindicates the participation in the cardiopulmonary rehabilitation program.
- Persistence of clinical signs of deep vein thrombosis
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Control
The control group will not receive intervention during the study.
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Active Comparator: Face-to-face intervention
The face-to-face intervention group will perform pulmonary rehabilitation at the professional-oriented Rehabilitation Center.
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Face-to-face intervention (12 weeks): Using the participants' assessment and personal characteristics, the therapist will prescribe pulmonary rehabilitation exercises that will be performed at the pulmonary rehabilitation center.
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Active Comparator: Home intervention
The home intervention group will carry out home intervention through a self-explanatory exercise booklet.
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Home Intervention (12 weeks): Using the participants' assessment and personal characteristics, the therapist will provide a portfolio of self-explanatory exercises, and guide participants on safety precautions.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Peripheral muscle function I
Time Frame: 12 weeks
|
Will be assessed using the Palm Grip Dynamometry
|
12 weeks
|
Peripheral muscle function II
Time Frame: 12 weeks
|
Will be assessed using the Quadriceps Peak Load Test
|
12 weeks
|
Peripheral muscle function III
Time Frame: 12 weeks
|
Will be assessed using the Quadriceps Muscle Endurance Test.
|
12 weeks
|
Daily living activity
Time Frame: 12 weeks
|
It will be evaluated by the modified Medical Resource Council (mMRC) dyspnea scale
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12 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Quality of life improvement
Time Frame: 12 weeks
|
The assessment of quality of life will be carried out using a generic instrument of 36 items, validated in Brazil and called the SF-36 (Short Form Health Survey).
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12 weeks
|
Collaborators and Investigators
Investigators
- Principal Investigator: Ana Carolina Sebastião da Silva, Centro Universitário Augusto Motta
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NTC20457
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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