- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05808361
Rehabilitation Treatment of Patients With COVID-19 (COVID-REHAB)
Rehabilitation Treatment of Patients With COVID-19 in an Infectious Diseases Hospital, Selection of Patients and Efficacy Criteria: A Retrospective Study With Propensity Score Matching.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The application of early rehabilitation can promote recovery of body functions; however, further studies are needed to determine the patient selection criteria and relevant mode of rehabilitation program.
A primary concern is regarding the timing of when to start a rehabilitation protocol in the face of the real threat of COVID-19.
Rehabilitation programs include physical exercises, and chest massage in an electrostatic field, started in the first 3 days after the patient's body temperature returned to normal.
The demographic and clinical data will be collected. Laboratory data (white blood cells count, C-reactive protein), and Instrumental data (pulse oxymetry, CT-scan) will be analysed. Rehabilitation evaluation - Health profile according to the quality of life questionnaire before and after each rehabilitation mode will be analysed. Exercise termination criteria: (1) Fluctuations in body temperature > 37.2°C; (2) respiratory symptoms and fatigue worsen; (3) chest tightness, chest pain, breathing difficulties, severe cough, dizziness, headache, blurred vision, palpitations, sweating, trouble standing.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
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Moscow, Russian Federation, 143442
- Clinical Hospital "MEDSI" in Otradnoe
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- patients with COVID-19 admitted to the hospital with mild or moderate COVID-19 (5-50% of lung damage according to CT-scan)
Exclusion Criteria:
- less than 7 days in hospital by any reason,
- chronic decompensated diseases with extrapulmonary organ dysfunction (tumour progression, liver cirrhosis, congestive heart failure), admission to ICU, atonic coma,
- patients in whom more than 30 days have passed since the onset of the disease and before hospitalization,
- patients who received treatment in the intensive care unit, as well as patients who died.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: physical exercise
Rehabilitation program includes physical exercises, started in the first 3 days after the patient's body temperature returned to normal.
|
The complex of therapeutic exercises included exercises in the initial position lying, sitting and standing. In active and static motor modes under the control of saturation, blood pressure, heart rate and respiratory rate. The complex included breathing exercises with the inclusion of compensatory respiratory muscles, elements of sound and drainage gymnastics, and diaphragmatic breathing. Therapeutic gymnastics was carried out in the form of individual lessons with an exercise therapy instructor, a course of 10 procedures, daily, the duration was 20 minutes. |
Experimental: exercises and massage
Rehabilitation programs include physical exercises, and chest massage in an electrostatic field, started in the first 3 days after the patient's body temperature returned to normal.
|
The complex of therapeutic exercises included exercises in the initial position lying, sitting and standing. In active and static motor modes under the control of saturation, blood pressure, heart rate and respiratory rate. The complex included breathing exercises with the inclusion of compensatory respiratory muscles, elements of sound and drainage gymnastics, and diaphragmatic breathing. Therapeutic gymnastics was carried out in the form of individual lessons with an exercise therapy instructor, a course of 10 procedures, daily, the duration was 20 minutes.
Hardware massage in the electrostatic field with a frequency of 30/60 Hz of the chest area consisted of 10 procedures, daily, the duration of the procedure was 20 minutes.
|
No Intervention: Control
Patients received treatment according to the temporary guideline without any rehabilitation program.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Length of stay in hospital
Time Frame: 30 days
|
length of stay in hospital
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30 days
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
complete blood count
Time Frame: Change of white blood cells from baseline on day 7 during treatment
|
white blood cells
|
Change of white blood cells from baseline on day 7 during treatment
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complete blood count dynamics
Time Frame: Change of white blood cells from 7 to 14 day during treatment
|
white blood cells
|
Change of white blood cells from 7 to 14 day during treatment
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Complaints of fatigue
Time Frame: Change of complains from baseline on day 7 during treatment
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Complaints of fatigue
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Change of complains from baseline on day 7 during treatment
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Complaints of fatigue dynamics
Time Frame: Change of complains from 7 to 14 day during treatment
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Complaints of fatigue
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Change of complains from 7 to 14 day during treatment
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Biochemistry analysis
Time Frame: Change of CRP from baseline on day 7 during treatment
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C-reactive protein (CRP)
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Change of CRP from baseline on day 7 during treatment
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Biochemistry analysis dynamics
Time Frame: Change of CRP from 7 to 14 day during treatment
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C-reactive protein (CRP)
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Change of CRP from 7 to 14 day during treatment
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Danil Maliutin, MD, Clinical Hospital "MEDSI" in Otradnoe
Publications and helpful links
General Publications
- Sun T, Guo L, Tian F, Dai T, Xing X, Zhao J, Li Q. Rehabilitation of patients with COVID-19. Expert Rev Respir Med. 2020 Dec;14(12):1249-1256. doi: 10.1080/17476348.2020.1811687. Epub 2020 Oct 12.
- Demeco A, Marotta N, Barletta M, Pino I, Marinaro C, Petraroli A, Moggio L, Ammendolia A. Rehabilitation of patients post-COVID-19 infection: a literature review. J Int Med Res. 2020 Aug;48(8):300060520948382. doi: 10.1177/0300060520948382.
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
- COVID-REHAB
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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