Comparison of Therapist-Supervised and Home Exercise Calisthenics Exercises in Post-Covid Syndrome: A Single Blind, Randomized Controlled Trial

Abstract

Aim: Post-Covid syndrome (PCS) is a condition that becomes chronic after the acute phase of Covid-19 and affects systems such as respiratory, cardiovascular, nervous, and musculoskeletal, and negatively affects patients’ quality of life (QoL). The aim of this study was to investigate the effect of calisthenics exercises on QoL in patients with PCS. Method: A total of 176 patients (male: 82, female: 94) with PCS were included and randomized to therapist-supervised and home exercise groups in this study. The calisthenics exercise program was carried out for eight weeks in both groups. QoL was assessed by the European Quality of Life 5-Dimensional 3-Level (EQ-5D-3L) questionnaire at baseline and after eight weeks. Results: Significant improvements were obtained in all parameters of the EQ-5D-3L scale, including mobility, self-care, usual activities, pain/discomfort, anxiety/depression and general health score (p<0.05) in both therapist-supervised and home exercise groups. When therapist-supervised and home exercise groups were compared in terms of EQ-5D-3L, no significant difference was found between these groups (p>0.05). Conclusion: Calisthenics exercises cause a significant increase in the QoL in patients with Post-Covid syndrome when administered both as a therapist-supervised and home exercise program.

Keywords

• Calisthenics
• COVID-19
• post-acute COVID-19 syndrome
• long COVID
• quality of life

Post-Covid Sendromunda Terapist Gözetiminde ve Evde Yapılan Kalistenik Egzersizlerinin Karşılaştırılması: Tek Kör, Randomize Kontrollü Bir Çalışma

Abstract

Amaç: Post-Kovid sendromu (PKS), Covid-19'un akut fazından sonra kronikleşen, solunum, kardiyovasküler, sinir ve kas-iskelet sistemlerini etkileyen ve hastaların yaşam kalitesini olumsuz yönde etkileyen bir durumdur. Bu çalışmanın amacı, PKS'li hastalarda kalistenik egzersizlerin yaşam kalitesi üzerindeki etkisini araştırmaktır. Yöntem: Bu çalışmaya toplam 176 PKS’li hasta (erkek: 82, kadın: 94) dahil edilmiş ve terapist gözetiminde ve evde egzersiz gruplarına randomize edilmiştir. Her iki grupta da sekiz hafta boyunca kalistenik egzersiz programı uygulandı. Yaşam kalitesi, başlangıçta ve sekiz hafta sonra Avrupa Yaşam Kalitesi 5 Boyutlu 3 Seviye (EQ-5D-3L) anketi ile değerlendirilmiştir. Bulgular: EQ-5D-3L ölçeğinin mobilite, öz bakım, olağan aktiviteler, ağrı/rahatsızlık, anksiyete/depresyon ve genel sağlık skorunu içeren tüm parametrelerinde hem terapist gözetiminde hem de evde egzersiz gruplarında anlamlı iyileşmeler elde edildi (p<0.05). Terapist gözetimindeki ve ev egzersiz grupları EQ-5D-3L açısından karşılaştırıldığında, bu gruplar arasında anlamlı bir fark bulunmamıştır (p>0.05). Sonuç: Kalistenik egzersizler hem terapist gözetiminde hem de evde egzersiz programı olarak uygulandığında Post-Covid sendromlu hastalarda yaşam kalitesinde anlamlı bir artışa neden olmaktadır.

Keywords

• Kalistenikler
• COVID-19
• post-akut COVID-19 sendromu
• uzamış COVID
• yaşam kalitesi

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