The effect of a six-week home physiotherapy program on symptoms and activities of daily living in post-COVID-19 patients following hospital discharge

Authors

  • Amra Mačak Hadžiomerović Department of Physiotherapy, Faculty of Health Studies, University of Sarajevo, Sarajevo, Bosnia and Herzegovina https://orcid.org/0000-0002-6122-2446
  • Samire Beqaj Department of Physiotherapy, Faculty of Medicine, University of Prishtina “Hasan Prishtina”, Prishtina, Republic of Kosovo https://orcid.org/0000-0001-5239-7263
  • Merita Qorolli Department of Physiotherapy, Faculty of Medicine, University of Prishtina “Hasan Prishtina”, Prishtina, Republic of Kosovo; Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosovo, Prishtina, Republic of Kosovo https://orcid.org/0000-0003-3756-4494
  • Dafinë Ibrahimi Kaçuri Department of Physiotherapy, Faculty of Medicine, University Fehmi Agani, Gjakova, Republic of Kosovo https://orcid.org/0000-0003-4038-8604
  • Arbnore Ibrahimaj Gashi Department of Physiotherapy, Faculty of Medicine, University of Prishtina “Hasan Prishtina”, Prishtina, Republic of Kosovo https://orcid.org/0000-0001-8892-4758
  • Mirjetë Hoti Department of Physiotherapy, Faculty of Medicine, University of Prishtina “Hasan Prishtina”, Prishtina, Republic of Kosovo
  • Teuta Osmani Vllasolli Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosovo, Prishtina, Republic of Kosovo; Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Prishtina “Hasan Prishtina”, Prishtina, Republic of Kosovo
  • Ardiana Murtezani Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosovo, Prishtina, Republic of Kosovo; Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Prishtina “Hasan Prishtina”, Prishtina, Republic of Kosovo
  • Valon Krasniqi Institute of Pharmacology with Toxicology and Clinical Pharmacology, Department of General Medicine, Faculty of Medicine, University of Prishtina “Hasan Prishtina”, Prishtina, Republic of Kosovo https://orcid.org/0009-0002-8795-0369

DOI:

https://doi.org/10.17532/jhs.2024.2414

Keywords:

Covid-19, Physiotherapy, Rehabilitation, Symptoms, Activities of daily living

Abstract

Introduction: Patients following the acute stage of Severe Acute Respiratory Syndrome Coronavirus 2 were shown to present with persisting symptoms including fatigue, dyspnea, joint pain, and chest pain. The aim of this study was to investigate the effect of a 6-week home physiotherapy program on the psychological and physical symptoms, as well as the physical abilities to perform activities of daily living in post-COVID-19 patients.

Methods: The subjects were 39 adult patients who had been diagnosed with COVID-19 and had been hospitalized at the University Clinical Center of Kosovo. Patients initially underwent a physiotherapy assessment 2-3 weeks after discharge from the hospital, including sociodemographic data, psychological and physical symptoms, and functional performance in daily activities using the Patient-Specific Functional Scale (PSFS). Based on their functional capacity, the patients received two types of brochures for a home physiotherapy program that was carried out over the next 6 weeks. Upon the completion of the physiotherapy program, 23 patients reported for the second physiotherapy assessment. The Mann–Whitney Wilcoxon test was used for comparison of the variables obtained during the first and second assessments.

Results: Pre–post analysis showed that the symptoms including excessive fatigue, difficulty breathing, and insomnia were significantly less present following the home physiotherapy program (p = 0.005; p = 0.008; p = 0.034). On the PSFS scale, the mean score increased from 5.2 (2.1) to 7.8 (0.5) for stair climbing, from 5.5 (1.8) to 8.8 (1.6) for walking longer distances, and from 3.7 (3.2) to 4.0 (5.6) for running.

Conclusion: Although limited by the absence of a control group, the findings from this study indicate that home physiotherapy intervention can be feasible and effective in enhancing psychological and physical symptoms, as well as activities of daily living in post-COVID-19 patients following hospitalization.


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Published

15.05.2024

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Research articles

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How to Cite

1.
The effect of a six-week home physiotherapy program on symptoms and activities of daily living in post-COVID-19 patients following hospital discharge. JHSCI [Internet]. 2024 May 15 [cited 2024 Jun. 18];14(1):17-23. Available from: https://www.jhsci.ba/ojs/index.php/jhsci/article/view/2414