Effectiveness of Exercise Therapy Versus Booklet in Long COVID Rehabilitation: A Community-Based Randomized Controlled Trial in Bangladesh

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Prof. Dr. Mohammad Anwar Hossain, Prof. Dr. Md. Iqbal Kabir Jahid, Prof. Dr. Mohammad Sohrab Hossain, Md. Feroz Kabir, Tofajjal Hossain, Rubayet Shafin, Md. Zahid Hossain
Purpose:

The study aimed to explore the outcome of exercise therapy versus booklet or standard control for Long COVID in Bangladeshi settings

Methods:

This is a Community-Based Randomized Controlled Trial (RCT) of 485 participants enrolled between October 2020 and March 2021. Participants were allocated to three groups, exercise therapy, booklet, and control through concealed allocation. The post-treatment measurement has been taken after 1 month of interventions and follow-up was taken after 6 months of post-test. The primary outcome was pain, respiratory function, and functional status, and the secondary outcome was quality of life.

Results:

Baseline compatibility was noted for gender, living area, and Long COVID symptoms (p>.05) except for age and co-morbidity status. Improvement of pain was observed in all groups and all measurement time frames (p.05). The exercise group had improvement in respiratory functions compared to the control (p.01). Functional improvements were evident in both the exercise and booklet group compared to control (p.001). The exercise group had a better quality of life in all domains except for social relations and environment, in all measurement time frames (p.01).

Conclusion(s):

The community dwellers of Bangladesh having long COVID symptoms have a positive outcome of exercise therapy in pain, respiratory functions, overall function, and quality of life in the short term for 1 month and long term up to 6 months after the intervention.

Implications:

The study also meets the emerging necessity of community-based interventions and the scope of telerehabilitation in LC symptoms as studies predict challenges of the implication of rehabilitation services. This will help in updating the rehabilitation guidelines and provide evidence-based rehabilitation for Long COVID.

Funding acknowledgements:
Self-funded
Keywords:
Long COVID
Physiotherapy
Rehabilitation
Primary topic:
Community based rehabilitation
Second topic:
Cardiorespiratory
Third topic:
Other
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
Clinical Trial Registry-India
Provide the ethics approval number:
CTRI/2020/10/028179
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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