Evidence map›Paper›PMID 35414491›Full record

SynthesisJournal of physiotherapy2022

Telerehabilitation improves physical function and reduces dyspnoea in people with COVID-19 and post-COVID-19 conditions: a systematic review.

Aléxia Gabriela da Silva Vieira, Ana Carolina Pereira Nunes Pinto, Bianca Maria Schneider Pereira Garcia, Raquel Afonso Caserta Eid, Caroline Gomes Mól, Ricardo Kenji Nawa

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Journal of physiotherapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 6 pooled it
15.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 6 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Pooled it
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  4. Guideline
  5. Post-COVID Syndrome.Deutsches Arzteblatt international · 2023
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  7. Trial
  8. Perceptions and Experiences of a Multimodal Rehabilitation Program for People With Post-Acute COVID-19: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2025
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  11. Effectiveness of mHealth intervention for trismus exercise in patients with head and neck cancer undergoing proton and heavy ion therapy: a randomized control trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Aléxia Gabriela da Silva VieiraDepartment of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Ana Carolina Pereira Nunes PintoEvidence-Based Health Program, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo, Brazil; Biological and Health Sciences Department, Universidade Federal do Amapá (UNIFAP), Amapá, Brazil.
Bianca Maria Schneider Pereira GarciaDepartment of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Raquel Afonso Caserta EidDepartment of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Caroline Gomes MólDepartment of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Ricardo Kenji NawaDepartment of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil. Electronic address: ricardo.nawa@einstein.br.
Hospital Israelita Albert Einstein · BRUniversidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

questionHow effective and safe is telerehabilitation for people with COVID-19 and post-COVID-19 conditions?

designSystematic review of randomised trials.

participantsPeople with COVID-19 and post-COVID-19 conditions.

interventionAny type of telerehabilitation. OUTCOME MEASURES: Satisfaction, quality of life, adverse events, adherence to telerehabilitation, dyspnoea, functional performance, readmissions, mortality, pulmonary function and level of independence.

resultsDatabase searches retrieved 2,962 records, of which six trials with 323 participants were included in the review. Breathing exercises delivered via telerehabilitation improved 6-minute walk distance (MD 101 m, 95% CI 61 to 141; two studies), 30-second sit-to-stand test performance (MD 2.2 repetitions, 95% CI 1.5 to 2.8; two studies), Multidimensional Dyspnoea-12 questionnaire scores (MD -6, 95% CI -7 to -5; two studies) and perceived effort on the 0-to-10 Borg scale (MD -2.8, 95% CI -3.3 to -2.3; two studies), with low certainty of evidence. Exercise delivered via telerehabilitation improved 6-minute walk distance (MD 62 m, 95% CI 42 to 82, four studies), 30-second sit-to-stand test performance (MD 2.0 repetitions, 95% CI 1.3 to 2.7; two studies) and Multidimensional Dyspnoea-12 scores (MD -1.8, 95% CI -2.5 to -1.1; one study), with low certainty of evidence. Adverse events were almost all mild or moderate and occurred with similar frequency in the telerehabilitation group (median 0 per participant, IQR 0 to 2.75) as in the control group (median 0 per participant, IQR 0 to 2); Hodges-Lehmann median difference 0 (95% CI 0 to 0), with low certainty of evidence.

conclusionTelerehabilitation may improve functional capacity, dyspnoea, performance and physical components of quality of life and does not substantially increase adverse events. REGISTRATION: PROSPERO CRD42021271049.

Indexed as

COVID-19TelerehabilitationBreathing ExercisesDyspneaHumansQuality of LifeCOVID-19Patient safetyPhysical therapySystematic reviewTelerehabilitation

Identifiers

PMID35414491
PMCPMC8994568
OpenAlexW4223432508

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.