Evidence map›Paper›PMID 42084202›Full record

Trial reportJournal of rehabilitation medicine2026

Effects of incentive spirometer added to standard rehabilitation in previously hospitalized adults with post-COVID-19 condition: a randomized controlled trial.

Marina Kloni, Alexandros Heraclides, Theognosia Panteli, Alexios Klonis, Panagiotis Rentzias, Christos Karagiannis

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of rehabilitation medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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.

Marina KloniPhysiotherapy Department, Rehabilitation Centre EDEN, Larnaca, Cyprus; Department of Health Sciences, European University of Cyprus, Nicosia, Cyprus. marina.eleni@gmail.com.
Alexandros HeraclidesDepartment of Health Sciences, European University of Cyprus, Nicosia, Cyprus.
Theognosia PanteliPhysiotherapy Department, Rehabilitation Centre EDEN, Larnaca, Cyprus; Department of Health Sciences, European University of Cyprus, Nicosia, Cyprus.
Alexios KlonisDepartment of Anaesthesiology, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK.
Panagiotis RentziasDepartment of Health Sciences, European University of Cyprus, Nicosia, Cyprus.
Christos KaragiannisDepartment of Health Sciences, European University of Cyprus, Nicosia, Cyprus.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePost-COVID-19 condition is associated with persistent respiratory symptoms and impaired functional capacity. This study evaluated the effects of adding an incentive spirometer to standard rehabilitation in adults with post-COVID-19 condition, with peak expiratory flow, dyspnoea, and quality of life as the prespecified primary outcomes.

designRandomized controlled trial. SUBJECTS/PATIENTS: Eighty-two previously hospitalized adults diagnosed with post-COVID-19 condition, were randomly assigned to an experimental group (rehabilitation plus incentive spirometer, n = 41) or a control group (rehabilitation alone, n = 41).

methodsEight outcomes were assessed at baseline and 1 month, including peak expiratory flow, Medical Research Council dyspnoea scale, EQ-5D-5L, and functional performance tests.

resultsBoth groups improve at 1-month follow-up. The experimental group showed greater improvements in peak expiratory flow (between-group difference = 65.85 L/min; 95% CI: 4.35 to 127.35; p = 0.007), and dyspnoea (MRC difference = -1.08; 95% CI: -1.54 to -0.62; p < 0.001) compared with the control group. No significant between-group differences were observed for quality of life or functional performance measures.

conclusionAdding incentive spirometry to standard rehabilitation improved peak expiratory flow and reduced dyspnoea in adults with post-COVID-19 condition, supporting its use as a low-cost adjunct for respiratory symptom management.

Indexed as

DyspneaPost-Acute COVID-19 SyndromeSpirometryAdultAgedFemaleHospitalizationHumansMaleMiddle AgedPeak Expiratory Flow RateQuality of LifeSARS-CoV-2Treatment Outcome

Identifiers

PMID42084202
PMCPMC13154367

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Registered trials

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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.