Evidence map›Paper›PMID 42271357›Full record

SynthesisBMC pulmonary medicine2026

Effectiveness of telerehabilitation in patients with post-COVID-19: an updated systematic review and meta-analysis of randomized controlled trials.

Muhammad Nouman Javed, Saim Mahmood Khan, Jawairya Muhammad Hussain, Hafsa Alam, Mahnoor Sheikh, Zarnab Saleem, Simran Parkash, Mehak Rani, Mahnoor Khan, Hassan Saleem and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC pulmonary medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Muhammad Nouman JavedPunjab Medical College, Faisalabad Medical University, Faisalabad, Pakistan.
Saim Mahmood KhanKarachi Medical and Dental College, Karachi, Pakistan.
Jawairya Muhammad HussainKarachi Medical and Dental College, Karachi, Pakistan.
Hafsa AlamKarachi Medical and Dental College, Karachi, Pakistan.
Mahnoor SheikhJinnah Sindh Medical University, Karachi, Pakistan.
Zarnab SaleemPakistan Kidney and Liver Institute and Research Centre, Lahore, Pakistan.
Simran ParkashDow University of Health Sciences, Karachi, Pakistan.
Mehak RaniDow University of Health Sciences, Karachi, Pakistan.
Mahnoor KhanPakistan Kidney and Liver Institute and Research Centre, Lahore, Pakistan.
Hassan SaleemRashid Latif Medical College, Lahore, Pakistan.
Muhammad Asad AsifHealing House Psychiatric Clinic, Rawalpindi, Pakistan.
Alaa ZayedDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine. alaa.altaweel2013@gmail.com.ORCID http://orcid.org/0009-0004-6610-6841

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPost-COVID-19 syndrome affects 10-15% of survivors, causing multisystem complications and significant economic burden. Telerehabilitation (TR) has emerged as a scalable solution to deliver care remotely. This study aims to re-evaluate the effectiveness of TR in improving physical and psychological outcomes in post-COVID-19 patients.

methodsRegistered on PROSPERO (CRD420251082578) under PRISMA guidelines, we searched PubMed, Cochrane, and Scopus from April 2024 till July 2025 for randomized trials. Primary outcomes included clinical symptoms (Borg score, dyspnea) and physical function (30-s sit-to-stand test, 6-min walking distance). A random-effects model assessed pooled outcomes with heterogeneity (I

resultsTwenty-eight randomized controlled trials (RCT's) comprising approximately 1,400 participants were included. TR significantly improved physical function, including the 30 s-STS (MD = 2.07; 95% CI: 1.24 to 2.90; p < 0.00001) and 6MWD (MD = 85.83 m; 95% CI: 67.14 to 104.52; p < 0.00001). Significant reductions were observed in dyspnea (Borg overall MD = -3.74, p = 0.003) and fatigue (VASF MD = -1.83, p < 0.0001). However, no significant differences were found for HADS-Anxiety (p = 0.27) or HADS-Depression (p = 0.11). Pulmonary function showed significant gains only in FEV1 change scores (p = 0.008). Preliminary data suggests a favorable safety profile; while no serious adverse events were reported across the trials, safety was infrequently listed as a primary outcome.

conclusionTR appears to be a promising and well-tolerated modality for enhancing physical capacity and alleviating fatigue in post-COVID-19 patients, though further large-scale studies with safety as a primary endpoint are warranted to definitively establish its safety profile. While physical gains are robust, additional targeted interventions may be necessary to address psychological and pulmonary sequelae.

Indexed as

COVID-19TelerehabilitationDyspneaHumansPost-Acute COVID-19 SyndromeRandomized Controlled Trials as TopicSARS-CoV-2Exercise TolerancePhysical Functional PerformancePost-COVID-19 SyndromePulmonary FunctionTelerehabilitation

Identifiers

PMID42271357
PMCPMC13480088

What OpenQuestion holds

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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.