The Influence and Feasibility of Therapeutic Exercise Videos at Home on the Functional Status of Post-COVID-19 Hospitalization

Luh Karunia Wahyuni, Melinda Harini, Peggy Sunarjo, Mellisya Ramadhany, Ika Fitriana, Octaviany Hidemi, Indri Wijayanti, Boya Nugraha, Deddy Tedjasukmana, Tirza Z Tamin


The COVID-19 pandemic pushed physicians to modify conventional practices to reduce the exposure and risk of infection among patients and health workers. Telemedicine is one of the safest methods, and telerehabilitation could prevent the sequelae of COVID-19. A quasi-experimental study with randomized sampling without masking/blinding was conducted. The study was conducted from August 2021 to March 2022 at Hospital A in Pekanbaru, Hospital B in Jayapura, and Hospital C in Jakarta, Indonesia. A total of 27 patients were recruited and divided into control and intervention groups. The control group was given conventional education on therapeutic exercise at home, while the intervention group was shown educational videos about therapeutic exercise at home. The comparison of all functional outcomes between the two groups after the intervention showed a significant difference. The intervention group improved more than the control group, except for the fatigue severity scale. Most of the responses showed that this video was feasible and useful and did not need to be supervised by health workers. Therapeutic exercise educational videos can be an option to deliver rehabilitation programs for post-COVID-19 hospitalized patients.


educational video; post-COVID-19; rehabilitation; telerehabilitation; therapeutic exercise

Full Text:



  1. Spruit MA, Holland AE, Singh SJ, et al. COVID-19: Interim guidance on rehabilitation in the hospital and post-hospital phase from a European Respiratory Society and American Thoracic Society–coordinated international task force. Eur Respir J. 2020; 56 (6): 2002197.

  2. Zhao HM, Xie YX, Wang C. Recommendations for respiratory rehabilitation in adults with coronavirus disease 2019. Chin Med J (Engl).2020; 133 (13): 1595–1602.

  3. Fore L, Perez Y, Neblett R, et al. Improved functional capacity evaluation performance predicts successful return to work one year after completing a functional restoration rehabilitation program. PM R.2015; 7 (4): 365–75.

  4. Gurses HN, Zeren M, Denizoglu Kulli H, Durgut E. The relationship of sit-to-stand tests with 6-minute walk test in healthy young adults. Medicine (Baltimore). 2018; 97 (1): e9489.

  5. Nugraha B, Wahyuni LK, Laswati H, et al. COVID-19 pandemic in Indonesia: Situation and challenges of rehabilitation medicine in Indonesia. Acta Med Indones. 2020; 52 (3): 299–305

  6. Gutenbrunner C, Stokes E, Dreinhöfer K, et al. Why rehabilitation must have priority during and after the COVID-19 pandemic: A position statement of the Global Rehabilitation Alliance. J Rehabil Med. 2020; 52 (7): 1–4.

  7. Richmond T, Peterson C, Cason J, et al. American Telemedicine Association's Principles for Delivering Telerehabilitation Services. Int J Telerehabil. 2017; 9 (2): 63–68.

  8. Rosen K, Patel M, Lawrence C, Mooney B. Delivering Telerehabilitation to COVID-19 Inpatients: A Retrospective Chart Review Suggests It Is a Viable Option. HSS J. 2020; 16 (Suppl 1): 64–70.

  9. Crapo RO, Casaburi R, Coates AL, et al. Guidelines for Methacholine and Exercise Challenge Testing — 1999. Am J Respir Crit Care Med.2000; 161 (1): 309–329.

  10. Hafen BB. Sharma S, ed. Oxygen Saturation. 2021.

  11. Borg G. Psychophysical scaling with applications in physical work and the perception of exertion. Scand J Work Environ Health. 1990; 16 (Suppl 1): 55–58.

  12. Clinical Review Report: Riociguat (Adempas). Ottawa: Canadian Agency for Drugs and Technologies in Health; 2015. APPENDIX 5, Validity of Outcome Measures.

  13. Roongbenjawan N, Siriphorn A. Accuracy of modified 30-s chair-stand test for predicting falls in older adults. Ann Physic Rehab Med. 2020;63 (4): 309–315. ISSN 1877-0657.

  14. Butarbutar DT. Uji reliabilitas dan validitas fatigue severity scale versi Bahasa Indonesia pada dokter residen RSUP dr. Sardjito Yogyakarta. In Pertemuan Ilmiah Regional XXVI; 2014 Sept 25–27; Yogyakarta: Universitas Gadjah Mada; 2014.

  15. Ferrucci L, Koh C, Bandinelli S, Guralnik JM. Disability, Functional Status, and Activities of Daily Living. Encyclopedia of Gerontology. 2nd ed. Amsterdam: Elsevier; 2007. pp. 427–36.

  17. Tanguay P, Marquis N, Gaboury I, et al. Telerehabilitation for Post-Hospitalized COVID-19 Patients: A Proof-of-Concept Study During a Pandemic. Int J Telerehabil. 2021; 13 (1).

  18. Odetunde MO, Binuyo OT, Maruf FA, et al. Development and Feasibility Testing of Video Home-Based Telerehabilitation for Stroke Survivors in Resource Limited Settings. Int J Telerehabil. 2020; 12.

  19. Simpson R, Robinson L. Rehabilitation After Critical Illness in People with COVID-19 Infection. Am J Phys Med Rehabil. 2020; 99 (6): 470–474.

  20. Torres-Castro R, Solis-Navarro L, Sitjà-Rabert M, Vilaró J. FunctionalLimitations Post-COVID-19: A Comprehensive Assessment Strategy. Arch Bronconeumol. 2021; 57 (Suppl 1): 7–8.

  21. Hasani Azad M, Khorrami F, Kazemi Jahromi M, et al. Clinical and Epidemiological Characteristics of Hospitalized COVID-19 Patients in Hormozgan, Iran: A Retrospective, Multicenter Study. Arch Iran Med. 2021; 24 (5): 434–444.

  22. Khamis F, Al Awaidy S, Shaaibi M Al, et al. Epidemiological Characteristics of Hospitalized Patients with Moderate versus Severe COVID-19 Infection: A Retrospective Cohort Single Centre Study. Diseases. 2021; 10 (1): 1.

  23. Paneroni M, Vitacca M, Bernocchi P, et al. Feasibility of telerehabilitation in survivors of COVID-19 pneumonia. Pulmonology. 2022; 28(2): 152–154.

  24. Mejía F, Medina C, Cornejo E, et al. Oxygen saturation as a predictor of mortality in hospitalized adult patients with COVID-19 in a public hospital in Lima, Peru. PLoS One. 2020; 15 (12): e0244171.

  25. Al Chikhanie Y, Veale D, Schoeffler M, et al. Effectiveness of pulmonary rehabilitation in COVID-19 respiratory failure patients post-ICU. Respir Physiol Neurobiol. 2021; 287: 103639.

  26. Bohannon RW, Crouch R. Minimal clinically important difference for change in 6-minute walk test distance of adults with pathology: A systematic review. J Eval Clin Pract. 2017; 23 (2): 377–381.

  27. Fernández-de-Las-Peñas C, Palacios-Ceña D, Gómez-Mayordomo V, et al. Fatigue and Dyspnoea as Main Persistent Post-COVID-19 Symptoms in Previously Hospitalized Patients: Related Functional Limitations and Disability. Respiration. 2022; 101 (2): 132–141.

  28. Shan MX, Tran YM, Vu KT, Eapen BC. Postacute inpatient rehabilitation for COVID-19. BMJ Case Rep. 2020; 13 (8): e237406.

  29. Green M, Marzano V, Leditschke IA, et al. Mobilization of intensive care patients: A multidisciplinary practical guide for clinicians. J Multidiscip Healthc. 2016; 9: 247–256.

  30. Boston University. Clinical Algorithms for Admission and Discharge. Boston, MA: Boston Medical Center; 2020.



  • There are currently no refbacks.