ISSN : 2583-2646

Home-Based Rehabilitation Post-COVID-19: A Review of Protocols, Clinical Outcomes, and Lessons Learned.

ESP Journal of Engineering & Technology Advancements
© 2025 by ESP JETA
Volume 5  Issue 3
Year of Publication : 2025
Authors : Priti Nathani
:10.56472/25832646/JETA-V5I3P103

Citation:

Priti Nathani , 2025. "Home-Based Rehabilitation Post-COVID-19: A Review of Protocols, Clinical Outcomes, and Lessons Learned.", ESP Journal of Engineering & Technology Advancements  5(3): 18-24.

Abstract:

The domain of rehabilitation has changed so much, even with the COVID-19 pandemic. Given the high rate of long-term physical, respiratory, and cognitive impairment after SARS-CoV-2 infection, home-based rehabilitation has proved to be an essential alternative to the often-limiting brick-and-mortar rehabilitation. The rationale for home-based rehabilitation in the post-COVID context is reviewed in this review, along with core clinical protocols including physical therapy, respiratory training, and cognitive rehabilitation. Further, such interventions are also explored in regard to their clinical effectiveness, where outpatient, functional outcomes, pulmonary recovery, and improvements in mental health and quality of life are considered. Digital health technologies (i.e., telemedicine, mobile applications, wearable sensors, AI-driven analytics) are identified as key technologies in enabling remote rehabilitation. Also, the review discusses present hurdles in patient selection, digital access disparity, adherence, and the regulatory framework. Based on the evidence presented in high-impact journals, the paper ends with lessons learned and future directions for holistically integrating home-based rehabilitation as a standard, permanent fixture of the post-acute care continuum.

References:

[1] Barrett, S., Howlett, O., Lal, N. and McKinstry, C., 2024. Telehealth-delivered allied health interventions: a rapid umbrella review of systematic reviews. Telemedicine and e-Health, 30(6), pp.e1649-e1666.

[2] Barker-Davies, R.M., O'Sullivan, O., Senaratne, K.P.P., Baker, P., Cranley, M., Dharm-Datta, S., Jones, A., Chamley, R., Turner, M., Iqbal, K., Greenhalgh, A., Phillip, R., Nicol, A.M., Bennett, A.N. and Bahadur, S., 2020. The Stanford Hall consensus statement for post-COVID-19 rehabilitation. British Journal of Sports Medicine, 54(16), pp.949–959.

[3] Belli, S., Balbi, B., Prince, I., Cattaneo, D., Masocco, F., Zaccaria, S., Bertalli, L., Cattini, F., Lomax, S. and Spruit, M.A., 2020. Low physical functioning and impaired performance of activities of daily life in COVID-19 patients who survived the hospitalisation. European Respiratory Journal, [online] Available at: https://erj.ersjournals.com/content/early/2020/07/30/13993003.02096-2020 [Accessed 5 Jul. 2025].

[4] Bernini, S., Stasolla, F., Panzarasa, S., Quaglini, S., Sinforiani, E., Sandrini, G. and Bottiroli, S., 2021. Cognitive telerehabilitation for older adults with neurodegenerative diseases in the COVID-19 era: a perspective study. Frontiers in Neurology, 11, p.623933.

[5] Bernocchi, P., Vitacca, M., La Rovere, M.T., Volterrani, M., Galli, T., Baratti, D. and Scalvini, S., 2018. Home-based telerehabilitation in older patients with chronic obstructive pulmonary disease and heart failure: a randomised controlled trial. Age and Ageing, 47(1), pp.82–88.

[6] Burdea, G.C., 2003. Virtual rehabilitation – benefits and challenges. Methods of Information in Medicine, 42(5), pp.519–523.

[7] Cox, N.S., Dal Corso, S., Hansen, H., McDonald, C.F., Hill, C.J., Zanaboni, P., Alison, J.A. and Holland, A.E., 2021. Telerehabilitation for chronic respiratory disease. Cochrane Database of Systematic Reviews, (1).

[8] Curci, C., Pisano, F., Bonacci, E., Camozzi, D.M., Ceravolo, C., Bergonzi, R. and De Sire, A., 2020. Early rehabilitation in post-acute COVID-19 patients: data from an Italian COVID-19 Rehabilitation Unit and proposal of a treatment protocol. European Journal of Physical and Rehabilitation Medicine, 56(5), pp.633–641.

[9] Liu, K., Zhang, W., Yang, Y., Zhang, J., Li, Y. and Chen, Y., 2020. Respiratory rehabilitation in elderly patients with COVID-19: a randomized controlled study. Complementary Therapies in Clinical Practice, 39, p.101166.

[10] Mirjalali, S., Peng, S., Fang, Z., Wang, C.H. and Wu, S., 2022. Wearable sensors for remote health monitoring: potential applications for early diagnosis of Covid‐19. Advanced Materials Technologies, 7(1), p.2100545.

[11] Negrini, F., De Sire, A., Andrenelli, E., Lazzarini, S.G., Patrini, M. and Ceravolo, M.G., 2021. Rehabilitation and COVID-19: a rapid living systematic review 2020 by Cochrane Rehabilitation Field. Update as of October 31st, 2020. European Journal of Physical and Rehabilitation Medicine, 57(1), pp.1–13.

[12] Paneroni, M., Simonelli, C., Saleri, M., Bertacchini, L., Venturelli, M., Troosters, T., Vogiatzis, I. and Vitacca, M., 2021. Muscle strength and physical performance in patients without previous disabilities recovering from COVID-19 pneumonia. American Journal of Physical Medicine & Rehabilitation, 100(2), pp.105–109.

[13] Piquet, V., Luczak, C., Seiler, F., Monaury, J., Martini, A., Ward, A.B., Petitgas, G., Kovacs, G. and Bayle, N., 2021. Do patients with COVID-19 benefit from rehabilitation? Functional outcomes of the first 100 patients in a COVID-19 rehabilitation unit. Archives of Physical Medicine and Rehabilitation, 102(6), pp.1067–1074.

[14] Tabacof, L., Tosto-Mancuso, J., Wood, J., Cortes, M., Kontorovich, A., McCarthy, D., Rizk, D. and Putrino, D., 2022. Post-acute COVID-19 syndrome negatively impacts physical function, cognitive function, health-related quality of life, and participation. American Journal of Physical Medicine & Rehabilitation, 101(1), pp.48–52.

[15] Teixeira, C.M., Vasconcelos-Raposo, J., Fernandes, H.M. and Brustad, R.J., 2013. Physical activity, depression and anxiety among the elderly. Social Indicators Research, 113(1), pp.307–318.

Keywords:

Cognitive Rehabilitation; COVID-19; Home-Based Rehabilitation; Long COVID; Physical Therapy; Post-Acute Care; Pulmonary Recovery; Telerehabilitation.