Effect of Home Based Versus Hospital Based Pulmonary Rehabilitation Program on Lung Functions in Recovered Covid-19 Patients

Background: The COVID-19 pandemic has significantly impacted global public health, with many patients experiencing persistent symptoms and impaired physical functioning even after recovery from the acute phase. Pulmonary rehabilitation may help improve ongoing respiratory symptoms in these individuals. This study compared home-based rehabilitation to hospital-based rehabilitation for post-COVID patients with pulmonary function impairments. Methods: In a randomized controlled trial, 54 recovered COVID-19 patients were enrolled over 18 months and divided into two groups: Group A (home-based rehabilitation) and Group B (hospital-based rehabilitation). Group A performed exercises at home, while Group B attended two supervised sessions per week for 8 weeks. Spirometry and the 6-Minute Walk Test (6MWTD) were conducted at baseline and after 8 weeks. Results: Results showed significant improvements in 6MWTD for both groups (Group A: p <0.01, Group B: p=0.03). Group B also showed significant improvement in Forced Vital Capacity (FVC) (p=0.04). However, there were no significant differences in lung function, exercise capacity, or dyspnea grading between the two groups (p >0.05). Conclusion: Home-based rehabilitation provides similar benefits to hospital-based rehabilitation and is a viable alternative for patients unable to access hospital services.