Received: 12 September 2023
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Revised: 18 January 2024
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Accepted: 12 February 2024
DOI: 10.1002/pri.2077
REVIEW
The pulmonary rehabilitation effect on long covid‐19
syndrome: A systematic review and meta‐analysis
Oliver Martínez‐Pozas
1,2,3
| Erika Meléndez‐Oliva
2,3,4
|
LidiaMartínezRolando
5
| JoséAntonioQuesadaRico
6,7
| Camilo Corbellini
8,9
|
Eleuterio A. Sánchez Romero
2,3,10
1
Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Escuela Internacional de Doctorado, Universidad Rey Juan Carlos,
Alcorcón, Spain
2
Interdisciplinary Research Group on Musculoskeletal Disorders, Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Spain
3
Physiotherapy and Orofacial Pain Working Group, Sociedad Española de Disfunción Craneomandibular y Dolor Orofacial (SEDCYDO), Madrid, Spain
4
Department of Physiotherapy, Faculty of Sport Sciences, European University of Valencia, Valencia, Spain
5
Rey Juan Carlos University Hospital of Móstoles, Madrid, Spain
6
Department of Clinical Medicine, Miguel Hernández University, San Juan de Alicante, Spain
7
Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain
8
Department of Physiotherapy, LUNEX International University of Health, Exercise and Sports, Differdange, Luxembourg
9
Luxembourg Health & Sport Sciences Research Institute A.S.B.L., Differdange, Luxembourg
10
Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Spain
Correspondence
Eleuterio A. Sánchez Romero, Department of
Physiotherapy, Faculty of Sport Sciences,
Universidad Europea de Madrid, Tajo, s/n,
Urbanización El Bosque, Villaviciosa de Odón
28670, Spain.
Email: eleuterio.sanchez@universidadeuropea.
es
Erika Meléndez‐Oliva.
Email: erika.melendez@universidadeuropea.es
Funding information
Award for Best Research Project in post‐
COVID‐19 sequelae; the Ilustre Colegio
Profesional de Fisioterapeutas de la
Comunidad de Madrid, December 2021
Abstract
Objectives: This systematic review and meta‐analysis aims to evaluate the efficacy
of pulmonary rehabilitation (PR) in improving dyspnea, fatigue, physical activity,
quality of life, anxiety and depression in patients with Long COVID‐19 (LC). The
impact of PR on LC and a comparison of face‐to‐face and telerehabilitation ap-
proaches was explored.
Methods: This systematic review and meta‐analysis followed PRISMA guidelines
and was registered in PROSPERO. A literature search included PubMed, Web of
Science, and Cochrane Library until January 2023. No language filters were applied.
Randomized controlled trials, non‐randomized controlled trials, and observational
studies were included. The risk of bias was assessed using appropriate tools.
Descriptive analysis and meta‐analysis were performed. Forest plots presented
results. Statistical analyses were conducted using the Metafor Package in R v.3.4.2.
Results/Findings: This systematic review and meta‐analysis included 16 studies on
PR in LC patients. A total of 1027 adults were included. The studies varied in design,
with seven observational studies, three quasi‐experimental studies, and six ran-
domized controlled trials. Dyspnea, physical function, quality of life, psychological
state, and fatigue were assessed as outcomes. The review found that pulmonary
This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any
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© 2024 The Authors. Physiotherapy Research International published by John Wiley & Sons Ltd.
Physiother Res Int. 2024;e2077. wileyonlinelibrary.com/journal/pri
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https://doi.org/10.1002/pri.2077