# Effectiveness of a Telemedicine Exercise Program to Improve Lung Function in Young Adults After COVID-19: A Pilot Study

## TL;DR

A telemedicine exercise program helped young adults improve lung function after recovering from COVID-19.

## Contribution

This pilot study introduces a telemedicine approach to increase exercise participation and improve lung function post-COVID-19.

## Key findings

- The telemedicine group showed significant improvements in FVC, FEV1, and FEV1/FVC ratio.
- The telemedicine group increased daily steps significantly, while the control group decreased.
- PEFR improved within groups but not between the telemedicine and control groups.

## Abstract

Background: COVID-19 can have adverse effects on individuals’ lung functions for up to 6 months or more after the episode. As a result, people may be reluctant to exercise, and this can have further adverse effects on their lung capacity and fitness. This study aimed to examine the effectiveness of a telemedicine program designed to increase the exercise participation of young adults after COVID-19 and evaluate the changes in lung function after exercise training. Methods: The quasi-experimental pre–post study recruited sixty university students who had suffered from COVID-19 within the past 12 months. Four pulmonary outcomes were compared: forced expiratory volume in one second (FEV1), forced vital capacity (FVC), peak expiratory flow rate (PEFR), and the ratio of FEV1 to FVC. The telemedicine exercise (TE) group (n = 36) received an intervention to carry out regular stepping exercise (up to 10,000 steps) via online video instruction and frequent WhatsApp reminder messages. The control group (n = 24) only received an initial WhatsApp message to carry out regular stepping exercise, with no further follow-up. Results: The FVC, FEV1, and FEV1/FVC ratio revealed significant overall improvement both within groups and between groups (p < 0.001), with moderate effect sizes. PEFR showed a significant improvement within groups (p = 0.007) but not between groups (p = 0.533). The TE group recorded a significant increase in daily step count (from 7165 to 9733, p < 0.001) after 4 weeks of training. The control group showed a significant reduction in step count (from 6975 to 6442, p = 0.049). Conclusions: The results confirmed the beneficial effects of the telemedicine exercise program in contributing to increased exercise participation and improved lung functions.