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Innovations in Chronic Patient Management: Monitoring, Evaluation and Rehabilitation
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Innovations in Chronic Patient Management: Monitoring, Evaluation and Rehabilitation

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Chronic Care".

Deadline for manuscript submissions: 15 December 2025 | Viewed by 1994

Special Issue Editors

Prof. Dr. Araceli Ortiz-Rubio

E-Mail Website
Guest Editor
Physiotherapy Department, Health Sciences Faculty, University of Granada, 18016 Granada, Spain
Interests: activity; chronic diseases; neurology; neurodegenerative; occupation; participation; rehabilitation
Dr. Alejandro Heredia-Ciuro

E-Mail Website
Guest Editor
Physiotherapy Department, University of Granada, Avenida de la Ilustración, 60, 18016 Granada, Spain
Interests: respiratory diseases; cancer; rehabilitation; physical therapy; exercise; physical activity
Special Issues, Collections and Topics in MDPI journals
Dr. Andrés Calvache-Mateo

E-Mail Website
Guest Editor
Physiotherapy Department, Health Sciences Faculty, University of Granada, Granada 18016, Spain
Interests: COVID-19; respiratory disease; physical activity; chronic diseases; physical therapy; rehabilitation

Special Issue Information

Dear Colleagues,

In the healthcare field, the management of chronic patients is a growing concern due to the increase in chronic diseases worldwide. Monitoring plays a key role, with the advent of advanced medical devices and mobile applications that enable real-time tracking of patients' conditions, facilitating early detection of problems and personalized care. Chronic patient assessment has benefited from advances in artificial intelligence and data analytics, allowing for more accurate and predictive assessment of disease progression and response to treatment. In addition, rehabilitation has evolved with innovative therapies, such as tele-rehabilitation and virtual reality, which make recovery more effective and accessible.

This Special Issue aims to collect the latest innovations that are revolutionizing the way these patients are managed. It brings together research and case studies that highlight these innovations and their impact on chronic patients' quality of life. From early detection to effective rehabilitation, emerging technologies and approaches are transforming the way healthcare professionals approach chronic disease. This compilation of knowledge promises to enrich clinical practice and improve the management of chronic patients worldwide.

In this Special Issue, original research articles and reviews are welcome. Research areas may include (but not limited to) interventions, evaluations, or monitoring for the management of chronic patients.

I/We look forward to receiving your contributions.

Prof. Dr. Araceli Ortiz-Rubio
Dr. Alejandro Heredia-Ciuro
Dr. Andrés Calvache-Mateo
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • chronic disease
  • chronic patient management
  • rehabilitation
  • monitoring
  • evaluation
  • healthcare

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

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Research

11 pages, 599 KiB  
Article
Assessment of Muscular Strength and Functional Capacity in Smoker Population Without Any Diagnosed Respiratory Disease: A Cross-Sectional Study
by Christophe Thibon, Gilles Caty, Sophie Gohy, Frank Aboubakar Nana and Gregory Reychler
Healthcare 2025, 13(5), 493; https://doi.org/10.3390/healthcare13050493 - 24 Feb 2025
Viewed by 508
Abstract
Introduction: Smoking is a risk factor for chronic obstructive pulmonary disease (COPD) and lung cancer. In addition to pulmonary damages, peripheral muscle impairments are present in this population. Pulmonary limitation is observed in smokers before disease diagnosis, but functional capacity limitations are [...] Read more.
Introduction: Smoking is a risk factor for chronic obstructive pulmonary disease (COPD) and lung cancer. In addition to pulmonary damages, peripheral muscle impairments are present in this population. Pulmonary limitation is observed in smokers before disease diagnosis, but functional capacity limitations are uncertain, contrary to patients who have already been diagnosed. The aim of this study was to compare muscular strength and endurance between non-smoker and smoker populations without any diagnosed respiratory disease. Method: This cross-sectional study assessed subjects without diagnosed respiratory disease in terms of physical capacity using two tests (one-minute sit-to-stand test (STST) and Jamar dynamometer test (JDT)). Results: The sample consisted of 147 subjects. The number of repetitions and the muscle strength were lower in the smoker than in the non-smoker population (28.5 ± 8.7 vs. 33.5 ± 8.2 (p < 0.001), and 38.2 ± 10.1 vs. 42.4 ± 10.5 (p = 0.04), respectively). The relative change in heart rate during STST was lower in the smokers compared to the non-smokers (p = 0.01). No significant differences were found based on gender. Conclusions: Smokers without alcohol or drug dependence and without diagnosed lung disease exhibit non-clinically but statistically reduced muscular strength and endurance. Their heart rate response to exercise is also reduced. Full article
(This article belongs to the Special Issue Innovations in Chronic Patient Management: Monitoring, Evaluation and Rehabilitation)
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14 pages, 645 KiB  
Article
Severity Matters: How COVID-19 Severity Impacts Long-Term Effects on Symptoms, Physical Activity and Functionality—An Observational Study
by Laura Pérez-Gisbert, Concepción Morales-García, José Antonio Sánchez-Martínez, María Victoria González-Gutiérrez, Marie Carmen Valenza and Irene Torres-Sánchez
Healthcare 2025, 13(3), 333; https://doi.org/10.3390/healthcare13030333 - 6 Feb 2025
Viewed by 730
Abstract
Background/Objectives: The existing literature has described the common symptoms and long-term effects of coronavirus disease (COVID-19). However, there is a lack of detailed information on how different degrees of disease severity affect survivors differently. This study aims to fill that gap by evaluating [...] Read more.
Background/Objectives: The existing literature has described the common symptoms and long-term effects of coronavirus disease (COVID-19). However, there is a lack of detailed information on how different degrees of disease severity affect survivors differently. This study aims to fill that gap by evaluating the symptoms, physical activity, and functionality of COVID-19 survivors across a spectrum of severity levels, comparing them with those of healthy individuals. Methods: An observational study was carried out following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) criteria and checklist. Participants were divided into 5 groups based on COVID-19 severity according to the World Health Organization classification: healthy (COVID-19-negative), mild (symptomatic without pneumonia or dyspnoea), moderate (pneumonia and dyspnoea without hospitalisation), severe (severe pneumonia requiring hospitalisation), and critical (severe pneumonia with admission to the intensive care unit). Descriptive variables, symptoms (Fatigue Borg Scale, Fatigue Impact Scale, Fatigue Severity Scale, Dyspnoea Borg Scale, Visual Analogue Scale, Hospital Anxiety and Depression Scale, and European Quality of Life-5 Dimensions), physical activity (the International Physical Activity Questionnaire) and functionality (Patient-Specific Functional Scale, Short Physical Performance Battery, Arm Curl test, and 2 min step test) were measured. Results: A total of 304 participants were included: healthy (n = 42), mild (n = 143), moderate (n = 49), severe (n = 52), and critical (n = 18) COVID-19 patients. The impact of COVID-19 on surviving patients varies significantly with the severity of the disease. The results show that the hospitalisation time, age, and comorbidities of the patients are greater in those with a greater severity of the disease. Patients with more severe COVID-19 also experience greater frailty, dysphagia, fatigue, dyspnoea, and pain. Additionally, those with severe cases have poorer overall health, reduced physical activity, and diminished functionality. No evidence of post-COVID-19 anxiety or depression is found in the sample, even considering the timeframe between the negative test and the assessment. Conclusions: Patients with higher COVID-19 severity (severe or critical) experience more symptoms than those with lower COVID-19 severity (mild or moderate). Additionally, those with severe cases have poorer overall health, reduced physical activity and diminished functionality. Register: Clinicaltrials.gov: NCT05731817. Full article
(This article belongs to the Special Issue Innovations in Chronic Patient Management: Monitoring, Evaluation and Rehabilitation)
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