Effects of pulmonary rehabilitation on functional and psychological parameters in post-acute sequelae of SARS-CoV-2 infection (PASC) patients DOI Creative Commons
Adeel Nasrullah,

S.T. Virk,

Anam Javed

et al.

BMC Pulmonary Medicine, Journal Year: 2024, Volume and Issue: 24(1)

Published: May 14, 2024

Abstract Background COVID-19 survivors may develop long-term symptoms of fatigue, dyspnea, mental health issues, and functional limitations: a condition termed post-acute sequelae (PASC). Pulmonary rehabilitation (PR) is recommended treatment for PASC; however, there lack data regarding PR’s effect on multiple indices the factors that influence patient outcomes. The aim our study to evaluate impact pulmonary psychological parameters in patients diagnosed with Post-Acute Sequelae SARS-CoV-2 Infection (PASC), thereby offering insights into efficacy such interventions improving quality life clinical outcomes these individuals. Methods We extracted demographic, comorbidity, outcome from Allegheny Health Network’s electronic medical records. Functionality test results were compared before after PR, including 6-minute walk (6MWT), chair rise repetitions (CR reps), timed up go (TUG), gait speed (Rehab gait), modified research council scale (MMRC), shortness breath questionnaire (SOBQ), hospital anxiety depression (HADS) chronic obstructive disease assessment (CAT) scores. Multiple regression analysis was done comorbidities responses PR. Results 55 included this had mean time 4 months between initial diagnosis subsequent PASC diagnosis. Following (PR), significant improvements observed across various metrics. distance covered (6MWT) increased markedly pre-rehabilitation average 895 feet (SD 290) 1,300 335) post-rehabilitation, change 405 (95% CI [333, 477]). Chair reps) saw an increase 9 3) reps 13 reps, [3.7, 4.9]). (TUG) decreased significantly s 5) 10 2), reflecting reduction 3 [-4.5, -2.5]). Rehabilitation improved 1.0 m/s 1.3 m/s, changing by 0.3 [0.2, 0.3]). Modified Medical Research Council (MMRC) dyspnea showed notable decrease 2 1) 1 1), -1 [-1.5, -1]). Shortness Breath Questionnaire (SOBQ) scores reduced 51 21) 22 18), -29 [-34, -23]). Hospital Anxiety Depression Scale 11 7) 8 7), -4 [-5, -2]). Lastly, Chronic Obstructive Disease (COPD) Assessment Test dropped 18 -10 [-11, -8]). However, presence hypertension, diabetes, lung diseases, outpatient status, receipt specific pharmacologic treatments (decadron, decadron + remdesivir, remdesivir tocilizumab) identified as associated poor response Conclusion Our supports PR integrated model care improve several physical indices. effects patients’ status should be investigated future.

Language: Английский

Efficacy of Pulmonary Rehabilitation in Post-COVID-19: A Systematic Review and Meta-Analysis DOI Creative Commons
Erika Meléndez‐Oliva, Oliver Martínez‐Pozas, Juan Nicolás Cuenca‐Zaldívar

et al.

Biomedicines, Journal Year: 2023, Volume and Issue: 11(8), P. 2213 - 2213

Published: Aug. 7, 2023

This systematic review and meta-analysis examines how pulmonary rehabilitation impacts in patients suffering from subacute long COVID-19 infections, gauging enhancements of dyspnea, physical function, quality life, psychological state (anxiety depression), fatigue.

Language: Английский

Citations

44
Practical Recommendations for Exercise Training in Patients with Long COVID with or without Post-exertional Malaise: A Best Practice Proposal DOI Creative Commons
Rainer Gloeckl, Ralf Harun Zwick,

Ulrich Fürlinger

et al.

Sports Medicine - Open, Journal Year: 2024, Volume and Issue: 10(1)

Published: April 24, 2024

Abstract People with long COVID may suffer from a wide range of ongoing symptoms including fatigue, exertional dyspnea, reduced exercise performance, and others. In particular, impaired performance is condition that can be recovered in many people through an individualized physical training program. However, clinical experience has shown the presence post-exertional malaise (PEM) significant barrier to COVID. Currently, there no guideline or consensus available on how apply this cohort. Therefore, we conducted literature review PubMed library using following search terms: “COVID”, “post-COVID”, “long COVID” “exercise” searching for studies January 2020 2024. Data 46 trials were included. Exercise regimes very heterogeneous none these reported management PEM context Based feedback additional survey was answered by 14 international experts field COVID, combined authors´ own extensive practical experience, best practice proposal recommendations been developed. This differentiates procedures according no, mild/moderate severe These guide allied healthcare professionals worldwide initiating adjusting programs stratified severity PEM.

Language: Английский

Citations

25
The pulmonary rehabilitation effect on long covid‐19 syndrome: A systematic review and meta‐analysis DOI
Oliver Martínez‐Pozas, Erika Meléndez‐Oliva, Lidia Martínez Rolando

et al.

Physiotherapy Research International, Journal Year: 2024, Volume and Issue: 29(2)

Published: Feb. 22, 2024

Abstract Objectives This systematic review and meta‐analysis aims to evaluate the efficacy of pulmonary rehabilitation (PR) in improving dyspnea, fatigue, physical activity, quality life, anxiety depression patients with Long COVID‐19 (LC). The impact PR on LC a comparison face‐to‐face telerehabilitation approaches was explored. Methods followed PRISMA guidelines registered PROSPERO. A literature search included PubMed, Web Science, Cochrane Library until January 2023. No language filters were applied. Randomized controlled trials, non‐randomized observational studies included. risk bias assessed using appropriate tools. Descriptive analysis performed. Forest plots presented results. Statistical analyses conducted Metafor Package R v.3.4.2. Results/Findings 16 patients. total 1027 adults varied design, seven studies, three quasi‐experimental six randomized trials. Dyspnea, function, psychological state, fatigue as outcomes. found that had significant positive effect life (both global domain), anxiety, depression. However, not significant. Heterogeneity observed some analyses, publication certain Age study design identified potential moderators. Both interventions improved studied outcomes, only differences domain favoring group. Implications Physiotherapy Practice state patients, but fatigue. Face‐to‐face have similar effects, except for life.

Language: Английский

Citations

18
Non-invasive Brain Stimulation Techniques for the Improvement of Upper Limb Motor Function and Performance in Activities of Daily Living After Stroke: A Systematic Review and Network Meta-analysis DOI
Ishtiaq Ahmed, Rüstem Mustafaoğlu, Símone Rossi

et al.

Archives of Physical Medicine and Rehabilitation, Journal Year: 2023, Volume and Issue: 104(10), P. 1683 - 1697

Published: May 27, 2023

Language: Английский

Citations

40
Effect of Pulmonary Rehabilitation on Exercise Capacity, Dyspnea, Fatigue, and Peripheral Muscle Strength in Patients With Post-COVID-19 Syndrome: A Systematic Review and Meta-analysis DOI
Murilo Rezende Oliveira, Mariana Hoffman, Arwel W. Jones

et al.

Archives of Physical Medicine and Rehabilitation, Journal Year: 2024, Volume and Issue: 105(8), P. 1559 - 1570

Published: Feb. 3, 2024

Language: Английский

Citations

16
What is quality in long covid care? Lessons from a national quality improvement collaborative and multi-site ethnography DOI Creative Commons
Trisha Greenhalgh, Julie Darbyshire, Cassie Lee

et al.

BMC Medicine, Journal Year: 2024, Volume and Issue: 22(1)

Published: April 15, 2024

Abstract Background Long covid (post covid-19 condition) is a complex condition with diverse manifestations, uncertain prognosis and wide variation in current approaches to management. There have been calls for formal quality standards reduce so-called “postcode lottery” of care. The original aim this study—to examine the nature long care unwarranted services—evolved focus on examining reasons why standardizing was so challenging condition. Methods In 2021–2023, we ran improvement collaborative across 10 UK sites. dataset reported here mostly but not entirely qualitative. It included data origins context each clinic, interviews staff patients, ethnographic observations at 13 clinics (50 consultations) 45 multidisciplinary team (MDT) meetings (244 patient cases). Data collection analysis were informed by relevant lenses from clinical (e.g. evidence-based guidelines), science cycles) philosophy knowledge. Results Participating made progress towards assessment management some topics; remained could usually be explained. Clinics had different histories path dependencies, occupied place their healthcare ecosystem served varied caseload including high proportion patients comorbidities. A key mechanism achieving high-quality when local MDTs deliberated unusual, or cases which guidelines provided no easy answers. such cases, collective learning occurred through idiographic (case-based) reasoning , practitioners build lessons particular general. This contrasts nomothetic implicit guidelines, assumed go general findings trials) (management individual patients). Conclusion Not all services unwarranted. Largely because covid’s manifestations are comorbidities common, generic “evidence-based” require much adaptation. condition, resources may productively spent supporting optimise case-based interdisciplinary discussion. Quality service should include review sample assess how interpreted personalized meet patients’ unique needs. Study registration NCT05057260, ISRCTN15022307.

Language: Английский

Citations

12
Effects of scapulothoracic exercises on chest mobility, respiratory muscle strength, and pulmonary function in male COPD patients with forward shoulder posture: A randomized controlled trial DOI Creative Commons

Kanogwun Thongchote,

Usa Chinwaro,

Sarawut Lapmanee

et al.

F1000Research, Journal Year: 2024, Volume and Issue: 11, P. 1284 - 1284

Published: Aug. 20, 2024

Background The postural abnormality, forward shoulder posture (FSP), is the most common cause of respiratory impairment in older individuals with chronic obstructive pulmonary disease (COPD). A recent study found that performing pectoral stretching and scapular strengthening exercises for eight weeks could reduce FSP healthy participants. We aimed to determine effects stabilizer on FSP, chest wall mobility, muscle strength, function male patients COPD. Methods This was randomized clinical trial. Forty COPD aged 60-90 years were included randomly allocated control (n=20) exercise groups. Following completion scapulothoracic (three days/week, weeks), functions assessed by measuring magnitude functions. Results thoracic kyphosis angle significantly decreased compared controls (p<0.001, p<0.001). Middle lower mobility markedly increased p<0.001) pectoralis minor index improved (p<0.001). strength trapezius serratus anterior muscles at week training (p<0.003, There a marked increase maximum inspiratory pressure expiratory Conclusions eight-week combined self-stretching be an effective treatment and/or prevention strategy reduction, leading patients.

Language: Английский

Citations

11
Effects of Physical Exercise on Walking Distance and Functional Limitations in Patients with Chronic Dyspnea DOI Creative Commons

Kinga Vindis,

Noémi Németh,

Cristian Marge

et al.

Medicina, Journal Year: 2025, Volume and Issue: 61(4), P. 636 - 636

Published: March 30, 2025

Background and Objectives: Chronic dyspnea is a common clinical manifestation in patients suffering from cardiovascular respiratory diseases globally, representing an independent predictor of mortality for these patients. In addition, it may be symptom associated with other conditions such as anemia, physical deconditioning, or anxiety. Methods: A prospective study was conducted, between 1 January 2021 30 June 2022, at the Medical Recovery Section “Dr. Pop Mircea Municipal Hospital Mircea” Marghita. total 163 consecutive chronic various etiologies were evaluated inclusion study. Patients who met criteria followed personalized training program variable duration (between 20 40 min) up to limit exercise tolerance (grade 3–4 modified Borg scale 70% maximum heart rate, calculated formula 220 age years); first 10 days, supervised by physiotherapist, then min 5 days/week home 3 months. Assessments, performed after months training, consisted 6 walk test (6MWT) London Chest Activity Daily Living (LCADL) scale. Results: Pulmonary etiology most cause cohort (61.65%). The number without ventilatory defects 56, 38.35%. mean value initial functional limitation (LCADL1) improved significantly (LACDL2) rehabilitation treatment (38% versus 26.5%); same time, walking distance increased 76 m. Conclusions: An adequate sedentary lifestyle change reduce patient increase distance. Predictors 6MWT gait are age, LCADL score, level, cardiac dyspnea.

Language: Английский

Citations

1
Pulmonary Rehabilitation in SARS-CoV-2: A Systematic Review and Meta-Analysis of Post-Acute Patients DOI Creative Commons
Glenn Reinert, Daniel A. Müller,

Pit Wagner

et al.

Diagnostics, Journal Year: 2022, Volume and Issue: 12(12), P. 3032 - 3032

Published: Dec. 2, 2022

Background: Pulmonary Rehabilitation (PR) was initially developed for the management of Chronic Obstructive Disease (COPD) and is now recognized as a core COVID-19 patients. This systematic review meta-analysis examined efficacy PR in patients with post-acute infection. Methods: A literature search conducted PubMed, Web Science (WoS), Cochrane Library from their inceptions until October 2022, randomized controlled trials observational studies were considered. The outcomes measured included dyspnea, physical function, quality life. Results: Eleven including 677 participants this analysis. From qualitative point view analyzing separately, improves life COVID-19. However, pooling data all studies, no significant changes pre-postintervention, compared to control, found among experimental analysis any outcome measures, due high heterogeneity between well improvements being studies. subgroup revealed differences outcomes. Future should include same scale assess actual PR. Conclusion: view, effective improving reducing an exploratory performed evaluate, by subgroups, PR, positive results favor

Language: Английский

Citations

36
Impact of Rehabilitation on Physical and Neuropsychological Health of Patients Who Acquired COVID-19 in the Workplace DOI Open Access
Katrin Müller,

Iris Poppele,

Marcel Ottiger

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(2), P. 1468 - 1468

Published: Jan. 13, 2023

Workers, especially healthcare workers, are exposed to an increased risk for SARS-CoV-2 infection. However, less is known about the impact of rehabilitation on health outcomes associated with post-COVID. This longitudinal observational study examined changes in physical and neuropsychological work ability after inpatient 127 patients (97 females/30 males; age 21–69 years; Mean = 50.62) who acquired COVID-19 workplace. Post-COVID symptoms, functional status, performance, health, employment, were assessed before rehabilitation. Group differences relating sex, professions, acute COVID status also analyzed. Except fatigue, prevalence all post-COVID symptoms decreased Significant improvements performance determined. Moreover, workers showed a significantly greater reduction depressive compared non-healthcare workers. Nevertheless, participants reported poor ability, 72.5% them still unable discharge from As most suffering at discharge, ongoing strategies aftercare necessary improve their ability. Further investigations this population 6 12 months should examine further course regarding status.

Language: Английский

Citations

22