Optimizing cardiopulmonary rehabilitation duration for long COVID patients: an exercise physiology monitoring approach

GeroScience, Journal Year: 2024, Volume and Issue: 46(5), P. 4163 - 4183

Published: May 21, 2024

The presence of prolonged symptoms after COVID infection worsens the workability and quality life. 200 adults with long syndrome were enrolled medical, physical, mental screening, divided into two groups based on their performance. intervention group (n = 100) received supervised rehabilitation at Department Pulmonology, Semmelweis University registration number 160/2021 between 01/APR/2021-31/DEC/2022, while an age-matched control a single check-up. To evaluate long-term effects rehabilitation, was involved in 2- 3-month follow-up, carrying out cardiopulmonary exercise test. Our study contributes understanding emphasizing potential benefits structured enhancing patient outcomes well-being. Significant difference found baseline visit pulmonary parameters, as forced vital capacity, expiratory volume, transfer factor for carbon monoxide, coefficient oxygen saturation (all p < 0.05). follow-up proved that 2-week long, patient-centered program has positive effect people symptomatic syndrome. data showed significant improvement three months maximal consumption (p Multidisciplinary, individualized approach may be key element successful conditions, which improves workload, life, respiratory function, status patients

Language: Английский

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Beneficios de un programa de rehabilitación pulmonar para pacientes con COVID persistente: impacto de la gravedad inicial, tiempo de evolución y forma de presentación en los resultados clínicos

Rehabilitación, Journal Year: 2025, Volume and Issue: 59(2), P. 100900 - 100900

Published: March 24, 2025

Language: Английский

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Lung function and quality of life one year after severe COVID-19 in Brazil

Jornal Brasileiro de Pneumologia, Journal Year: 2024, Volume and Issue: unknown, P. e20230261 - e20230261

Published: June 4, 2024

Objective: To evaluate symptoms, lung function, and quality of life a cohort patients hospitalized for severe COVID-19 12 months after hospital admission. Methods: This was cross-sectional study. We included survivors in one three tertiary referral hospitals the city Belo Horizonte, Brazil. Participants were submitted to function six-minute walk tests completed EQ-5D-3L questionnaire. Results: The whole sample comprised 189 (mean age = 59.6 ± 13.4 years) who had been admitted ward only (n 96; 50.8%) or an ICU 93; 49.2%). At follow-up, 43% presented with dyspnea, 27% whom restrictive ventilatory disorder 18% impaired DLCO. There no significant differences FVC, FEV1, TLC between without dyspnea. However, those still dyspnea significantly more DLCO (14.9% vs. 22.4%; p < 0.020) poorer life. Conclusions: After year, middle-income country present high symptom burden, changes, loss Ongoing follow-up is needed characterize long identify strategies mitigate its consequences.

Language: Английский

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Rehabilitation of cardiological patients with post-COVID syndrome: morphofunctional data report

Bulletin of Rehabilitation Medicine, Journal Year: 2024, Volume and Issue: 23(2), P. 7 - 16

Published: May 24, 2024

INTRODUCTION. Post-COVID is a common complication of COVID-19, occurring in more than third patients, and condition will persist for 3 months after infection with the SARS-CoV-2. AIM. To evaluate impact potential effectiveness comprehensive physical rehabilitation program on health cardiac patients complications previously suffered new coronavirus SARS-CoV-2 COVID-19. MATERIALS AND METHODS. The study involved 128 cardiology post-COVID syndrome. participants comprised three groups depending 12-week program. was assessed through parameters cardiopulmonary testing, as well 6-minute walk exercise test degree dyspnea according to modified mMRC questionnaire. RESULTS. mMCR index CPR group 1.0 [0.0–1.0] point, compared 2.0 [1.0–2.0] control comparative (p 0.05); tolerance VO2max increased by 8.3 ± 3.8 % normalization heart rate blood pressure response activity 12 weeks intervention 5.0 2.1 groups; 6MWT results 688 m, group, versus 490 0.05). DISCUSSION. A analysis conducted studies confirmed pattern between inclusion combined cardiorespiratory training protocol among decrease shortness breath, an increase tolerance. CONCLUSIONS. Based experimental data obtained, it advisable analyze effects Cardiopulmonary Physical Rehabilitation framework larger randomized clinical trials. This allow detailed assessment consequences, ability adjust mode dose proposed

Language: Английский

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Utilization frequency and patient-reported effectiveness of symptomatic therapies in post-COVID syndrome

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Sept. 23, 2024

To date there is no causal treatment for post-COVID syndrome, leaving symptomatic treatments as the primary recourse. However, practical implementation and effectiveness of these interventions remain underexplored. This study aimed to investigate utilization frequency therapies patient-reported across various modalities at a German center.

Language: Английский

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Impact of Recurrence on Functional Independence in Stroke Patients Treated in a Convalescent Rehabilitation Hospital

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 29, 2024

Purpose: Outcome prediction is a crucial component of rehabilitation in post-stroke patients. However, only few studies have focused on the influence stroke recurrence outcomes these This study aimed to determine impact functional independence using data from convalescent hospital. Materials and Methods: The included patients who were admitted our Data collected age, recurrence, number days between onset transfer facility. Scores for motor measure (FIM-motor) impairment assessment set (SIAS-motor) obtained at admission discharge. Multivariate regression analysis was performed FIM-motor score discharge as dependent variable. Stroke used independent variable, with transfer, total SIAS-motor scores entered covariates. To explore size deep white matter lesions prior strokes, we Fazekas scale classify recurrent cases into subgroups (0-1 or 2-3) compared them. Results: After adjusting above-mentioned covariates, emerged statistically significant predictor reduced Furthermore, stroke, those larger had significantly lower Conclusions: found be an score. Moreover, associated further reductions These findings underscore negative

Language: Английский

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The effect of a six-week home physiotherapy program on symptoms and activities of daily living in post-COVID-19 patients following hospital discharge

Journal of Health Sciences, Journal Year: 2024, Volume and Issue: 14(1), P. 17 - 23

Published: April 6, 2024

Introduction: Patients following the acute stage of Severe Acute Respiratory Syndrome Coronavirus 2 were shown to present with persisting symptoms including fatigue, dyspnea, joint pain, and chest pain. The aim this study was investigate effect a 6-week home physiotherapy program on psychological physical symptoms, as well abilities perform activities daily living in post-COVID-19 patients. Methods: subjects 39 adult patients who had been diagnosed COVID-19 hospitalized at University Clinical Center Kosovo. initially underwent assessment 2-3 weeks after discharge from hospital, sociodemographic data, functional performance using Patient-Specific Functional Scale (PSFS). Based their capacity, received two types brochures for that carried out over next 6 weeks. Upon completion program, 23 reported second assessment. Mann–Whitney Wilcoxon test used comparison variables obtained during first assessments. Results: Pre–post analysis showed excessive difficulty breathing, insomnia significantly less (p = 0.005; p 0.008; 0.034). On PSFS scale, mean score increased 5.2 (2.1) 7.8 (0.5) stair climbing, 5.5 (1.8) 8.8 (1.6) walking longer distances, 3.7 (3.2) 4.0 (5.6) running. Conclusion: Although limited by absence control group, findings indicate intervention can be feasible effective enhancing hospitalization.

Language: Английский

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Sequential transcranial electrical stimulation in patients with dyscirculatory encephalopathy associated with post-COVID syndrome

Russian Journal of Physiotherapy Balneology and Rehabilitation, Journal Year: 2024, Volume and Issue: 23(2), P. 120 - 130

Published: Dec. 3, 2024

BACKGROUND: The primary hypothesis for the use of sequential transcranial electrical stimulation therapy in rehabilitation patients with dyscirculatory encephalopathy associated post-COVID syndrome is potential synergistic effect on central nervous system. Specifically, method combines brain micropolarization — involving neocortex neurons and diencephalic affecting limbic system structures. This synergy expected to improve connections between cortical subcortical structures, as well neurohumoral regulation. AIM: To study effectiveness complex medical syndrome. MATERIALS AND METHODS: An open, prospective, randomized comparative included 142 encephalopathy: 79 female (55.6%) 63 male (44.4%) patients, aged 59 (45–69] years. average disease duration was 8.4 years, a period after coronavirus infection 3.6 months. After randomization, Group 1 (comparison group 1, n=48) received micropolarization; 2 2, n=46) stimulation; 3 (main group, both therapies sequentially. Treatment outcomes were evaluated based changes clinical symptoms over time battery neuropsychological tests. RESULTS: In 3, which therapy, all showed significant improvement (1.2–1.6 times) compared baseline (p 0.05–0.001). For alone (Group 1), there an reduction severity such cranialgia, memory attention deficits, irritability, sleep disturbances by 1.2–1.4 times. resulted tinnitus, fatigue, work productivity, dizziness 1.3–1.4 main overall alleviation psychophysiological issues (1.1–2.0 times; p 0.05–0.01); comparison groups 1.1–1.5 times 1.2–1.8 times, respectively. CONCLUSION: Medical using combined approach (sequential application stimulation) alongside pharmacological support shown be most effective due pronounced neurotropic physical factors involved, allowing correction whole range neurological, neuropsychological, motor disorders.

Language: Английский

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Trastornos neuropsiquiátricos asociados al Covid persistente

Revista Hospital Clínico Universidad de Chile, Journal Year: 2024, Volume and Issue: 35(3), P. 197 - 210

Published: Dec. 17, 2024

Persistent COVID (PC) is the term used to describe a multisystemic and multifactorial entity, which follows acute SARS-CoV-2 infection. Symptoms must persist for three months or more define this disorder. The clinical manifestations are variable nonspecific, but have great impact on quality of life patients. Neuropsychiatric symptoms commonly reported in CP, mostly chronic fatigue, cognitive disorders, attention among others. pathophysiological mechanisms not fully known, most described hypoxia related neuronal damage, microvascular lesions, persistent proinflammatory state, activation latent viral infections, alteration blood-brain barrier. There no specific complementary tests confirm diagnosis CP. also treatment date therapies aimed at relieving improving life. This article provides comprehensive bibliographic review common neuropsychiatric including its probable proposed date.

Language: Английский

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REVIEW OF CURRENT METHODS OF REHABILITATION OF COVID-19 PROFILE PATIENTS USING RETROSPECTIVE AND CONTEMPORARY STUDIES OF THE DISEASE

Современные проблемы науки и образования (Modern Problems of Science and Education), Journal Year: 2023, Volume and Issue: №6 2023, P. 151 - 151

Published: Jan. 1, 2023

ОБЗОР АКТУАЛЬНЫХ МЕТОДОВ РЕАБИЛИТАЦИИ ПАЦИЕНТОВ ПРОФИЛЯ COVID-19 С ИСПОЛЬЗОВАНИЕМ РЕТРОСПЕКТИВЫ И СОВРЕМЕННЫХ ИССЛЕДОВАНИЙ ЗАБОЛЕВАНИЯУрясьев О.М

Language: Русский

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