Medicina,
Год журнала:
2024,
Номер
60(4), С. 671 - 671
Опубликована: Апрель 21, 2024
Background
and
Objectives:
In
this
study,
we
aimed
to
evaluate
the
effects
of
six
weeks
pulmonary
rehabilitation
on
functional
psychological
outcomes
in
long-COVID
patients.
Material
Methods:
The
prospective
clinical
study
included
46
patients
that
were
diagnosed
with
COVID-19.
A
respiratory
program
was
implemented
for
weeks.
Further
valuables
tested
before
beginning
(admission)
after
(discharge):
SpO2,
heart
rate,
Visual
Analogue
Scale
(VAS)
score,
Borg
Sit-to-Stand
(StS)
test
number
repetition,
distance
6-Minute
Walking
Test
(6MWT),
Patient
Health
Questionnaire
(PHQ)
9
score
Generalized
anxiety
disorder
(GAD)
score.
These
parameters
admission
at
discharge
discharge.
results
presented
standard
descriptive
analytical
methods.
Differences
between
continuous
variables
physical
intervention
using
Wilcoxon
test.
Graphical
analysis
is
a
box
plot.
Results:
On
discharge,
comparison
admission,
values
SpO2
significantly
lower
(p
=
0.007)
6MWT,
VAS
scores
higher
0.036),
while
<
0.001)
as
0.016).
rate
0.005)
StS
test,
0.001),
levels
0.036)
0.008).
After
0.011),
PHQ9
GAD
well
0.005),
distances
measured
meters
6MWT
increased
0.001).
Conclusions:
structured
our
shown
have
beneficial
physiological,
improvements
long-COVID,
therefore
it
advisable
these
Frontiers in Medicine,
Год журнала:
2024,
Номер
11
Опубликована: Июнь 14, 2024
Long
COVID
is
a
condition
that
develops
in
subset
of
patients
after
COVID-19
infection
comprising
symptoms
varying
severity
encompassing
multiple
organ
systems.
Currently,
long
without
consensus
on
formal
definition,
identifiable
biomarkers,
and
validated
treatment.
expected
to
be
long-term
chronic
for
associated
with
suffering
incapacity.
There
an
urgent
need
clear
management
guidelines
the
primary
care
provider,
who
essential
bridging
gap
more
specialized
improve
quality
life
functionality
their
living
COVID.
The
purpose
this
mini
review
provide
providers
latest
highlights
from
existing
literature
regarding
most
common
current
recommendations.
This
also
underutilized
interventions
stellate
ganglion
blocks
low-dose
naltrexone,
both
well-established
safety
profiles
demonstrated
some
COVID,
encourages
prompt
referral
interventional
pain
management.
BMJ Open,
Год журнала:
2025,
Номер
15(1), С. e085944 - e085944
Опубликована: Янв. 1, 2025
Objectives
This
study
aimed
to
evaluate
the
knowledge,
attitudes
and
practices
(KAP)
of
patients
with
chronic
respiratory
diseases
towards
pulmonary
rehabilitation.
Design
Cross-sectional,
web-based
questionnaire
study.
Setting
Tertiary
healthcare
hospital
in
Taiyuan,
Shanxi
Province,
China.
Participants
A
total
511
were
recruited
from
hospital’s
outpatient
inpatient
departments.
After
data
cleaning,
501
valid
responses
(98.04%
response
rate)
analysed.
aged
18
or
older,
able
complete
independently
assistance
included
individuals
diverse
demographic
backgrounds.
Primary
secondary
outcome
measures
outcomes
KAP
scores
related
The
assessed
association
between
factors
(age,
gender,
income,
education,
smoking
status)
using
structural
equation
modelling
(SEM).
Results
mean
1.26±2.85
for
30.46±3.63
34.58±5.55
practices.
SEM
analysis
showed
that
knowledge
directly
influenced
(β=−0.538,
p<0.001)
both
(β=0.668,
significantly
Additionally,
factors,
such
as
monthly
household
type
disease,
educational
level
status
associated
variations
(all
p<0.05).
Conclusions
Patients
demonstrated
poor
generally
positive
attitudes,
moderate
regarding
Tailored
interventions
focusing
on
bridging
gap
promoting
behavioural
changes
are
essential
improving
rehabilitation
engagement
among
disease
patients.
Trial
registration
number
ChiCTR2400080271.
Respiratory Care,
Год журнала:
2024,
Номер
69(6), С. 697 - 712
Опубликована: Май 28, 2024
Over
the
last
3
decades,
pulmonary
rehabilitation
(PR)
has
become
an
integral
part
of
management
COPD.
Many
other
chronic
respiratory
diseases
have
similar
systemic
manifestations
including
skeletal
muscle
impairment,
commonly
through
deconditioning,
and
may
benefit
from
PR.
However,
whereas
many
programs
accept
patients
with
diseases,
program
need
several
adaptations
to
optimally
manage
patients.
This
article
uses
examples
interstitial
lung
disease
idiopathic
fibrosis,
bronchiectasis,
hypertension,
post
transplantation,
post-COVID
condition
highlight
exemplar
clinical
problems.
In
addition,
rationale
latest
evidence
for
PR
are
described
alongside
program,
education
needs
delivery
team
close
integrated
care
wider
team.
Finally,
future
directions
research
discussed.
Medicine,
Год журнала:
2025,
Номер
104(10), С. e41583 - e41583
Опубликована: Март 7, 2025
The
coronavirus
disease
(COVID-19)
pandemic
has
led
to
a
global
health
crisis
with
significant
long-term
consequences,
including
musculoskeletal
symptoms
such
as
fatigue,
myalgia,
and
chronic
pain.
These
issues,
often
linked
altered
nociceptive
processing,
impair
quality
of
life
are
exacerbated
in
severe
cases
by
intensive
care
unit-acquired
weakness
from
immobilization
mechanical
ventilation.
Early
rehabilitation,
particularly
pulmonary
rehabilitation
(PR),
is
crucial
for
mitigating
these
effects.
Telerehabilitation,
leveraging
telemedicine,
offers
an
innovative,
accessible
alternative,
providing
personalized
programs
that
improve
adherence
recovery.
Recent
studies
highlight
telerehabilitation's
benefits
alongside
traditional
methods,
underscoring
its
potential
managing
post-COVID-19
sequelae.
This
study
aimed
evaluate
the
effects
PR
eHealth
education
tool
(ET)
on
pain,
functionality,
life,
psychological
factors
patients
compare
telerehabilitation
versus
face-to-face
approaches
regarding
treatment
adherence.
pilot
randomized
controlled
trial
included
12
COVID-19.
participants
were
randomly
assigned
program
or
without
evidence-based
ET.
Primary
outcomes
pain
reduction
improvements
functional
capacity,
measured
over
45-week
period.
secondary
outcome
was
rehabilitation.
A
kinesiophobia
found
ET
group
(P
=
.048),
although
no
differences
observed
Barthel
index,
6-minute
walk
test
results
between
groups.
Clinically
relevant
telemedicine
group.
An
effective
reducing
kinesiophobia,
highlighting
address
aspects
However,
further
needed
assess
physical
Therapeutic Advances in Respiratory Disease,
Год журнала:
2025,
Номер
19
Опубликована: Янв. 1, 2025
Background:
Pulmonary
rehabilitation
(PR)
has
demonstrated
efficacy
in
managing
long
COVID-19,
underscoring
the
need
to
refine
and
tailor
PR
strategies
for
optimal
patient
outcomes.
Objectives:
To
evaluate
impact
of
on
patients
with
COVID-19
compare
different
types
durations
interventions.
Design:
Systematic
review
meta-analysis.
Data
sources
methods:
We
systematically
searched
randomized
controlled
trials
(RCTs)
effectiveness
published
before
April
2024.
The
primary
outcomes
were
physical
capacity
assessed
by
6-minute
walking
test
(6MWT),
lung
function
measured
forced
expiratory
volume
first
second
(FEV1)
vital
(FVC),
health-related
quality
life
(HRQoL),
fatigue.
Secondary
thirty-second
sit-to-stand
(30STST),
handgrip
strength
tests,
maximal
inspiratory
pressure
(MIP),
(MEP),
dyspnea,
depression,
anxiety,
perceived
effort,
adverse
events.
Results:
A
total
37
studies
3363
included.
Compared
controls,
improved
(6MWT,
30STST,
handgrip),
(FEV1,
FVC,
MIP,
MEP),
HRQoL,
fatigue,
anxiety
but
did
not
reach
statistical
significance
depression.
Subgroup
analyses
duration
indicated
that
programs
⩽4
weeks
6MWT;
those
between
4
8
significantly
6MWT,
FVC),
reduced
fatigue;
over
HRQoL
Exercise
type
analysis
revealed
breathing
exercises
HRQoL;
multicomponent
enhanced
6MWT
performance
combination
both
FEV1
(L),
FVC
(%pred),
Conclusion:
improves
capacity,
function,
alleviates
patients.
4-
8-week
program
a
breath
training
is
most
effective
long-term
syndromes.
Trial
registration:
PROSPERO
ID:
CRD42024455008.
Current Opinion in Supportive and Palliative Care,
Год журнала:
2025,
Номер
unknown
Опубликована: Апрель 2, 2025
Long
COVID
affects
approximately
6%
of
the
population
after
SARS-CoV-2
infection
commonly
involving
persistent
respiratory
symptoms
such
as
breathlessness
and
cough.
This
review
provides
an
update
on
latest
evidence
regarding
post-COVID
condition/Long
sequelae,
focusing
symptoms,
complications,
therapeutic
approaches
to
date.
Post-COVID
interstitial
lung
abnormalities
are
estimated
persist
in
11%
patients
hospitalized
with
acute
COVID-19.
However,
is
common
adults
(non-hospitalized)
COVID,
suggesting
aetiologies
beyond
pneumonitis.
The
risk
venous
thromboembolic
disease
remains
uncertain
trial
results
anti-coagulation
awaited.
presents
complex
challenges,
careful
assessment
crucial
differentiate
from
exacerbations
pre-existing
conditions.
Current
management
includes
a
symptom-based
multidisciplinary
approach,
ongoing
research
into
effective
treatments
including
immune
modulating
agents.
Archives of Physical Medicine and Rehabilitation,
Год журнала:
2025,
Номер
unknown
Опубликована: Май 1, 2025
To
evaluate
the
early
impact
of
Pain
Informed
Movement
(PIM)
program
in
patients
with
post
COVID-19
condition
experiencing
new
onset
persistent
pain.
A
single-blind,
2
arm,
parallel-group,
randomized
controlled
trial.
public
health
sciences
faculty.
Fifty-seven
(n=57)
were
into
PIM
(n=27)
and
control
(usual
care
educational
booklet)
groups
(n=30).
Patients
intervention
group
received
an
8-week
program.
Each
week,
participants
attended
face-to-face
sessions
1
hour
per
week.
The
first
session
was
group-based
focused
on
pain
neuroscience
education.
second
individual
consisted
functional
exercises
relaxation
techniques.
Additionally,
required
to
perform
these
techniques
at
home
twice
a
recording
their
compliance
progress.
Measured
outcomes
include
intensity
interference
measured
Brief
Inventory
(BPI),
catastrophizing
assessed
Catastrophizing
Scale
(PCS),
kinesiophobia
Tampa
Kinesiophobia
(TSK)
functionality
using
World
Health
Organization
Disability
Assessment
Schedule
(WHODAS
2.0).
Participants
baseline
intervention.
showed
significant
reduction
all
variables
respect
values.
In
addition,
differences
(MD=2.84±0.62;
p<.001;
Cohen's
d=1.21),
(MD=3.10±0.70;
p
<
.001;
d=1.18),
(MD=12.52±2.48;
d=1.34),
(MD=8.07±1.34;
d=1.56)
(MD=16.16±6.92;
p=.039;
d=0.62).
conclusion,
suggests
be
effective
for
improvement
condition.
This
study
underscores
importance
multidimensional
personalized
approaches
management,
although
more
research
is
needed
confirm
its
applicability
clinical
practice.
Journal of Pain Research,
Год журнала:
2024,
Номер
Volume 17, С. 2531 - 2550
Опубликована: Июль 1, 2024
New-onset
chronic
musculoskeletal
(MSK)
pain
is
one
of
the
common
persistent
symptoms
in
Long
COVID
(LC).
This
study
investigated
its
clinical
characteristics,
underlying
mechanisms,
and
impact
on
function,
psychological
health,
quality
life.
