Archives of Physical Medicine and Rehabilitation, Год журнала: 2022, Номер 104(1), С. 11 - 17
Опубликована: Окт. 4, 2022
Язык: Английский
European Journal of Physical and Rehabilitation Medicine, Год журнала: 2023, Номер 59(3)
Опубликована: Март 31, 2023
In the published literature there is scarce data on importance of acute rehabilitation in patients suffering from COVID-19 disease.Evaluation feasibility respiratory and neuromuscular treatment stable inpatients.The study was designed as an observational prospective investigation two cohorts respectively identified Mild/Moderate Stable Severe disease. All received a consisting breathing exercises, range motion exercises strengthening with main difference intensity progression treatment, depending individual capacity patient.Inpatients diagnosed mild to moderate, or severe infection were included study.Acute inpatients.Patients divided into groups severity disease: "mild moderate group" (MMG) "stable (SSG). Functional outcomes Barthel Index (BI), Six Minute Walk Test (6MWT), Borg Scale for dyspnea, "Time Up Go" (TUG), "Sit To Stand" test (STS), "One Leg Stance Test" (OLST) Beck Depression Inventory (BDI) evaluated at baseline after rehabilitative discharge.We 147 inpatients (75 male 72 female), mean aged 63.90±13.76 years. There noticeable statistically significant improvements all observed measurements both groups. Comparison between showed MMG compared SSG functional outcomes: TUG (P<0.001), STS OLST BDI (P=0.008), BI scale dyspnea (P<0.001). Despite SSG, obtained values that still not functionally independent.Acute program feasibile, but also effective safe method improving status infection.Results present implicate supervised early program, implemented disease phasis feasible way improvement patient's outcomes. Early should be clinical protocols COVID-19.
Язык: Английский
Процитировано
10
Age and Ageing, Год журнала: 2024, Номер 53(5)
Опубликована: Май 1, 2024
Abstract Background After an acute infection, older persons may benefit from geriatric rehabilitation (GR). Objectives This study describes the recovery trajectories of post-COVID-19 patients undergoing GR and explores whether frailty is associated with recovery. Design Multicentre prospective cohort study. Setting 59 facilities in 10 European countries. Participants Post-COVID-19 admitted to between October 2020 2021. Methods Patients’ characteristics, daily functioning (Barthel index; BI), quality life (QoL; EQ-5D-5L) (Clinical Frailty Scale; CFS) were collected at admission, discharge, 6 weeks months after discharge. We used linear mixed models examine QoL. Results 723 participants included a mean age 75 (SD: 9.91) years. Most pre-frail frail (median [interquartile range] CFS 6.0 [5.0–7.0]) admission. BI first steeply increased 11.31 2.51 (SE 0.15, P < 0.001) points per month stabilised around 17.0 (quadratic slope: −0.26, SE 0.02, 0.001). Similarly, EQ-5D-5L 0.569 0.126 0.008, 0.8 −0.014, 0.001, Functional rates independent level QoL was lower admission for frailer participants, but faster, stabilising almost equal values frail, fit patients. Conclusions showed substantial not should be reason exclude GR.
Язык: Английский
Процитировано
4
Frontiers in Physiology, Год журнала: 2021, Номер 12
Опубликована: Ноя. 15, 2021
The coronavirus disease (COVID-19) pandemic is caused by a novel (CoV) named severe acute respiratory syndrome 2 (SARS-CoV-2). As the angiotensin converting enzyme (ACE2) cellular receptor of SARS-CoV-2, it has strong interaction with renin system (RAS). Experimental studies have shown that higher levels ACE2 or increasing ACE2/ACE1 ratio improve COVID-19 outcomes through lowering inflammation and death. Aerobic moderate intensity physical exercise fights off infections two mechanisms, inhibition ACE/Ang II/AT1-R pathway stimulation ACE2/Ang-(1-7)/MasR axis. Exercise can also activate anti-inflammatory response so be potential therapeutic strategy against COVID-19. Here, we summarize focus relation among COVID-19, RAS, immune describe effect aerobic CoV as useful complementary tool for providing protection SARS-CoV-2 virus infection, which intervention requires further investigation.
Язык: Английский
Процитировано
23
International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(21), С. 11600 - 11600
Опубликована: Ноя. 4, 2021
An estimated 14–20% of people infected with COVID-19 require medical care. The aim the present study was to evaluate physical function, cognitive and daily activities in patients hospitalized due COVID-19, investigate differences depending on age admission intensive care unit (ICU). This prospective descriptive cross-sectional included a consecutive sample 211 (mean 65.1 years, 67.3% men) Sweden. Data regarding function were collected hospital from July 2020 February 2021. average length stay 33.8 days, 48.8% admitted ICU. Physical (grip- lower body strength) reduced both groups, significantly more older group, ≥65 years old, compared younger. Furthermore, group also had less ability perform life, as younger group. In treated ICU, impairments well activity level pronounced not Patients are physically impaired, have mild impairments, difficulties performing activities. findings this indicate need for out-patient follow-up rehabilitation especially
Язык: Английский
Процитировано
22
Archives of Physical Medicine and Rehabilitation, Год журнала: 2022, Номер 104(1), С. 11 - 17
Опубликована: Окт. 4, 2022
Язык: Английский
Процитировано
16