Practical Recommendations for Exercise Training in Patients with Long COVID with or without Post-exertional Malaise: A Best Practice Proposal

Sports Medicine - Open, Год журнала: 2024, Номер 10(1)

Опубликована: Апрель 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.

Язык: Английский

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The pulmonary rehabilitation effect on long covid‐19 syndrome: A systematic review and meta‐analysis

Physiotherapy Research International, Год журнала: 2024, Номер 29(2)

Опубликована: Фев. 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.

Язык: Английский

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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

Archives of Physical Medicine and Rehabilitation, Год журнала: 2024, Номер 105(8), С. 1559 - 1570

Опубликована: Фев. 3, 2024

Язык: Английский

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Efficacy of Pulmonary Rehabilitation in Post-COVID-19: A Systematic Review and Meta-Analysis

Biomedicines, Год журнала: 2023, Номер 11(8), С. 2213 - 2213

Опубликована: Авг. 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.

Язык: Английский

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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

Archives of Physical Medicine and Rehabilitation, Год журнала: 2023, Номер 104(10), С. 1683 - 1697

Опубликована: Май 27, 2023

Язык: Английский

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What is quality in long covid care? Lessons from a national quality improvement collaborative and multi-site ethnography

BMC Medicine, Год журнала: 2024, Номер 22(1)

Опубликована: Апрель 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.

Язык: Английский

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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

F1000Research, Год журнала: 2024, Номер 11, С. 1284 - 1284

Опубликована: Авг. 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.

Язык: Английский

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Pulmonary Rehabilitation in SARS-CoV-2: A Systematic Review and Meta-Analysis of Post-Acute Patients

Diagnostics, Год журнала: 2022, Номер 12(12), С. 3032 - 3032

Опубликована: Дек. 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

Язык: Английский

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Impact of Rehabilitation on Physical and Neuropsychological Health of Patients Who Acquired COVID-19 in the Workplace

International Journal of Environmental Research and Public Health, Год журнала: 2023, Номер 20(2), С. 1468 - 1468

Опубликована: Янв. 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.

Язык: Английский

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Effect of home-based pulmonary rehabilitation on exercise capacity in post COVID-19 patients: a randomized controlled trail

Journal of NeuroEngineering and Rehabilitation, Год журнала: 2024, Номер 21(1)

Опубликована: Март 25, 2024

Abstract Background Coronavirus 2019 (COVID-19) is an epidemic condition that compromises various consequences. The goal of this study was to investigate the effect home-based pulmonary rehabilitation on exercise capacity in patients with post COVID-19 syndrome. Methods designed as a randomized control trial. A total sixty-eight syndrome complaining fatigue, dyspnea, and intolerance participated study. Their ages ranged from 40 70 years old. were randomly classified into two equal groups. group received usual medical care only, whereas selected program plus same care. Physical Fitness Index (PFI), Chalder fatigue index, SF-36 questionnaire, dyspnea scale, six-minute walk test (6 MWT) measured before after 12 weeks intervention. Results showed significant lower mean (11.1 ± 0.94) higher 6MWT (439.7 25.3) PFI (52.3 10.2), addition Questionnaire (66.4 3.7) improvement mMRC score (26.7%), grade 2, (63.3%), 1 (10%), 0 p-value < 0.001 when compared group. Conclusion Home-based (HBPR) for effective has potential direct influence capacity, quality life. HBPR could be considered adjunctive, applicable, low-cost therapy Trial registration: registered Pan African Clinical Registry clinical trial ID (PACTR202111640499636), November 2021.

Язык: Английский

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