Feasibility and Safety of Early Post-COVID-19 High-Intensity Gait Training: A Pilot Study DOI Open Access
Joakim Halvorsen, Christopher E. Henderson, Wendy Romney

и другие.

Journal of Clinical Medicine, Год журнала: 2023, Номер 13(1), С. 237 - 237

Опубликована: Дек. 31, 2023

Background: The feasibility and safety of rehabilitation interventions for individuals recovering from COVID-19 after the acute stage is not well understood. This pilot study aims to provide a preliminary investigation providing high-intensity gait training (HIT) with targeted cardiovascular intensity 70–85% age-predicted maximum heart rate (HRmax) undergoing post-COVID-19. Methods: Consecutive patients who were medically cleared HIT invited participate in study. Participants practiced walking varied contexts (treadmill, overground, stairs), aiming spend as much time possible within their target zone during scheduled physical therapy (PT) sessions. Training characteristics adverse events collected determine HIT. severity was graded on 1–5 scale according Common Terminology Criteria Adverse Events. Results: participants (n = 20) took mean 2093 (±619) steps per PT session. average peak sessions 81.1% (±9.4) HRmax, 30.1% (±21.0) session spent at rates ≥ 70% HRmax. Mild (grade 1) occurred <5% sessions, no intervention-requiring or life-threatening 2–5) occurred. Conclusion: provides evidence that may be feasible safe inpatient post-COVID-19 following medical clearance.

Язык: Английский

Rehabilitation interventions and outcomes for post-COVID condition: a scoping review DOI Creative Commons
E. Saunders,

Dimitra V Pouliopoulou,

Erin Miller

и другие.

BMJ Public Health, Год журнала: 2025, Номер 3(1), С. e001827 - e001827

Опубликована: Янв. 1, 2025

Objective Several rehabilitation interventions have been proposed to support people with post-COVID-19 condition (PCC). However, the full spectrum of these remains unclear, partly due complexity PCC, which encompasses a broad range symptoms affecting multiple organ systems and health domains. This scoping review aimed identify available for PCC outcome measures used evaluate them, facilitate development multifaceted improve patient care. Methods Following Joanna Briggs Institute Framework, we searched CINAHL, EMBASE, MEDLINE, PsychINFO, CENTRAL Scopus databases from inception 22 January 2024 experimental observational studies investigating adults PCC. Interventions their corresponding were synthesised based on targeted outcomes aligned most common manifestations The quality intervention reporting was assessed using Template Intervention Description Replication (TIDieR) checklist. Results We identified 74 studies; 28 randomised trials (37.8%) 46 quasi-experimental designs (62.2%). Most consisted different combinations education, exercises therapies manage dyspnoea, fatigue psychological symptoms, such as anxiety depression. Few addressed postexertional malaise, cognitive function, memory, balance coordination. At least half included required confirmed SARS-CoV-2 infection participant inclusion. Reporting adherence rates limited, 65% did not report adverse events. Conclusion There is need more comprehensive inclusive approaches that address symptomatology care enhance reproducibility future studies.

Язык: Английский

Процитировано

0
Medical Rehabilitation of Patients with Post-Covid-19 Syn-drome – a Comparison of Aerobic Interval and Continuous Training DOI Open Access
Johanna M. Mooren, René Garbsch, Hendrik Schäfer

и другие.

Опубликована: Сен. 11, 2023

Introduction: Post-COVID-19 syndrome (PCS) is a multisystemic disorder marked by impaired physical performance as one lead symptom. Since it has been suggested that endurance training part of medical rehabilitation may be effective to improve capacity in PCS, this study aimed compare different modes aerobic training. Methods: Hundred-ten PCS patients (49.3±11.8 years, 38% women, time after infection=260.2±127.5 days) underwent detailed clinical screening including symptom-limited cardiopulmonary exercise testing at admission and 4-6 weeks inpatient rehabilitation. Questionnaires were used assess disease perception. Patients performed controlled isocaloric cycle ergometer (3-5 sessions/week, 18 min) either continuous (CT) 50% maximal workload or interval (IT, load=60%, relief=30%). Outcomes compared coronary artery (CAD, n=96) evaluate overall effectiveness. Results: Training participation was comparable between both groups with no indication training-specific exercise-induced fatigue. Overall, improved significantly mean 6.8±12.1% for W VT1, 3.1±10.0% VO2 5.5±14.7% O2-pulse 7.5±15.0% VO2peak, 2.7±11.0% VO2peak 4.6±12.4% (all p&lt;0.05) significant differences (p&gt;0.05). Both showed reduced levels fatigue, anxiety depression well quality life wellbeing p&lt;0.05). Compared guideline-based cardiac rehabilitation, similar improvement oxygen uptake CAD patients. Conclusion: benefit from training, moderate program terms Results are patients. Clinical Trial: NCT06016192

Язык: Английский

Процитировано

6
A Pilot Study on the Effects of Exercise Training on Cardiorespiratory Performance, Quality of Life, and Immunologic Variables in Long COVID DOI Open Access
Asghar Abbasi, Chiara Gattoni, Michelina Iacovino

и другие.

Journal of Clinical Medicine, Год журнала: 2024, Номер 13(18), С. 5590 - 5590

Опубликована: Сен. 20, 2024

Fatigue is a prominent feature of long COVID (LC) and may be related to several pathophysiologic mechanisms, including immune hyperstimulation. Aerobic endurance exercise training useful therapy, with appropriate attention preventing post-exertional malaise.

Язык: Английский

Процитировано

2
Analysis of fat oxidation capacity during cardiopulmonary exercise testing indicates long-lasting metabolic disturbance in patients with Post-COVID-19 Syndrome DOI Creative Commons
René Garbsch, Hendrik Schäfer,

Frank C. Mooren

и другие.

Clinical Nutrition, Год журнала: 2024, Номер 43(12), С. 26 - 35

Опубликована: Окт. 11, 2024

Post-COVID-19 Syndrome (PCS) is characterized by symptoms including fatigue, reduced physical performance, dyspnea, cognitive impairment, and psychological distress. The mechanisms underlying the onset severity of PCS point to mitochondrial dysfunction as significant contributor. This study examined fat oxidation a function capacity during exercise.

Язык: Английский

Процитировано

2
Individualized and Controlled Exercise Training Improves Fatigue and Exercise Capacity in Patients with Long-COVID DOI Creative Commons

Simon Kieffer,

A. Krüger,

Björn Haiduk

и другие.

Biomedicines, Год журнала: 2024, Номер 12(11), С. 2445 - 2445

Опубликована: Окт. 24, 2024

(1) Background: Long-term health effects after SARS-CoV-2 infections can manifest in a plethora of symptoms, significantly impacting the quality life affected individuals. (2) Aim: The present paper aimed to assess an individualized and controlled exercise intervention on fatigue capacity among Long-COVID (LC) patients ambulatory setting. (3) Methods: Forty-one (n = 41) LC performed protocol with control patients' training intensity during study period based individual's ability achieve target criteria. program was carried out two three times week, each session lasted 30 min, parameters were recorded at beginning program, as well 6 12 weeks, respectively. These included both patient-reported (PCFS questionnaire, FACIT-Fatigue questionnaire) objective (one-minute sit-to-stand test (1MSTST), workload) outcomes. (4) Results: resulted significant improvements (F(2, 80) 18.08,

Язык: Английский

Процитировано

2
Feasibility and Safety of Early Post-COVID-19 High-Intensity Gait Training: A Pilot Study DOI Open Access
Joakim Halvorsen, Christopher E. Henderson, Wendy Romney

и другие.

Journal of Clinical Medicine, Год журнала: 2023, Номер 13(1), С. 237 - 237

Опубликована: Дек. 31, 2023

Background: The feasibility and safety of rehabilitation interventions for individuals recovering from COVID-19 after the acute stage is not well understood. This pilot study aims to provide a preliminary investigation providing high-intensity gait training (HIT) with targeted cardiovascular intensity 70–85% age-predicted maximum heart rate (HRmax) undergoing post-COVID-19. Methods: Consecutive patients who were medically cleared HIT invited participate in study. Participants practiced walking varied contexts (treadmill, overground, stairs), aiming spend as much time possible within their target zone during scheduled physical therapy (PT) sessions. Training characteristics adverse events collected determine HIT. severity was graded on 1–5 scale according Common Terminology Criteria Adverse Events. Results: participants (n = 20) took mean 2093 (±619) steps per PT session. average peak sessions 81.1% (±9.4) HRmax, 30.1% (±21.0) session spent at rates ≥ 70% HRmax. Mild (grade 1) occurred <5% sessions, no intervention-requiring or life-threatening 2–5) occurred. Conclusion: provides evidence that may be feasible safe inpatient post-COVID-19 following medical clearance.

Язык: Английский

Процитировано

2