关键词: Pulmonary rehabilitation program Respiratory muscle training Sequelae post-COVID-19 condition

Mesh : Humans COVID-19 / rehabilitation Breathing Exercises / methods Treatment Outcome Respiratory Muscles / physiopathology Quality of Life Randomized Controlled Trials as Topic / methods Exercise Tolerance / physiology Post-Acute COVID-19 Syndrome

来  源:   DOI:10.1186/s12931-024-02857-4   PDF(Pubmed)

Abstract:
BACKGROUND: The term \"post-COVID-19 condition\" refers to the symptomatology that appears between four to twelve weeks after Covid-19 infection. These symptoms can persist for weeks or even months, significantly diminishing the quality of life for affected individuals. The primary objective of this study was to assess the effectiveness of pulmonary rehabilitation programs and/or respiratory muscle training on respiratory sequelae in patients with post-COVID condition.
METHODS: The literature search was conducted in the following databases: PubMed, PEDro, Embase, Cochrane, Scopus, and Web of Science. Randomized clinical trials were included in which participants were aged 18 years or older. Articles were excluded if at least one of the therapies did not involve pulmonary rehabilitation or respiratory muscle training, if the participants were COVID positive, if studies lacked results, and finally, if interventions were conducted without supervision or at home. This review only encompasses supervised non-virtual interventions. This study adheres to the PRISMA statement and has been registered in the PROSPERO database (CRD42023433843).
RESULTS: The outcomes obtained in the included studies are assessed across the following variables: Exercise capacity using the 6-minute walk test, Dyspnea, fatigue, Pulmonary function, Maximum inspiratory pressure, and Quality of life.
CONCLUSIONS: Despite the absence of a specific treatment at present, it was evident from this review that a well-structured pulmonary rehabilitation program that incorporates both aerobic and muscular strength exercises along with techniques and inspiratory muscle exercises was the most effective form of treatment.
摘要:
背景:术语“COVID-19后病症”是指在Covid-19感染后4至12周出现的症状。这些症状可以持续数周甚至数月,显著降低受影响个体的生活质量。这项研究的主要目的是评估肺康复计划和/或呼吸肌训练对COVID后患者呼吸后遗症的有效性。
方法:在以下数据库中进行了文献检索:PubMed,PEDro,Embase,科克伦,Scopus,和WebofScience。纳入随机临床试验,参与者年龄在18岁或以上。如果至少一种疗法不涉及肺康复或呼吸肌训练,则排除文章。如果参与者是COVID阳性,如果研究缺乏结果,最后,如果干预是在没有监督或在家的情况下进行的。本综述仅包括有监督的非虚拟干预措施。本研究遵循PRISMA声明,并已在PROSPERO数据库(CRD42023433843)中注册。
结果:纳入的研究中获得的结果通过以下变量进行评估:使用6分钟步行测试的运动能力,呼吸困难,疲劳,肺功能,最大吸气压力,和生活质量。
结论:尽管目前没有特定的治疗方法,从这篇综述中可以明显看出,结构良好的肺康复计划是最有效的治疗方式,该计划将有氧和肌肉力量锻炼以及技术和吸气肌锻炼相结合.
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