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短期疗效的一个调节远程康复计划限制住院患者受影响的新冠肺炎在急性期。一项随机对照试验的初步研究。

Short-Term Effects of a Conditioning Telerehabilitation Program in Confined Patients Affected by COVID-19 in the Acute Phase. A Pilot Randomized Controlled Trial.

机构信息

Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain.

Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120 Almeria, Spain.

出版信息

Medicina (Kaunas). 2021 Jul 3;57(7):684. doi: 10.3390/medicina57070684.

Abstract

: The COVID-19 pandemic has become a challenge for health systems and, specifically, to physical therapists obligated to adapt their job and stop face-to-face consultations. In this situation, therapeutic exercise has been implemented in different COVID-19 patients. This study evaluated the feasibility and effectiveness of a novel therapeutic exercise program through telerehabilitation tools in COVID-19 patients with mild to moderate symptomatology in the acute stage. : A total of 40 subjects were randomized an experimental group, based on muscle conditioning, and in a control group, who did not perform physical activity. Thirty-six subjects, 18 in each group, completed the one-week intervention. We measured the six-minute walking test, multidimensional dyspnoea-12, thirty seconds sit-to-stand test, and Borg Scale. : Both groups were comparable at baseline. Statistically significant improvement between groups ( < 0.05) in favor of the experimental group was obtained. No differences between gender were found ( > 0.05). Ninety percent adherence was found in our program. : A one-week telerehabilitation program based on muscle toning exercise is effective, safe, and feasible in COVID-19 patients with mild to moderate symptomatology in the acute stage.

摘要

新型冠状病毒肺炎疫情对卫生系统构成挑战,尤其对物理治疗师而言,他们需要调整工作,停止面对面咨询。在此情况下,已在不同新型冠状病毒肺炎患者中实施了治疗性运动。本研究通过远程康复工具,评估了针对轻症至中度症状急性阶段新型冠状病毒肺炎患者的新型治疗性运动方案的可行性和有效性。

共 40 名患者随机分为实验组(基于肌肉锻炼)和对照组(不进行体育活动)。每组 18 名患者完成了为期一周的干预。我们测量了六分钟步行试验、多维呼吸困难-12 量表、30 秒坐立试验和 Borg 量表。

两组患者在基线时具有可比性。实验组的组间差异具有统计学意义(<0.05),实验组具有显著改善。组间性别差异无统计学意义(>0.05)。我们的方案依从性为 90%。

基于肌肉锻炼的一周远程康复方案对轻症至中度症状急性阶段新型冠状病毒肺炎患者有效、安全且可行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3709/8305888/a1547e43cad4/medicina-57-00684-g001.jpg

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