Heald Adrian, Perrin Raymond, Walther Andreas, Stedman Mike, Hann Mark, Mukherjee Annice, Riste Lisa
The School of Health Sciences, Faculty of Biology Medicine and Health, The University of Manchester, Manchester.
Department of Endocrinology and Diabetes, Salford Royal Hospital, Salford, UK.
Cardiovasc Endocrinol Metab. 2022 Apr 12;11(2):e0261. doi: 10.1097/XCE.0000000000000261. eCollection 2022 Jun.
In the early days of the first global wave of the COVID-19 pandemic, the potential for a postviral syndrome to manifest following COVID-19 infection was first recognized. Here, we present an analysis of a case series of the first 20 patients' data collected in clinical practice to evaluate the potential of a possible alternative treatment for Long COVID.
Face-to-face treatment sessions with Perrin technique practitioners occurred weekly involving effleurage/other manual articulatory techniques. The individuals being treated also undertook daily self-massage along with gentle mobility exercises. Patients recorded symptom severity using the self-report 54-item profile of fatigue-related states (PFRS) before and after treatment.
The mean age of male patients was 41.8 years (range, 29-53 years), and for female patients, 39.3 years (range, 28-50 years). None of the participants had a prior diagnosis of chronic fatigue syndrome, and all were new attendees to the clinics at the time of initial assessment. The average number of treatment sessions was 9.7 in men and 9.4 in women. The reduction in PFRS scores was 45% in men and 52% in women. The highest subscale scores on average were for fatigue, with the lowest for somatic symptoms. All subscale scores showed, on average, a similar reduction of approximately 50% postintervention, with the reduction in score relating to a decrease in the severity of symptoms.
Our findings suggest that a specific manual lymphatic drainage intervention may help to reduce fatigue symptoms related to Long COVID. Perhaps preventing acute symptoms through early intervention.
在新冠疫情全球第一波流行的早期，人们首次认识到新冠病毒感染后可能出现病毒感染后综合征。在此，我们对临床实践中收集的首批20例患者的数据进行了病例系列分析，以评估针对新冠长期症状可能的替代治疗方法的潜力。
与采用佩兰技术的治疗师进行每周一次的面对面治疗，包括轻抚法/其他手动关节技术。接受治疗的个体还每天进行自我按摩以及轻柔的活动练习。患者在治疗前后使用自我报告的54项疲劳相关状态量表（PFRS）记录症状严重程度。
男性患者的平均年龄为41.8岁（范围29 - 53岁），女性患者为39.3岁（范围28 - 50岁）。所有参与者之前均未被诊断为慢性疲劳综合征，且在初次评估时均为诊所新就诊者。男性的平均治疗次数为9.7次，女性为9.4次。男性PFRS评分降低了45%，女性降低了52%。平均而言，最高的子量表分数是疲劳方面，最低的是躯体症状方面。所有子量表分数平均在干预后均有类似的约50%的降低，分数降低与症状严重程度的减轻相关。
我们的研究结果表明，一种特定的手动淋巴引流干预可能有助于减轻与新冠长期症状相关的疲劳症状。或许通过早期干预可预防急性症状。
