Department of Physical Medicine, Rehabilitation and Occupational Medicine, Medical University of Vienna, Vienna, Austria.
Department of Medicine I, Division of Oncology, Medical University of Vienna, Vienna, Austria.
Disabil Rehabil. 2023 Sep;45(18):2872-2878. doi: 10.1080/09638288.2022.2111467. Epub 2022 Aug 18.
PURPOSE: Post-COVID fatigue significantly limits recovery and return-to-work in COVID-19 survivors. We aimed to assess the effects of physical exercising on post-COVID-19-symptoms, physical/mental capacities and workability within a workplace-health-promotion project in health-care personnel. MATERIALS AND METHODS: Thirty-two HCWs were enrolled in two groups based on Post-COVID-Functional Scale (PCFS) scores: (1) severe (SSG, = 11) and (2) mild (MSG, = 21) symptoms. The participants underwent an eight week exercise intervention program consisting of two supervised resistance exercise sessions per week plus individual aerobic exercise recommendations. Primary outcome-parameter for physical fitness was VOpeak. Further, physical function (6MWT, 30 s sit-to-stand test (30secSTS)), mental health (anxiety (GAD-7), depression (PHQ-9), stress (PSS-10), fatigue (BFI), resilience (BRS)), cognitive capacity (MoCA) and workability (WAI) were assessed at baseline, after 4 weeks and after completion of exercise intervention. RESULTS: VOpeak improved significantly in the SSG by 2.4 ml/kg/min (95% CI [1.48; 3.01], adj. < 0.001) and non-significantly in the MSG by 1.27 ml/kg/min (adj. = 0.096). Both groups significantly improved their 30secSTS ( = 0.0236) and 6MWT ( = 0.0252) outcomes in both follow-ups (4 weeks and 8 weeks after inclusion). The SSG improved more than the MSG in VOpeak and 6MWT both after 4 and 8 weeks, respectively, although not statistically significant; findings were vice versa for the 30secSTS. 30secSTS outcomes correlated significantly with mental health outcomes and workability. CONCLUSIONS: Post-COVID exercise intervention improved physical fitness, psychological outcomes and workability in HCWs. Cases with severe fatigue showed higher benefit levels compared to those with mild symptoms. The safe and highly feasible 30secSTS correlated well with physical and mental outcomes and better workability in COVID-19 survivors.Implications for rehabilitationPhysical exercising showed to be an effective intervention method in the rehabilitation of COVID-19 survivors suffering from post-COVID syndrome by positively affecting both physical and mental health.In health care workers suffering from post-COVID syndrome, increases in physical performance are directly related to improvements in work ability.The 30 s sit-to-stand test (30secSTS) showed promising results as clinical assessment tool.The results of this study indicate that physical exercising will need to play a large and substantial role over the next years in the rehabilitation of COVID-19 survivors suffering from post-COVID-19-syndrome as it positively affects both physical and mental dimensions of the post-COVID-19-syndrome as well as work ability.
目的:新冠后疲劳会极大限制新冠幸存者的恢复和重返工作岗位。我们旨在评估在医疗保健人员的工作场所健康促进项目中,体育锻炼对新冠后症状、身体/精神能力和工作能力的影响。
材料和方法:根据新冠后功能量表(PCFS)评分,将 32 名 HCWs 分为两组:(1)严重(SSG,n=11)和(2)轻度(MSG,n=21)症状。参与者接受了八周的锻炼干预计划,包括每周两次监督下的抗阻运动和个人有氧运动建议。体能的主要观察指标为峰值摄氧量(VOpeak)。此外,还评估了身体功能(6MWT、30 秒坐站测试(30secSTS))、心理健康(焦虑(GAD-7)、抑郁(PHQ-9)、压力(PSS-10)、疲劳(BFI)、韧性(BRS))、认知能力(MoCA)和工作能力(WAI),在基线、4 周后和锻炼干预完成后进行评估。
结果:SSG 的 VOpeak 显著提高了 2.4ml/kg/min(95%CI [1.48; 3.01],adj. < 0.001),而 MSG 则无显著提高 1.27ml/kg/min(adj. = 0.096)。两组在 4 周和 8 周后(纳入后 4 周和 8 周)的 30secSTS( = 0.0236)和 6MWT( = 0.0252)结果均显著改善。在 VOpeak 和 6MWT 方面,SSG 的改善均优于 MSG,但无统计学意义;在 30secSTS 方面则相反。30secSTS 结果与心理健康结果和工作能力显著相关。
结论:新冠后运动干预可改善 HCWs 身体机能、心理健康和工作能力。与轻度症状患者相比,严重疲劳患者的获益水平更高。安全且具有高度可行性的 30secSTS 与 COVID-19 幸存者的身体和心理结果以及更好的工作能力密切相关。
康复意义:体育锻炼是一种有效的干预方法,对患有新冠后综合征的 COVID-19 幸存者有积极影响,可同时改善身心健康。在患有新冠后综合征的医护人员中,体能的提高与工作能力的提高直接相关。30 秒坐站测试(30secSTS)作为一种有前途的临床评估工具。本研究结果表明,未来几年,体育锻炼将在 COVID-19 幸存者的康复中发挥重要作用,因为它对新冠后综合征的身体和心理维度以及工作能力都有积极影响。
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