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通过监督运动干预治疗新冠后疾病的康复:一项随机对照试验。

Rehabilitation for post-COVID-19 condition through a supervised exercise intervention: A randomized controlled trial.

机构信息

Department of Infectious Diseases, Hospital Universitario Santa Lucía, Cartagena, Murcia, Spain.

Faculty of Sport Sciences, Human Performance and Sports Science Laboratory, University of Murcia, Murcia, Spain.

出版信息

Scand J Med Sci Sports. 2022 Dec;32(12):1791-1801. doi: 10.1111/sms.14240. Epub 2022 Sep 23.


DOI:10.1111/sms.14240
PMID:36111386
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9538729/
Abstract

PURPOSE: The aim of the study was to compare the outcomes of patients with post-COVID-19 condition undergoing supervised therapeutic exercise intervention or following the self-management WHO (World Health Organization) rehabilitation leaflet. METHODS: A randomized controlled trial was carried out that included 39 participants with post-COVID-19 condition who had a chronic symptomatic phase lasting >12 weeks. Comprehensive medical screening, patient-reported symptoms, and cardiorespiratory fitness and muscular strength were assessed. Patients were randomly assigned to a tailored multicomponent exercise program based on concurrent training for 8 weeks (two supervised sessions per week comprised resistance training combined with aerobic training [moderate intensity variable training], plus a third day of monitored light intensity continuous training), or to a control group which followed the WHO guidelines for rehabilitation after COVID-19. RESULTS: After follow-up, there were changes in physical outcomes in both groups, however, the magnitude of the change pre-post intervention favored the exercise group in cardiovascular and strength markers: VO max +5.7%, sit-to-stand -22.7% and load-velocity profiles in bench press +6.3%, and half squat +16.9%, (p < 0.05). In addition, exercise intervention resulted in a significantly better quality of life, less fatigue, less depression, and improved functional status, as well as in superior cardiovascular fitness and muscle strength compared to controls (p < 0.05). No adverse events were observed during the training sessions. CONCLUSION: Compared to current WHO recommendations, a supervised, tailored concurrent training at low and moderate intensity for both resistance and endurance training is a more effective, safe, and well-tolerated intervention in post-COVID-19 conditions.

摘要

目的:本研究旨在比较接受监督治疗性运动干预或遵循世界卫生组织(WHO)康复手册进行自我管理的新冠后患者的结局。

方法:开展了一项随机对照试验,纳入 39 名新冠后持续 >12 周慢性症状期的患者。对患者进行全面的医学筛查、患者报告的症状以及心肺功能和肌肉力量评估。将患者随机分配至基于同期训练的个体化多组分运动方案(每周进行 2 次监督性运动,包括阻力训练与有氧运动[中等强度变化训练],外加第 3 天监测的低强度连续训练)或对照组,后者遵循 COVID-19 后 WHO 康复指南。

结果:随访后,两组的身体结局均发生变化,但干预前后的变化幅度更有利于运动组的心血管和力量指标:最大摄氧量增加 5.7%、从座位到站起减少 22.7%、卧推的负荷-速度曲线增加 6.3%、半蹲增加 16.9%(p<0.05)。此外,与对照组相比,运动干预在改善生活质量、减少疲劳、抑郁以及改善功能状态方面具有显著优势,同时还能显著提高心血管健康和肌肉力量(p<0.05)。在训练过程中未观察到不良事件。

结论:与当前 WHO 建议相比,低至中等强度的监督、个体化同期训练,针对阻力和耐力训练,是新冠后患者更有效、安全和耐受良好的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3de7/9538729/95ab3c2c4bf8/SMS-9999-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3de7/9538729/95ab3c2c4bf8/SMS-9999-0-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3de7/9538729/95ab3c2c4bf8/SMS-9999-0-g001.jpg

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引用本文的文献

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Effects of a 6-week semi-supervised exercise training program on physical fitness and mental health in post-COVID-19 healthcare workers: a randomized clinical trial.

BMC Sports Sci Med Rehabil. 2025-9-3

[2]
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Res Sq. 2025-8-18

[3]
Long COVID Optimal Health Programme to Enhance Mental and Physical Health: A Feasibility Randomised Controlled Trial.

Health Expect. 2025-8

[4]
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Healthcare (Basel). 2025-8-4

[5]
Feasibility of an unsupervised aerobic exercise training program for participants with persistent symptoms after SARS-CoV-2 infection.

Sci Rep. 2025-8-6

[6]
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[7]
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[8]
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[9]
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[10]
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