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