Bagherzadeh-Rahmani Behnam, Kordi Negin, Haghighi Amir Hossein, Clark Cain C T, Brazzi Luca, Marzetti Emanuele, Gentil Paulo
Department of Exercise Physiology, Faculty of Sport Sciences, Hakim Sabzevari University, Sabzevar, Iran.
Department of Exercise Physiology, Faculty of Sport Sciences, Razi University, Kermanshah, Iran.
Sports Health. 2023 Sep-Oct;15(5):710-717. doi: 10.1177/19417381221124601. Epub 2022 Oct 2.
BACKGROUND: Coronavirus disease 2019 (COVID-19) can result in prolonged and severe damage to the lungs and quality of life (QoL). This study was designed to investigate the effects of 8-week Pilates and Aqua-Pilates training on pulmonary function and QoL in patients with COVID-19. HYPOTHESIS: Pilates and Aqua-Pilates training promotes similar changes on pulmonary function and QoL in people with a history of COVID-19. STUDY DESIGN: Randomized controlled trial. LEVEL OF EVIDENCE: Level 3. METHODS: A total of 45 participants (24 men and 21 women) with a history of COVID-19 were assigned randomly to 3 groups: Pilates training (standard Pilates), Aqua-Pilates training (Pilates in water), and Control. The training protocol was performed for 8 weeks (3 sessions per week). Forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), and the ratio of FEV1 to the FVC (FEV1/FVC) indices were measured by a spirometer. The 26-item questionnaire World Health Organization Quality of Life (WHOQOL) BREF was used to assess QoL. Data were analyzed using paired-sample test and analysis of covariance with an alpha level <0.05. RESULTS: The mean age of the participants was 49.9 ± 6.4 years. After 8 weeks of Pilates and Aqua-Pilates training, there were significant increases in FVC (21.4% for Pilates and 22.1% for Aqua-Pilates, < 0.05), FEV1 (32.3% for Pilates and 34.7% for Aqua-Pilates, < 0.05), and FEV1/FVC% (9% for Pilates and 10.3% for Aqua-Pilates, < 0.05) for the experimental groups, but not for control. Changes for Pilates and Acqua-Pilates were significantly higher than for control. The QoL scores were significantly different within and between the experimental groups, with greater improvements in the Aqua Pilates group than in the Pilates group. CONCLUSION: An 8-week Pilates or Aqua-Pilates training can improve pulmonary function as much as 34%, depending on the parameter, and QoL in people with a history of COVID-19. Aqua-Pilates training appears to be preferable to standard Pilates. CLINICAL RELEVANCE: The findings provide important insights into how healthcare professionals can prescribe exercise for COVID-19 survivors.
背景：2019冠状病毒病（COVID-19）可导致肺部长期严重损伤及生活质量（QoL）下降。本研究旨在调查为期8周的普拉提和水中普拉提训练对COVID-19患者肺功能和生活质量的影响。 假设：普拉提和水中普拉提训练对有COVID-19病史的人肺功能和生活质量的促进作用相似。 研究设计：随机对照试验。 证据等级：3级。 方法：共有45名有COVID-19病史的参与者（24名男性和21名女性）被随机分为3组：普拉提训练组（标准普拉提）、水中普拉提训练组（水中普拉提）和对照组。训练方案持续8周（每周3次）。用肺量计测量用力肺活量（FVC）、第1秒用力呼气量（FEV1）以及FEV1与FVC的比值（FEV1/FVC）指标。采用26项世界卫生组织生活质量简表（WHOQOL）BREF评估生活质量。数据采用配对样本检验和协方差分析，α水平<0.05。 结果：参与者的平均年龄为49.9±6.4岁。经过8周的普拉提和水中普拉提训练，实验组的FVC（普拉提组提高21.4%，水中普拉提组提高22.1%，P<0.05）、FEV1（普拉提组提高32.3%，水中普拉提组提高34.7%，P<0.05）和FEV1/FVC%（普拉提组提高9%，水中普拉提组提高10.3%，P<0.05）均有显著增加，而对照组无变化。普拉提组和水中普拉提组的变化显著高于对照组。实验组内部和之间的生活质量得分有显著差异，水中普拉提组的改善程度大于普拉提组。 结论：为期8周的普拉提或水中普拉提训练可使有COVID-19病史的人的肺功能根据参数提高多达34%，并改善生活质量。水中普拉提训练似乎比标准普拉提更可取。 临床意义：这些发现为医护人员如何为COVID-19康复者开具运动处方提供了重要见解。
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