Department of Physical Education and Sport Sciences, Faculty of Literature and Human Sciences, Lorestan University, 6816785468 Khoramabad, Iran.
Department of Physical Education & Sport Sciences, Faculty of Humanities, Tarbiat Modares University, 1411713116 Tehran, Iran.
J Integr Med. 2023 Mar;21(2):149-158. doi: 10.1016/j.joim.2023.01.003. Epub 2023 Jan 20.
Hospitalized patients recovering from coronavirus disease 2019 (COVID-19) may experience disability and suffer from significant physical and mental impairment requiring physical rehabilitation following their discharge. However, to date, no attempt has been made to collate and synthesize literature in this area.
This systematic review examines the outcomes of different physical rehabilitation interventions tested in COVID-19 patients who were discharged from hospital.
A systematic search of MEDLINE/PubMed, CINAHL, Scopus and medRxiv was conducted to identify articles published up to March 2022.
This systematic review included studies of outpatient rehabilitation programs for people recovering from COVID-19 who received physical activity, exercise, or breathing training to enhance or restore functional capacity, pulmonary function, quality of life, and mental health or function.
Selection of included articles, data extraction, and methodological quality assessments were conducted by two review authors respectively, and consensus was reached through discussion and consultation with a third reviewer. Finally, we review the outcomes of studies based on four categories including: (1) functional capacity, (2) pulmonary function, (3) quality of life, and (4) mental health status.
A total of 7534 titles and abstracts were screened; 10 cohort studies, 4 randomized controlled trials and 13 other prospective studies involving 1583 patients were included in our review. Early physical rehabilitation interventions applied in COVID-19 patients who were discharged from the hospital improved multiple parameters related to functional capacity, pulmonary function, quality of life and mental health status.
Physical rehabilitation interventions may be safe, feasible and effective in COVID-19 patients discharged from the hospital, and can improve a variety of clinically relevant outcomes. Further studies are warranted to determine the underlying mechanisms. Please cite this article as: Rahmati M, Molanouri Shamsi M, Woo W, Koyanagi A, Won Lee SW, Keon Yon DK, Shin JI, Smith L. Effects of physical rehabilitation interventions in COVID-19 patients following discharge from hospital: A systematic review. J Integr Med. 2022; 21(2): 149-158.
新冠肺炎（COVID-19）患者出院后可能会出现残疾，并遭受严重的身心损伤，需要进行身体康复。然而，迄今为止，尚未尝试对这一领域的文献进行整理和综合。
本系统综述考察了不同物理康复干预措施在 COVID-19 出院患者中的效果。
系统检索 MEDLINE/PubMed、CINAHL、Scopus 和 medRxiv，以确定截至 2022 年 3 月发表的文章。
本系统综述纳入了针对 COVID-19 康复患者的门诊康复计划研究，这些患者接受了身体活动、运动或呼吸训练，以增强或恢复功能能力、肺功能、生活质量以及心理健康或功能。
两名综述作者分别进行了纳入文章的选择、数据提取和方法学质量评估，通过讨论和咨询第三名评审员达成共识。最后，我们根据四个类别回顾研究结果：（1）功能能力，（2）肺功能，（3）生活质量，和（4）心理健康状况。
共筛选出 7534 篇标题和摘要，纳入了 10 项队列研究、4 项随机对照试验和 13 项其他前瞻性研究，共涉及 1583 名患者。COVID-19 出院患者早期进行的物理康复干预措施改善了与功能能力、肺功能、生活质量和心理健康状况相关的多个参数。
在 COVID-19 出院患者中应用物理康复干预措施可能是安全、可行和有效的，可以改善多种临床相关结局。需要进一步研究以确定其潜在机制。请引用本文：Rahmati M, Molanouri Shamsi M, Woo W, Koyanagi A, Won Lee SW, Keon Yon DK, Shin JI, Smith L. 物理康复干预措施对出院后 COVID-19 患者的影响：系统综述。J 整合医学. 2022; 21(2): 149-158.
