Al Yammahi Reem Jasim, Alaparthi Gopala Krishna, de Sá Ferreira Arthur, Bairapareddy Kalyana Chakravarthy, Hegazy Fatma A
Department of Physiotherapy, College of Health Science, University of Sharjah, Sharjah 27272, United Arab Emirates.
Department of Health Professions, Faculty Health and Education, Manchester Metropolitan University, Manchester M15 6BX, UK.
Healthcare (Basel). 2024 Mar 24;12(7):712. doi: 10.3390/healthcare12070712.
This study addresses the imperative need for reliable assessment protocols in guiding rehabilitation interventions for individuals post-COVID-19, considering the enduring physiological effects of the virus. A cohort of 40 post-COVID-19 individuals underwent assessments using the Londrina ADL protocol, Glittre ADL test, and the 6-minute walk test (6MWT). Physiological parameters were recorded during and after each test, including heart rate, respiratory rate, and oxygen saturation. The post hoc comparisons between the pre-test and post-test cardiopulmonary response of the three tests showed significant differences, except diastolic blood pressure (6MWT vs. Londrina ADL protocol), heart rate (6MWT vs. Londrina ADL protocol), respiratory rate (6MWT vs. Londrina ADL protocol), blood oxygen level (SpO2) (6MWT vs. Londrina ADL protocol), dyspnea (Londrina ADL protocol vs. Glittre ADL test), and fatigue (Londrina ADL protocol vs. Glittre ADL test). The Londrina ADL protocol demonstrated cardio-pulmonary responses comparable to the Glittre ADL test, as well as the 6MWT, emphasizing its effectiveness in evaluating walking-related outcomes. The study concludes that the Londrina ADL protocol is a robust and practical tool for the routine clinical testing of daily living activities in post-COVID-19 individuals. While the 6MWT remains valuable for assessing walking-related outcomes, a combined approach employing the Londrina ADL protocol and 6MWT offers a comprehensive strategy for evaluating multifaceted functional capacities in this population.
考虑到新冠病毒的持久生理影响,本研究探讨了在指导新冠康复个体的康复干预中,对可靠评估方案的迫切需求。一组40名新冠康复个体接受了使用隆德里纳日常生活活动(ADL)方案、格利特雷ADL测试和6分钟步行测试(6MWT)的评估。在每次测试期间和之后记录生理参数,包括心率、呼吸频率和血氧饱和度。三项测试的测试前和测试后心肺反应的事后比较显示出显著差异,但舒张压(6MWT与隆德里纳ADL方案)、心率(6MWT与隆德里纳ADL方案)、呼吸频率(6MWT与隆德里纳ADL方案)、血氧水平(SpO2)(6MWT与隆德里纳ADL方案)、呼吸困难(隆德里纳ADL方案与格利特雷ADL测试)和疲劳(隆德里纳ADL方案与格利特雷ADL测试)除外。隆德里纳ADL方案显示出与格利特雷ADL测试以及6MWT相当的心肺反应,强调了其在评估与步行相关结果方面的有效性。该研究得出结论,隆德里纳ADL方案是用于新冠康复个体日常生活活动常规临床测试的一种强大且实用的工具。虽然6MWT在评估与步行相关结果方面仍然很有价值,但采用隆德里纳ADL方案和6MWT的联合方法为评估该人群多方面的功能能力提供了一种全面的策略。