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物理治疗对长期新冠综合征患者呼吸困难、肌肉力量和功能状态的影响。

The Effect of Physiotherapy on Dyspnea, Muscle Strength and Functional Status in Patients with Long COVID Syndrome.

作者信息

Michalas Michail, Katsaras Stefanos, Spetsioti Stavroula, Spaggoulakis Dimitrios, Antonoglou Archontoula, Asimakos Andreas, Katsaounou Paraskevi, Christakou Anna

机构信息

Department of Physiotherapy, School of Health Sciences, University of Peloponnese, 23100 Sparta, Greece.

First Department of Critical Care Medicine, Evangelismos Hospital, Medical School, National & Kapodistrian University of Athens, 10676 Athens, Greece.

出版信息

J Pers Med. 2024 May 12;14(5):515. doi: 10.3390/jpm14050515.

Abstract

BACKGROUND

Patients who were infected with COVID-19 may experience Long COVID syndrome. We examined the effectiveness of physiotherapy on dyspnea, muscle strength, and functional status in Long COVID syndrome.

METHODS

The exercise group underwent an 8-week supervised physiotherapeutic program consisting of interval aerobic exercise and strengthening exercises, each lasting 30 min. The control group did not engage in any exercise. Dyspnea, muscle strength, and functional status were assessed at the beginning and end of the intervention in both groups.

RESULTS

No significant baseline differences were found between the two groups. The exercise group demonstrated improvements compared to baseline in dyspnea, quadriceps muscle strength, and functional status. Specifically, there was a significant increase of 3.7 lifts in the 60-s sit-to-stand test ( = 0.01), an increase of 5.86 kg in right quadriceps muscle strength ( = 0.03), an increase of 8.26 kg in left quadriceps muscle strength ( = 0.01), and a decrease in dyspnea score by 0.95 points ( = 0.02).

CONCLUSIONS

Similar studies have reported improvements in dyspnea, muscle strength, and functional status in the exercise group. However, further research with larger sample sizes is needed to confirm these findings.

摘要

背景

感染新型冠状病毒肺炎(COVID-19)的患者可能会出现新冠后综合征。我们研究了物理治疗对新冠后综合征患者呼吸困难、肌肉力量和功能状态的有效性。

方法

运动组接受了为期8周的有监督的物理治疗方案,包括间歇有氧运动和强化运动,每次持续30分钟。对照组未进行任何运动。在两组干预开始和结束时评估呼吸困难、肌肉力量和功能状态。

结果

两组之间未发现显著的基线差异。与基线相比,运动组在呼吸困难、股四头肌力量和功能状态方面有所改善。具体而言,在60秒坐立试验中,坐立次数显著增加3.7次(P = 0.01),右股四头肌力量增加5.86千克(P = 0.03),左股四头肌力量增加8.26千克(P = 0.01),呼吸困难评分降低0.95分(P = 0.02)。

结论

类似研究报告了运动组在呼吸困难肌肉力量和功能状态方面有所改善。然而,需要更大样本量的进一步研究来证实这些发现。

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