Department of Physiotherapy, Faculty of Health Science, University of Malaga, Málaga, 29071, Spain.
Department of Nursing and Physiotherapy, University of Cadiz, Cádiz, Spain.
Respir Res. 2024 Jun 19;25(1):248. doi: 10.1186/s12931-024-02857-4.
The term "post-COVID-19 condition" refers to the symptomatology that appears between four to twelve weeks after Covid-19 infection. These symptoms can persist for weeks or even months, significantly diminishing the quality of life for affected individuals. The primary objective of this study was to assess the effectiveness of pulmonary rehabilitation programs and/or respiratory muscle training on respiratory sequelae in patients with post-COVID condition.
The literature search was conducted in the following databases: PubMed, PEDro, Embase, Cochrane, Scopus, and Web of Science. Randomized clinical trials were included in which participants were aged 18 years or older. Articles were excluded if at least one of the therapies did not involve pulmonary rehabilitation or respiratory muscle training, if the participants were COVID positive, if studies lacked results, and finally, if interventions were conducted without supervision or at home. This review only encompasses supervised non-virtual interventions. This study adheres to the PRISMA statement and has been registered in the PROSPERO database (CRD42023433843).
The outcomes obtained in the included studies are assessed across the following variables: Exercise capacity using the 6-minute walk test, Dyspnea, fatigue, Pulmonary function, Maximum inspiratory pressure, and Quality of life.
Despite the absence of a specific treatment at present, it was evident from this review that a well-structured pulmonary rehabilitation program that incorporates both aerobic and muscular strength exercises along with techniques and inspiratory muscle exercises was the most effective form of treatment.
“新冠后状况”一词是指感染新冠病毒后 4 至 12 周出现的症状。这些症状可能持续数周甚至数月，显著降低患者的生活质量。本研究的主要目的是评估肺康复计划和/或呼吸肌训练对新冠后状况患者的呼吸后遗症的疗效。
文献检索在以下数据库进行：PubMed、PEDro、Embase、Cochrane、Scopus 和 Web of Science。纳入的随机临床试验中，参与者年龄在 18 岁或以上。如果至少有一种疗法不涉及肺康复或呼吸肌训练，如果参与者新冠病毒检测呈阳性，如果研究缺乏结果，最后，如果干预措施是在没有监督或在家中进行的，则排除这些文章。本综述仅涵盖有监督的非虚拟干预。本研究遵循 PRISMA 声明，并已在 PROSPERO 数据库（CRD42023433843）中注册。
纳入研究的结果通过以下变量进行评估：使用 6 分钟步行测试评估运动能力、呼吸困难、疲劳、肺功能、最大吸气压力和生活质量。
尽管目前尚无特定治疗方法，但本综述表明，结合有氧运动和肌肉力量训练以及技术和吸气肌训练的结构化肺康复计划是最有效的治疗方法。
