Esparza Wilmer, Noboa Alfredo, Madera Camila, Acosta-Vargas Patricia, Acosta-Vargas Gloria, Carrión-Toro Mayra, Santórum Marco, Ayala-Chauvin Manuel, Santillán Guillermo
School of Physical Therapy, Pontifical Catholic University of Ecuador, Quito 170143, Ecuador.
School of Physical Therapy, Universidad de Las Américas, Quito 170513, Ecuador.
Healthcare (Basel). 2024 Sep 16;12(18):1864. doi: 10.3390/healthcare12181864.
Several studies have shown that pulmonary telerehabilitation (PTR) improves respiratory capacity. However, there is little evidence of its effectiveness in youth with post-COVID-19 conditions (PCC). This study analyzed the effects of a PTR program on young adults with PCC.
Sixteen youths were randomly assigned to a control group (CG) or an experimental group (EG), with eight participants each. The EG participated in a PTR program that included twelve remote, asynchronous four-week sessions with diaphragmatic breathing and aerobic exercises. Vital signs (SpO, HR, RR, BP), physical capacity (sit-to-stand test), cardiorespiratory capacity (6-Minute Walk Test), and perceived exertion (Borg scale) were assessed in both groups.
Statistical analyses showed a significant decrease in RR and HR ( < 0.012) and an increase in SpO ( < 0.042), physical ( < 0.012), and respiratory ( < 0.028) capacity. Perceived effort decreased significantly in both groups (CG: < 0.006; EG: < 0.001) only for physical but not for cardiorespiratory capacity ( < 0.106). There were no statistical changes registered in BP ( > 0.05).
The PTR program, which includes respiratory and aerobic exercises, is feasible and effective in improving physical and cardiorespiratory capacity in young people with PCC, as well as reducing HR, RR, and dyspnea.
多项研究表明,肺部远程康复(PTR)可提高呼吸能力。然而,几乎没有证据表明其对患有新冠后症状(PCC)的年轻人有效。本研究分析了一项PTR计划对患有PCC的年轻人的影响。
16名青少年被随机分为对照组(CG)或实验组(EG),每组8名参与者。实验组参加了一项PTR计划,该计划包括为期12周的远程、异步四周课程,内容有膈肌呼吸和有氧运动。两组均评估生命体征(SpO、HR、RR、BP)、身体能力(坐立试验)、心肺能力(6分钟步行试验)和主观用力程度(Borg量表)。
统计分析显示,RR和HR显著降低(<0.012),SpO升高(<0.042),身体能力(<0.012)和呼吸能力(<0.028)提高。两组仅在身体能力方面主观用力程度显著降低(CG:<0.006;EG:<0.001),而在心肺能力方面无显著降低(<0.106)。BP无统计学变化(>0.05)。
包括呼吸和有氧运动的PTR计划对于改善患有PCC的年轻人的身体和心肺能力以及降低HR、RR和呼吸困难是可行且有效的。