Tache-Codreanu Diana-Lidia, Bobocea Lucian, David Iuliana, Burcea Claudia-Camelia, Sporea Corina
Medical Rehabilitation Department, Colentina Clinical Hospital, Stefan cel Mare Street No. 19-21, 020125 Bucharest, Romania.
Faculty of Midwifery and Nursing, University of Medicine and Pharmacy "Carol Davila", 37 Dionisie Lupu Street, 020021 Bucharest, Romania.
Life (Basel). 2024 Nov 20;14(11):1514. doi: 10.3390/life14111514.
Patients with COVID-19 suffering in the acute phase from both the sequelae of the disease and prolonged immobilization require a rehabilitation phase for functional recovery and a comprehensive functional evaluation. This study proposes using the 6-Minute Walk Test (6MWT) as a global functional assessment tool to quantify rehabilitation outcomes in post-COVID patients. Additionally, investigating the effect of High-Intensity Laser Therapy (HILT) on patients with musculoskeletal comorbidities was another key research question. Two post-COVID rehabilitation programs were retrospectively analyzed as follows: one consisting of kinesiotherapy combined with High-Intensity Laser Therapy for patients with musculoskeletal comorbidities and the other consisting of kinesiotherapy alone. Functional evaluation using 6MWT was conducted before and after 10 daily therapeutic sessions with 33 ambulatory patients divided into 2 groups (18 patients treated with HILT and kinesiotherapy vs. 15 patients treated with kinesiotherapy only). The 6MWT was successfully completed by 32 out of 33 patients (96.96%), with performance improvements ranging from 3% to 60% among patients. Statistical differences were also observed between the groups, suggesting that the 6MWT is a sensitive, objective, and valuable tool for functional assessment of post-COVID rehabilitation, supporting the potential benefits of HILT in enhancing functional recovery.
新冠肺炎急性期患者既要应对疾病后遗症，又要面对长期制动，因此需要一个康复阶段来实现功能恢复，并进行全面的功能评估。本研究建议使用6分钟步行试验（6MWT）作为一种整体功能评估工具，以量化新冠肺炎康复后患者的康复效果。此外，研究高强度激光疗法（HILT）对合并肌肉骨骼疾病患者的影响是另一个关键研究问题。对两个新冠肺炎康复项目进行了回顾性分析，具体如下：一个项目是针对合并肌肉骨骼疾病的患者，采用运动疗法结合高强度激光疗法；另一个项目仅采用运动疗法。对33名门诊患者进行分组（18名患者接受高强度激光疗法和运动疗法，15名患者仅接受运动疗法），在每天进行10次治疗前后，使用6MWT进行功能评估。33名患者中有32名（96.96%）成功完成了6MWT，患者的表现改善幅度在3%至60%之间。两组之间也观察到了统计学差异，这表明6MWT是一种用于新冠肺炎康复后功能评估的敏感、客观且有价值的工具，支持了高强度激光疗法在促进功能恢复方面的潜在益处。
