Miana María, Moreta-Fuentes Ricardo, Jiménez-Antona Carmen, Moreta-Fuentes César, Laguarta-Val Sofía
Faculty of Nursing and Physiotherapy Salus Infirmorum, Pontifical University of Salamanca, 28015 Madrid, Spain.
Fisyos Center, Método Moreta, 28027 Madrid, Spain.
J Pers Med. 2025 May 26;15(6):217. doi: 10.3390/jpm15060217.
: Fatigue is one of the most recurrent and most disabling symptoms of long COVID (LC) and is associated with a worse quality of life. Reducing body fat in these patients could be important to mitigate fatigue and post-exertional worsening. Aerobic exercise may not be indicated in LC patients who have orthostatic tachycardia and post-exertional worsening. The aim of this study was to evaluate the effects of a personalized supine therapeutic motor control exercise program on fatigue and fat tissue in women with LC. : A single-arm exploratory case study, with a pre-post format, was conducted on 17 women with LC to test the effects of a plank-based strengthening exercise program on fatigue, which was evaluated by the Modified Fatigue Impact Scale and fat tissue assessed by bioimpedance. The twelve-week program included two weekly sessions. The exercise program was personalized, considering the symptoms and characteristics of the patients. : Participants with overweight or obesity (n = 12) comprised 70% of the entire sample. After completing the exercise program this value decreased by 5.9 percentage points. Significant differences were found in the total [(MD = -1.72, 95% CI -2.57 to -0.86), r = 0.73], trunk, upper and inner limbs body fat percentages ( < 0.05). The overall fatigue decreased at 12 weeks [(MD = -14.00, 95% CI -21.69 to -6.31), r = 0.69] as well as the physical and psychosocial fatigue sub-scale ( < 0.001); no differences were observed in the cognitive sub-scale. : The plank-based personalized strengthening exercise program showed rapid improvements in fatigue and fat percentages. It could be an effective strategy to achieve improvements for LC patients.
疲劳是长期新冠（LC）最常见且最使人衰弱的症状之一，与较差的生活质量相关。减少这些患者的体脂对于减轻疲劳和运动后症状恶化可能很重要。对于患有体位性心动过速和运动后症状恶化的LC患者，可能不适合进行有氧运动。本研究的目的是评估个性化的仰卧位治疗性运动控制锻炼计划对LC女性患者疲劳和脂肪组织的影响。
采用单臂探索性病例研究，采用前后对照形式，对17名LC女性进行研究，以测试基于平板支撑的强化锻炼计划对疲劳的影响，疲劳通过改良疲劳影响量表进行评估，脂肪组织通过生物电阻抗进行评估。为期12周的计划包括每周两次课程。该锻炼计划是个性化的，考虑了患者的症状和特征。
超重或肥胖的参与者（n = 12）占整个样本的70%。完成锻炼计划后，这一比例下降了5.9个百分点。在总身体脂肪百分比[平均差（MD）=-1.72，95%置信区间-2.57至-0.86，r = 0.73]、躯干、上肢和下肢内侧的身体脂肪百分比方面发现了显著差异（P<0.05）。12周时总体疲劳减轻[MD = -14.00，95%置信区间-21.69至-6.31，r = 0.69]，身体和心理社会疲劳子量表也减轻（P<0.001）；在认知子量表中未观察到差异。
基于平板支撑的个性化强化锻炼计划在疲劳和脂肪百分比方面显示出快速改善。它可能是使LC患者获得改善的有效策略。
