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新冠后康复中的多模式远程康复:12例系列病例

Multimodal Telerehabilitation in Post COVID-19 Condition Recovery: A Series of 12 Cases.

作者信息

Carpallo-Porcar Beatriz, Beamonte Esther Del Corral, Jiménez-Sánchez Carolina, Córdova-Alegre Paula, Brandín-de la Cruz Natalia, Calvo Sandra

机构信息

Department of Physical Therapy, Faculty of Health Sciences, Universidad San Jorge, Villanueva de Gállego, 50830 Zaragoza, Spain.

Aragón Health Research Institute (IIS Aragón), 50009 Zaragoza, Spain.

出版信息

Reports (MDPI). 2025 Mar 20;8(1):35. doi: 10.3390/reports8010035.

Abstract

: Post COVID-19 Condition is a recently recognized syndrome characterized by the persistence of various symptoms, including dyspnea, physical and mental fatigue, and post-exertional malaise. Currently, there is no established treatment or clear consensus on the effectiveness of rehabilitation, and given that patients could benefit from home-based rehabilitation, telerehabilitation, defined as remote rehabilitation using telematic systems, may be an option to reach more of the population with persistent COVID-19 symptoms. Therefore, it is necessary to show the efficacy of this telematic approach and the benefits of a multimodal rehabilitation strategy in these patients. : Patients underwent home rehabilitation using a 12-week synchronous telerehabilitation system. The intervention included therapeutic education and physical and respiratory rehabilitation. The following variables were analyzed: Fatigue, quality of life, dyspnea, respiratory strength, aerobic capacity, and upper and lower limb strength. : After 12 weeks, significant improvements were found in fatigue, aerobic capacity, and limb and respiratory strength. However, no improvement was found in dyspnea scores, which did not correlate with respiratory strength. Interestingly, a post-intervention correlation emerged between the distance covered in aerobic capacity and perceived fatigue, suggesting that asynchronous telerehabilitation could be a viable treatment strategy for these patients.

摘要

新冠后状况是一种最近才被认识到的综合征,其特征是各种症状持续存在,包括呼吸困难、身心疲劳和运动后不适。目前,对于康复的有效性尚无既定的治疗方法或明确的共识,鉴于患者可能从居家康复中受益,远程康复(定义为使用远程信息系统的远程康复)可能是一种让更多有持续新冠症状的人群受益的选择。因此,有必要证明这种远程信息方法的疗效以及多模式康复策略对这些患者的益处。

患者使用为期12周的同步远程康复系统进行居家康复。干预措施包括治疗性教育以及身体和呼吸康复。分析了以下变量:疲劳、生活质量、呼吸困难、呼吸力量、有氧运动能力以及上肢和下肢力量。

12周后,发现疲劳、有氧运动能力以及肢体和呼吸力量有显著改善。然而,呼吸困难评分没有改善,且与呼吸力量无关。有趣的是,干预后有氧运动能力所涵盖的距离与感知到的疲劳之间出现了相关性,这表明异步远程康复可能是这些患者可行的治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7275/12199987/b965675e53a7/reports-08-00035-g001.jpg

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