Balancing the value and risk of exercise-based therapy post-COVID-19: a narrative review.

IF 9 1区医学 Q1 RESPIRATORY SYSTEM

European Respiratory Review Pub Date : 2023-12-20 Print Date: 2023-12-31 DOI:10.1183/16000617.0110-2023

Sally J Singh, Enya Daynes, Hamish J C McAuley, Betty Raman, Neil J Greening, Trudie Chalder, Omer Elneima, Rachael A Evans, Charlotte E Bolton

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引用次数: 0

Abstract

Coronavirus disease 2019 (COVID-19) can lead to ongoing symptoms such as breathlessness, fatigue and muscle pain, which can have a substantial impact on an individual. Exercise-based rehabilitation programmes have proven beneficial in many long-term conditions that share similar symptoms. These programmes have favourably influenced breathlessness, fatigue and pain, while also increasing functional capacity. Exercise-based rehabilitation may benefit those with ongoing symptoms following COVID-19. However, some precautions may be necessary prior to embarking on an exercise programme. Areas of concern include ongoing complex lung pathologies, such as fibrosis, cardiovascular abnormalities and fatigue, and concerns regarding post-exertional symptom exacerbation. This article addresses these concerns and proposes that an individually prescribed, symptom-titrated exercise-based intervention may be of value to individuals following infection with severe acute respiratory syndrome coronavirus 2.

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平衡COVID-19后运动疗法的价值与风险：叙述性综述。

2019 年冠状病毒病（COVID-19）可导致呼吸困难、疲劳和肌肉疼痛等持续症状，对患者造成严重影响。以运动为基础的康复计划已被证明有益于许多具有类似症状的长期疾病。这些计划对呼吸困难、疲劳和疼痛产生了有利影响，同时还提高了功能能力。在 COVID-19 之后，运动康复可能会使症状持续存在的患者受益。不过，在开始运动计划之前可能需要采取一些预防措施。需要关注的方面包括持续存在的复杂肺部病变，如纤维化、心血管异常和疲劳，以及对运动后症状加重的担忧。本文针对这些问题提出建议，认为对感染严重急性呼吸系统综合征冠状病毒2后的患者而言，基于症状的个性化运动干预可能具有价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Respiratory Review Medicine-Pulmonary and Respiratory Medicine

CiteScore

14.40

自引率

1.30%

发文量

审稿时长

24 weeks

期刊介绍： The European Respiratory Review (ERR) is an open-access journal published by the European Respiratory Society (ERS), serving as a vital resource for respiratory professionals by delivering updates on medicine, science, and surgery in the field. ERR features state-of-the-art review articles, editorials, correspondence, and summaries of recent research findings and studies covering a wide range of topics including COPD, asthma, pulmonary hypertension, interstitial lung disease, lung cancer, tuberculosis, and pulmonary infections. Articles are published continuously and compiled into quarterly issues within a single annual volume.