Mansueto Gomes Neto, William Suzart Coutinho de Araujo, Ana Carolina Pereira Nunes Pinto, Micheli Bernardone Saquetto, Bruno Prata Martinez, Vinicius Afonso Gomes, Carlos Brites, Vitor Oliveira Carvalho
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引用次数: 0
摘要
目的分析已发表的随机对照试验（RCT），研究直接（面对面）和通过远程康复提供的物理康复干预对急性和急性后 COVID-19 患者的运动表现、呼吸困难和健康相关生活质量（HRQoL）的影响：为了进行这项系统综述和荟萃分析，检索了截至 2023 年 1 月的不同电子数据库。结果：34 项研究（2214 名患者）符合标准：34项研究（2214名患者）符合研究标准。与急性和急性后 COVID-19 患者的常规护理相比，物理干预可分别提高急性 COVID-19 患者（SMD 1.7；95% CI 0.37，2.8）和急性后 COVID-19 患者（MD 0.4；95% CI 0.1，07）的有氧能力。与常规护理相比，物理干预也可改善急性期（SMD -1.4；95% CI -0.8，-0.01）和急性期后 COVID-19 患者的呼吸困难（MD -0.4；95% CI -0.7，-0.2）。与急性期COVID-19患者的常规护理相比，物理干预可改善急性期后COVID-19参与者的HRQoL（物理领域）（SMD 0.6；95% CI 0.3）：讨论：研究结果表明，物理康复干预可改善急性期和COVID-19后患者的有氧能力和呼吸困难。此外，物理干预还改善了患者在 HRQoL 中的物理领域。
Effects of physical rehabilitation interventions on exercise performance, dyspnea, and health-related quality of life in acute and post-acute COVID-19 patients: Systematic review and meta-analysis.
Objective: To analyze the published randomized controlled trials (RCTs) that investigated the effects of physical rehabilitation interventions provided directly (face to face) and by telerehabilitation on exercise performance, dyspnea, and health-related quality of life (HRQoL) in acute and post-acute COVID-19 patients.
Methods: For this systematic review and meta-analysis, different electronic databases were searched up to January 2023. Mean difference (MD), (standardized mean difference (SMD) were calculated.
Results: 34 studies (2214 patients) met the study criteria. Physical interventions may improve aerobic capacity in acute COVID-19 (SMD 1.7; 95% CI 0.37, 2.8) and in post-acute COVID-19 participants (MD 0.4; 95% CI 0.1, 07) compared to usual care for acute and pos-acute COVID-19 patients, respectively. Physical interventions may also improve dyspnea in acute (SMD -1.4; 95% CI -0.8, -0.01) and in post-acute COVID-19 participants (MD -0.4; 95% CI -0.7, -0.2) compared to usual care. Physical interventions may result in an improvement in HRQoL (physical domain) (SMD 0.6; 95% CI 0.3) in post-acute COVID-19 participants compared to usual care in pos-acute COVID-19 patients.
Discussion: The results support that physical rehabilitation interventions improve aerobic capacity and dyspnea in acute and post-COVID-19 patients. Moreover, physical interventions improve physical domain in HRQoL.
期刊介绍：
Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.
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