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Benefits of Home-Based Exercise Training Following Critical SARS-CoV-2 Infection: A Case Report.

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العنوان: Benefits of Home-Based Exercise Training Following Critical SARS-CoV-2 Infection: A Case Report.
المؤلفون: Longobardi I; Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., do Prado DML; Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., Goessler KF; Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., de Oliveira Júnior GN; Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., de Andrade DCO; Rheumatology Division, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., Gualano B; Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.; Rheumatology Division, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., Roschel H; Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.; Rheumatology Division, Hospital das Clinicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
المصدر: Frontiers in sports and active living [Front Sports Act Living] 2022 Jan 11; Vol. 3, pp. 791703. Date of Electronic Publication: 2022 Jan 11 (Print Publication: 2021).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Frontiers Media S.A Country of Publication: Switzerland NLM ID: 101765780 Publication Model: eCollection Cited Medium: Internet ISSN: 2624-9367 (Electronic) Linking ISSN: 26249367 NLM ISO Abbreviation: Front Sports Act Living Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Lausanne, Switzerland : Frontiers Media S.A., [2019]-
مستخلص: In the current scenario, in which an elevated number of COVID-19 survivors present with severe physical deconditioning, exercise intolerance, persistent symptoms, and other post-acute consequences, effective rehabilitation strategies are of utmost relevance. In this study, we report for the first time the effect of home-based exercise training (HBET) in a survivor patient from critical COVID-19 illness. A 67-year-old woman who had critical COVID-19 disease [71 days of hospitalization, of which 49 days were in the intensive care unit (ICU) with invasive mechanical ventilation due to respiratory failure] underwent a 10-week HBET aiming to recovering overall physical condition. Before and after the intervention, we assessed cardiopulmonary parameters, skeletal muscle strength and functionality, fatigue severity, and self-reported persistent symptoms. At baseline (3 months after discharge), she presented with severe impairment in cardiorespiratory functional capacity (<50% age predicted VO 2peak ). After the intervention, remarkable improvements in VO 2peak (from 10.61 to 15.48 mL·kg -1 ·min -1 , Δ: 45.9%), oxygen uptake efficiency slope (OUES; from 1.0 to 1.3 L·min -1 , Δ: 30.1%), HR/VO 2 slope (from 92 to 52 bpm·L -1 , Δ: -43.5%), the lowest VE/VCO 2 ratio (from 35.4 to 32.9 L·min -1 , Δ: -7.1%), and exertional dyspnea were observed. In addition, handgrip strength (from 22 to 27 kg, Δ: 22.7%), 30-s Sit-to-Stand (30-STS; from 14 to 16 repetitions, Δ:14.3%), Timed-Up-and-Go (TUG; from 8.25 to 7.01 s, Δ: -15%) performance and post-COVID functional status (PCFS) score (from 4 to 2) were also improved from baseline to post-intervention. Self-reported persistent symptoms were also improved, and Fatigue Severity Scale (FSS) score decreased (from 4 to 2.7) from baseline to post-intervention. This is the first evidence that a semi-supervised, HBET program may be safe and potentially effective in improving cardiorespiratory and physical functionality in COVID-19 survivors. Controlled studies are warranted to confirm these findings.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2022 Longobardi, Prado, Goessler, Oliveira Júnior, de Andrade, Gualano and Roschel.)
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فهرسة مساهمة: Keywords: case report; exercise training; fatigue; long COVID; physical rehabilitation; severe acute respiratory syndrome
تواريخ الأحداث: Date Created: 20220128 Latest Revision: 20240405
رمز التحديث: 20240405
مُعرف محوري في PubMed: PMC8787158
DOI: 10.3389/fspor.2021.791703
PMID: 35088048
قاعدة البيانات: MEDLINE
الوصف
تدمد:2624-9367
DOI:10.3389/fspor.2021.791703