Related Experiment Video
Updated: Sep 5, 2025
Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
[Cardiorespiratory and neuromusculoskeletal symptoms with post-acute COVID-19 in a Rehabilitation center]
Clara Lilia Varela-Tapia1, Nallely Contreras-Del Carmen2, Hermelinda Hernández-Amaro3
1Instituto Mexicano del Seguro Social, Unidad Médica de Alta Especialidad Traumatología, Ortopedia y Rehabilitación, "Dr. Victorio de la Fuente Narváez", Unidad de Medicina Física y Rehabilitación Norte, Servicio de Rehabilitación Cardiopulmonar. Ciudad de México, México.
Background:
COVID-19 predominantly affects the respiratory system. However, persistent extrapulmonary (musculoskeletal and cardiovascular) conditions have been reported.
Objective:
To determine the most frequent cardiorespiratory and neuromusculoskeletal symptoms in patients with post-acute COVID 19 in a rehabilitation center.
Material And Methods:
An observational, cross-sectional, descriptive and analytical study of post-acute COVID-19 patients was carried out. Clinical-demographic data, cardiorespiratory and neuromusculoskeletal symptoms were collected upon admission to the cardiopulmonary rehabilitation program. Descriptive statistics and association tests were used through the Chi squared test, taking p < 0.05 as significant.
Results:
262 files were collected. The age was 49.9 ± 11.5 years. There was a predominance of males (69.8%). The most prevalent symptoms, in the different degrees of severity (mild, moderate, severe and critical, respectively) were MRC 3 dyspnea (30.4%, 56.8%, 43.1% and 42.9%), weakness (60.9%, 59.5%, 56.9 % and 87.8%), and paresthesias (65.2%, 56.8%, 49.7% and 75.5%). SARS-CoV-2 critical infection was associated with a higher presentation of weakness (p < 0.01), paresthesias (p = 0.01), and dependency in activities of daily living (p < 0.01).
Conclusions:
The most frequent cardiorespiratory and neuromusculoskeletal symptoms in patients with post-acute COVID were dyspnea and paresthesias. Critical infection by SARS-CoV-2 was associated with a greater presentation of weakness, paresthesias and dependence on activities of daily living.
Related Concept Videos
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
01:23Acute Respiratory Failure-IV
01:30Acute Respiratory Failure-III
01:28Pleural Effusion II: Symptoms and Management
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
01:29Pneumonia II: Pathophysiology
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...