专注于物理治疗的多学科康复在COVID19后的患者中:一项观察性试点研究
Martin Weigl1, Saskia Beeck2, Eduard Kraft2,3
1Department of Orthopaedics and Trauma Surgery, Physical and Rehabilitation Medicine, Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. mweigl@med.uni-muenchen.de.
European archives of psychiatry and clinical neuroscience
|January 17, 2024
概括
多学科生物心理社会康复 (MBR) 对于经历疲劳的COVID-19后病情 (PCC) 患者来说是一个可行的选择. 这项试点研究表明,MBR程序可以支持PCC恢复中的身体功能.
科学领域:
- 康复医学 康复医学 康复医学
- 后COVID条件 后COVID条件
- 物理治疗是物理治疗.
背景情况:
- 有限的干预措施专门针对COVID-19后病情 (PCC) 存在.
- 目前的指导方针建议物理治疗用于症状管理和功能改善PCC.
- 多学科生物心理社会康复 (MBR) 提供了一个全面的方法,当单模式治疗是不够的.
研究的目的:
- 评估PCC患者为期3周的日间诊所MBR计划的可行性.
- 探索MBR对身体功能,特别是疲劳和能力减弱的影响.
- 在MBR程序期间评估患者的坚持和症状稳定性.
主要方法:
- 一项试点观察性研究,涉及37名PCC患者,疲劳和体力减弱.
- 医生,心理学家和物理治疗师进行跨学科的患者选择.
- 通过参与率 (≥8/9天) 和6分钟步行测试 (6MWT) 耐力来评估可行性.
主要成果:
- 在37名患者中,有33人完成了MBR计划;4人停止了治疗,2人因为症状恶化而停止了治疗.
- 观察到6MWT的数值改善 (501m到512m),但缺乏统计学意义.
- 这项研究支持门诊MBR的可行性,重点是PCC患者的物理治疗.
结论:
- 专注于积极物理治疗的门诊MBR计划对于疲劳的PCC患者是可行的.
- 在PCC恢复期间,MBR显示出在支持身体功能方面的潜力.
- 需要进一步的研究来探索不同PCC患者亚组的治疗变异.
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