自主功能障碍和运动不耐受性在COVID-19后 - 一个尚未被低估的器官系统?
F Schwendinger1, V N Looser2, M Gerber2
1Division of Sports and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel, Grosse Allee 6, 4052 Basel, Switzerland.
International journal of clinical and health psychology : IJCHP
|February 13, 2024
概括
后COVID-19患者往往由于影响心脏,肺部和肌肉的因素而经历运动不耐受. 这项研究探讨了自主神经系统是如何导致这些持续症状的.
科学领域:
- 心血管呼吸系统生理学
- 自主神经系统功能自主神经系统功能
- 后COVID-19的后续影响
背景情况:
- 持续的症状,如运动不耐受和低心肺呼吸能力在COVID-19恢复过程中很常见.
- 瓦塞曼轮系统强调了心脏,肺部和肌肉的相互作用,以确定健康状况.
- 周围,心血管和肺部扩散限制是已知的COVID-19后运动不耐受性的贡献者.
研究的目的:
- 研究自主神经系统 (ANS) 在COVID-19后运动不耐受症中的作用.
- 为ANS参与运动不耐受性提出一种精神病理生理模型.
- 鼓励对导致COVID-19后症状的生理系统进行更广泛的检查.
主要方法:
- 审查和讨论关于ANS和运动生理学的现有文献.
- 确定四种潜在的途径,通过这些途径,ANS可能会导致运动不耐受.
- 将这些路径合成一个概念性精神病理生理模型.
主要成果:
- 在COVID-19后的运动不耐受性背景下,自主神经系统得到了有限的关注.
- 提出了四种关键途径:大脑血液动力学变化,异常的 afferent/efferent信号传递,中心过敏,以及身体活动评估/参与的变化.
- 这些途径为了解ANS对持续症状的贡献提供了一个框架.
结论:
- 自主神经系统是COVID-19后运动不耐受的一个关键因素,但尚未得到充分研究.
- 为了全面理解,需要考虑肺,心血管和外围因素的同时考虑ANS.
- 对ANS进行进一步的研究是有必要的,以开发针对COVID-19后运动不耐受症的有效干预措施.
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