对于长期COVID患者的运动训练的实用建议,有或没有运动后不适:最佳实践建议
Rainer Gloeckl1,2, Ralf H Zwick3, Ulrich Fürlinger3
1Department of Pulmonary Rehabilitation, Philipps-University of Marburg, Marburg, Germany.
Sports medicine - open
|April 24, 2024
概括
长期COVID患者可以通过量身定制的计划来提高运动表现,但运动后不适 (PEM) 是一个挑战. 这项研究提出了新的运动指南,根据PEM严重程度分层分层,以获得更好的患者结果.
科学领域:
- 康复医学 康复医学 康复医学
- 运动生理学 运动生理学
- 传染病研究 传染病研究
背景情况:
- 长期的COVID与疲劳和运动能力下降等持续症状有关.
- 运动后不适 (PEM) 显著阻碍了长期COVID患者的康复工作.
- 目前针对长期COVID的运动训练指南缺乏,特别是在PEM管理方面.
研究的目的:
- 审查现有的关于长期COVID运动训练的文献.
- 制定基于证据的建议,以适应不同程度的PEM的长期COVID患者的运动干预措施.
- 为管理长期COVID康复的医疗保健专业人员提供一个实际的框架.
主要方法:
- 使用PubMed (2020年1月至2024年1月) 进行了一项系统的文献审查,关键词是"COVID"",后COVID"",长期COVID"和"运动".
- 分析了46项异质试验的数据,并指出没有PEM管理策略.
- 基于文献审查,专家调查反 (14名国际专家) 和作者临床经验,制定了一项最佳实践建议.
主要成果:
- 文献综述发现了长期COVID的运动训练方案中的显著异质性.
- 没有包括的研究专门针对运动计划中的PEM管理.
- 制定了一项新的运动建议提案,按PEM的存在和严重程度分层 (没有,轻度/中度,严重).
结论:
- 个性化炼计划可以帮助从长期COVID中炼性能受损的恢复.
- 在长期COVID运动康复中,PEM是一个关键因素,需要特定的管理策略.
- 建议建议为医疗保健专业人员提供指导,以根据PEM严重程度为长期COVID患者启动和调整运动训练.
相关概念视频
Exercise and Cardiovascular Response
792
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
792
Exercise and Cardiac Output
1.0K
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
1.0K
Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
Exercise Stress Test
201
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
201
COPD: Management Using Bronchodilators and Corticosteroids
198
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
198
Stress Prevention and Stress Management Techniques III
60
Regular exercise and meditation serve as essential tools in managing stress and promoting physical and mental well-being.
The Role of Exercise in Stress Management
Regular physical activity is essential for reducing stress and promoting cardiovascular health. Exercise strengthens the heart, enhances blood flow, keeps blood vessels flexible, and helps lower blood pressure, all of which reduce the body's stress response. Research shows that adults who exercise regularly have nearly half the...
The Role of Exercise in Stress Management
Regular physical activity is essential for reducing stress and promoting cardiovascular health. Exercise strengthens the heart, enhances blood flow, keeps blood vessels flexible, and helps lower blood pressure, all of which reduce the body's stress response. Research shows that adults who exercise regularly have nearly half the...
60


