长期COVID中个性化的运动处方:多学科方法的实用工具箱
Allison Maher1, Michelle Bennett1, Hsin-Chia Carol Huang1,2
1Rehabilitation and Community Services / Respiratory Medicine, Canberra Health Services, Canberra ACT, Australia.
多学科诊所可以安全地为长期COVID患者实施渐进式运动计划. 这种方法使康复个性化,重点是肌肉力量和耐力,并仔细监测症状恶化.
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
- 传染病流行病学 传染病流行病学
背景情况:
- 对于长期COVID康复,存在有限的基于证据的指导方针,特别是关于精确的运动剂量.
- 现有的康复策略往往缺乏专门的管理后炼症状恶化.
研究的目的:
- 描述一个多学科长期COVID诊所运营的方法.
- 介绍长期COVID管理中个性化,渐进式运动处方的实用工具.
主要方法:
- 一个多学科的团队对16岁以上的长期COVID患者的转诊进行了选.
- 基于提出的问题,采用了三层分拣模型.
- 个性化炼包括次最大阻力训练,定位耐力训练 (RPE 4-6/10),以及呼吸障碍的启发性肌肉训练.
主要成果:
- 在两年内,250名患者接受治疗,没有严重的不良事件.
- 收到有希望的患者反.
- 实施的运动处方不如国际指南那么保守,显示出潜在的价值.
结论:
- 在长期COVID中,基于临床的多学科方法来进行渐进式运动是可行的和安全的.
- 个性化定位外周和灵感肌肉运动是有效的.
- 密切监测后炼症状恶化对于成功康复至关重要.
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