鼓舞性肌肉训练可以改善肌痛性脑筋炎/慢性疲劳综合征和SARS-CoV-2的急性后续症状中的自主功能:试点研究
Heather Edgell1, Tania J Pereira2, Kathleen Kerr3
1School of Kinesiology and Health Science, York University, Toronto, Ontario, Canada; Muscle Health Research Centre, York University, Toronto, Ontario, Canada; ICanCME Research Network, Montreal, Quebec, Canada.
Respiratory physiology & neurobiology
|October 7, 2024
概括
启发性肌肉训练 (IMT) 改善了长期COVID (SARS-CoV-2的急性后续) 和ME/CFS患者的运动能力,自主功能和症状. 这种安全的干预措施为使人虚弱的后病毒状况提供了潜在的缓解.
科学领域:
- 医学研究 医学研究
- 肺部病理学 肺部病理学
- 神经学 神经学
背景情况:
- SARS-CoV-2 (PASC) 或长期COVID的急性后续和肌痛性脑筋炎/慢性疲劳综合征 (ME/CFS) 是普遍存在的,使人衰弱的后病毒性疾病.
- 这些情况共享重叠的症状,如运动不耐受和自主功能障碍,需要有效的治疗调查.
研究的目的:
- 研究启发性肌肉训练 (IMT) 在缓解症状,增强运动能力和改善PASC和轻度至中度ME/CFS患者的自主功能方面的有效性.
主要方法:
- 进行了一项临床试验 (NCT05196529),涉及8周的IMT.
- 参与者包括健康对照组 (n=12),PASC患者 (n=9),以及轻度至中度ME/CFS患者 (n=12).
- 测量结果包括吸气肌压,运动能力,自主功能和症状学.
主要成果:
- 所有小组在IMT后的灵感肌肉压力,6分钟步行距离,静止心率,心率变化和睡眠症状显著改善.
- 此外,ME/CFS组在血管功能,分泌运动功能,自主症状得分 (COMPASS 31) 和疼痛症状方面也有所改善.
- 在PASC和/或ME/CFS患者中,IMT导致自主功能和症状的整体改善.
结论:
- 八周的IMT是一种安全有效的干预措施,可以改善关键的生理指标,并减少PASC和ME/CFS患者的症状.
- IMT显示出作为一种治疗策略的潜力,用于管理与这些后病毒状况相关的复杂症状.
- 进一步的研究可能会探索PASC和ME/CFS患者的长期影响和个性化的IMT协议.
更多相关视频
相关概念视频
Mechanism of Breathing III: The Accessory Muscles
2.2K
The Role of Accessory Muscles in the Respiratory System
The respiratory system is a complex network that relies on primary respiratory muscles like the diaphragm, but also involves accessory muscles to enhance lung expansion and airflow during both inhalation and exhalation.
Enhancing Inhalation with Accessory Muscles:
Accessory muscles such as the sternocleidomastoid, scalene, intercostal, and abdominal muscles are crucial when additional respiratory effort is required, such as during deep...
The respiratory system is a complex network that relies on primary respiratory muscles like the diaphragm, but also involves accessory muscles to enhance lung expansion and airflow during both inhalation and exhalation.
Enhancing Inhalation with Accessory Muscles:
Accessory muscles such as the sternocleidomastoid, scalene, intercostal, and abdominal muscles are crucial when additional respiratory effort is required, such as during deep...
2.2K
Acute Respiratory Failure-V
124
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
124
Mechanism of Breathing I: Inspiration
1.4K
Introduction to Inspiration: The Respiratory System in Action
The respiratory system, an essential network for breathing, comprises the conducting and respiratory zones, each playing a crucial role in the overall process of respiration. Let us explore the detailed mechanism of inspiration, or inhalation, which is the first phase of the respiratory cycle.
Pathway of Air during Inspiration
During inspiration, air enters our body through the nose or mouth and moves through the conducting zone,...
The respiratory system, an essential network for breathing, comprises the conducting and respiratory zones, each playing a crucial role in the overall process of respiration. Let us explore the detailed mechanism of inspiration, or inhalation, which is the first phase of the respiratory cycle.
Pathway of Air during Inspiration
During inspiration, air enters our body through the nose or mouth and moves through the conducting zone,...
1.4K
Skeletal Muscle Relaxants: Therapeutic Uses
477
Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
477
Assessment of Airway, Skin Color, and Use of Accessory Muscles
980
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
980
Myasthenia Gravis: Overview and Treatment
1.3K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
1.3K


