后急性COVID-19综合征 (PACS) 和运动干预:对随机对照试验的系统审查
Valentina Presta1, Alessandro Guarnieri1, Fabiana Laurenti1,2
1Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Sports (Basel, Switzerland)
|September 26, 2025
概括
结合有氧,力量和呼吸练习的8周炼计划有效地改善了COVID-19后急性综合征 (PACS) 患者的生活质量和功能健康. 电话康复提供了一个安全的替代方案,具有类似的好处.
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
- 传染病的恢复 传染病的恢复
背景情况:
- 后急性COVID-19综合征 (PACS) 存在持续的挑战,影响患者的生活质量和身体功能.
- 有效和安全的干预措施对于管理COVID-19的长期影响至关重要.
研究的目的:
- 系统地审查运动干预措施的有效性,以改善与健康相关的生活质量 (HRQoL) 和患有PACS的成年人的功能健康.
- 根据PRISMA指南,综合随机对照试验 (RCT) 的证据.
主要方法:
- 在多个数据库中进行系统的文献搜索,包括PROSPERO注册CRD42024517069.
- 纳入了专注于40至60岁被诊断患有PACS的成年人的RCT,评估运动干预措施.
- 评估研究质量和对HRQoL和功能健康结果的偏差风险.
主要成果:
- 审查中包括了20个RCT.
- 大多数研究 (13项HRQoL,14项功能健康) 显示偏差风险较低.
- 一个为期8周的多式运动方案 (有氧,力量,呼吸) 证明在提高HRQoL和功能健康方面是安全有效的.
- 电话康复成为一种可行的替代方案,提供了可比的好处,同时最大限度地降低了传染风险.
结论:
- 结构化的8周炼计划是康复PACS患者的安全有效策略.
- 运动干预措施显著改善PACS患者的生活质量和功能能力.
- 电话康复为PACS恢复提供了一个有希望的,可访问的模式,需要进一步研究各种运动类型和更广泛的病毒感染适用性.
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