个性化的在线运动疗法有助于从探索性随机对照试验的儿科长期COVID发现中恢复
Sarah Christina Goretzki1,2, Mara Bergelt3, Laurent Weis3
1Department of Pediatrics I, Neonatology, Pediatric Intensive Care, Pediatric Infectiology, Pediatric Neurology, University Duisburg-Essen, Children's Hospital Essen, 45147, Essen, Germany. sarah.goretzki@uk-essen.de.
European journal of pediatrics
|January 6, 2026
概括
个性化在线运动疗法 (IOET) 对于改善长期COVID儿童的身体功能和生活质量是安全有效的. 这种方法对儿科康复有希望,需要进一步研究.
科学领域:
- 儿科 儿科 儿科
- 康复医学 康复医学 康复医学
- 传染性疾病 传染性疾病
背景情况:
- 患有长期COVID的儿童和青少年经常患有持续疲劳,身体能力下降和生活质量下降,几乎没有基于证据的治疗方法.
- 运动疗法以前已经在儿科慢性疾病中证明了益处,增强了力量,福祉和社会参与.
研究的目的:
- 评估个性化在线运动治疗 (IOET) 计划的可行性,安全性和有效性,以改善儿科长期COVID患者的身体能力和生活质量.
- 评估IOET对功能表现,上学时间和自我报告的康复的影响.
主要方法:
- 一项探索性随机试验涉及14名长期COVID的儿科患者 (年龄为9-17岁),他们每周两次接受6周或12周的远程医疗IOET.
- 主要结局包括6分钟步行测试 (6MWT),坐立测试 (STST) 和手握强度测试 (HST). 二次结果包括上学时间,PedsQL和安全.
主要成果:
- 所有参与者在6周和12周IOET组中都经历了身体功能的临床显著改善.
- 在12周的小组显示在6MWT (+220.3m),STST (+7.2重复),和HST (+10.5kg) 显著增加. 6周后的小组表现出类似的改善.
- 学校上学率从58%增加到97%,PedsQL分数有所改善,没有报告任何不良事件. 在3个月的随访后,改善得到了持续.
结论:
- 个性化在线运动治疗 (IOET) 是儿童长期COVID的可行和安全的康复策略.
- 对于受影响的儿童和青少年来说,IOET显著改善了身体功能,生活质量和重新融入日常生活.
- 这些发现支持IOET作为一个有前途的干预措施,主张进行更大的多中心试验,以确认其有效性并确定最佳治疗持续时间.
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