Rehabilitation Improves Persistent Symptoms of COVID-19: A Nonrandomized, Controlled, Open Study in Brazil.

Autor:	Campos MC; From the Exercise Biology Laboratory (LaBioEx), Department of Health Sciences, Federal University of Santa Catarina, Araranguá, Brazil (MCC, TN, AES, ACdBA, NdSS, ASA); Cardiovascular and Respiratory Assessment and Rehabilitation Laboratory (LaCOR) (LA), Department of Health Sciences, Federal University of Santa Catarina, Araranguá, Brazil (MA, MMA, LRB, CMP, MAF, DSRV); University of South Santa Catarina (Unisul), Psychology College, Santa Catarina, Tubarão, Brazil (MPPM, NSJ); Biomechanics Laboratory, Center of Sports, Federal University of Santa Catarina, Florianópolis, Brazil (FD); Laboratory of Assessment and Rehabilitation of Locomotor System (LARAL), Department of Health Sciences, Federal University of Santa Catarina, Araranguá, Santa Catarina, Brazil (HUK); Department of Health Sciences, College of Medicine, Federal University of Santa Catarina, Araranguá, Brazil (VD, RODR, JBG); Epidemiological Research Laboratory (LabEpi), and Department of Health Sciences, Federal University of Santa Catarina, Araranguá, Brazil (IJCS)., Nery T, Speck AE, Arpini M, Moraes Antunes M, de Bem Alves AC, de Souza Santos N, Pereira Matos MP, Schmidt Junior N, Roehe Bicca L, Mascarelo Panisson C, Alves Freitas M, Diefenthaeler F, Uliam Kuriki H, Damin V, Oliveira da Rosa R, Bueno Gress J, Jayce Ceola Schneider I, Soares Rocha Vieira D, Arcêncio L, Aguiar AS Jr
Jazyk:	angličtina
Zdroj:	American journal of physical medicine & rehabilitation [Am J Phys Med Rehabil] 2024 Mar 01; Vol. 103 (3), pp. 194-202. Date of Electronic Publication: 2023 Oct 05.
DOI:	10.1097/PHM.0000000000002350
Abstrakt:	Objective: This study aimed to investigate the effects of an 8-wk face-to-face rehabilitation program on subjects with persistent symptoms of COVID-19 compared with a remote monitoring group. Design: This is clinical, nonrandomized, controlled, and open study. The face-to-face supervised rehabilitation lasted eight consecutive weeks, twice a week. The remote monitoring group received health guidance. The allocation was carried out by preference because of the emergency period without vaccination during the pandemic. Fatigue, dyspnea (Pulmonary Functional Status and Dyspnea Questionnaire), and exercise capacity (Incremental Shuttle Walk Test) were the primary outcome measures. Lung function, functional status (Post-COVID-19 Functional Status), symptoms of anxiety and depression (Hospital Anxiety and Depression Scale), attention (d2-R), memory (Rey's Auditory-Verbal Learning Test), handgrip strength, and knee extensor strength were secondary outcome measures. Results: Thirty-seven subjects (24.3% hospitalized) completed the baseline and final assessment, rehabilitation ( n = 22, 40.8 [SD, 10.0] yrs, 54.5% female), or remote guidance ( n = 15, 45.4 [SD, 10.5] yrs, 40% female). Both groups showed improved fatigue and exercise capacity. Exercise rehabilitation improved dyspnea, anxiety, attention, and short-term memory. Conclusions: Rehabilitation is essential for dyspnea in subjects with persistent symptoms of COVID-19 while fatigue naturally reverses. Competing Interests: Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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