COVID-19 and Physical Activity Behaviour in People with Neurological Diseases: A Systematic Review

Abasıyanık, Zuhal; Kurt, Merve; Kahraman, Turhan

doi:10.1007/s10882-022-09836-x

Cited by 17 publications

(15 citation statements)

References 51 publications

(86 reference statements)

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“…However, anxiety, stress and fear do not concern only pulmonary wards. Abasıyanık et al [ 29 ] investigated the physical activity behavior in people with neurological diseases during the COVID-19 pandemic. According to the authors, the coronavirus pandemic has had a negative impact on the physical activity levels of people with neurological diseases, and this change was related to the worsening of the disease symptoms and to psychosocial factors.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of an Inpatient Virtual Reality-Based Pulmonary Rehabilitation Program among COVID-19 Patients on Symptoms of Anxiety, Depression and Quality of Life: Preliminary Results from a Randomized Controlled Trial

Rutkowski

Bogacz

Czech

et al. 2022

IJERPH

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Forms of rehabilitation for patients after COVID-19 are gaining interest. The purpose of this study was to investigate and compare an innovative in-hospital pulmonary rehabilitation programs augmented with training elements performed in virtual reality. This randomized controlled study included 32 patients enrolled in post-COVID-19 rehabilitation at a Public Hospital in Poland. The rehabilitation models included exercise capacity training on a cycle ergometer, breathing and general fitness workout, resistance training, and relaxation. The forms of training and relaxation differed between the groups: the experimental group employed virtual reality, and the control group used a traditional form of therapy. Exercise tolerance was assessed using a 6 min walk test (6 MWT), while psychological parameters were evaluated using the Hospital Anxiety and Depression Scale (HADS) and the brief World Health Organization Quality of Life Scale (WHOQOL-BRIEF). The analysis of the post-rehabilitation results showed a statistically significant improvement in both groups regarding depression (VR: 6.9 (3.9) vs. 4.7 (3.5), p = 0.008; CG: 7.64 (4.5) vs. 6.6 (4.8), p = 0.017) and anxiety (VR: 8.6 (4.6) vs. 5.6 (3.3), p < 0.001; CG: 9.57 (6.0) vs. 8 (4.8), p = 0.003). No statistically significant improvements in quality of life were noted in both groups. Moreover, the analysis showed a statistically significant improvement in the exercise capacity in both groups after completion of the rehabilitation program, expressed as a distance in the 6 MWT, as well as a statistically significant improvement in dyspnea in the VR group. To conclude, the analysis of the preliminary data revealed that a 3-week hospital-based pulmonary rehabilitation program for COVID-19 patients led to an improvement in exercise tolerance as well as a reduction in the symptoms of anxiety and depression. The virtual reality-based form of training delivery, despite its attractiveness, did not significantly affect patients’ performance.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of an Inpatient Virtual Reality-Based Pulmonary Rehabilitation Program among COVID-19 Patients on Symptoms of Anxiety, Depression and Quality of Life: Preliminary Results from a Randomized Controlled Trial

Rutkowski

Bogacz

Czech

et al. 2022

IJERPH

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“…Exercise is, however, thought to ameliorate depression [ 35 ] and enhance well-being [ 36 ] in people with MS during the pandemic. A corollary to this is that depression and perceptions of poorer mental and physical health in pwMS during the pandemic have been linked to a reduced physical level in general [ 37 ]. While these collective findings are concordant, the cross-sectional nature of all these studies demands a note of caution when it comes to draw firm conclusions.…”

Section: Discussionmentioning

confidence: 99%

The late onset of emotional distress in people with progressive multiple sclerosis during the Covid-19 pandemic: longitudinal findings from the CogEx study

et al. 2022

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Objective An earlier follow-up study from the CogEx rehabilitation trial showed little change in symptoms of depression, anxiety and psychological distress during the first COVID-19 lockdown compared to pre-pandemic measurements. Here, we provide a second follow-up set of behavioral data on the CogEx sample. Methods This was an ancillary, longitudinal follow-up study in CogEx, a randomized controlled trial of exercise and cognitive rehabilitation in people with progressive MS involving 11 centres in North America and Europe. Only individuals impaired on the Symbol Digit Modalities Test (SDMT) were included. Participants repeated the COVID Impact survey administered approximately a year later and completed self-report measures of depression, anxiety and MS symptoms that had been obtained at the trial baseline and during the first COVID Impact survey. Participants who completed the second COVID Impact follow-up were included. To identify predictors of the participants’ ratings of their mental and physical well-being, step-wise linear regression was conducted. Results Of the 131 participants who completed the first COVID impact survey, 74 participants completed the second follow-up survey (mean age 52 (SD = 6.4) years, 62.2% female, mean disease duration 16.4 (SD = 9.0) years, median EDSS 6.0). Pandemic restrictions prevented data collection from sites in Denmark and England ( n = 57). The average time between measurements was 11.4 (SD = 5.56) months. There were no significant differences in age, sex, EDSS, disease course and duration between those who participated in the current follow-up study ( n = 74) and the group that could not ( n = 57). One participant had COVID in the time between assessments. Participants now took a more negative view of their mental/psychological well-being ( p = 0.0001), physical well-being ( p = 0.0009) and disease course ( p = 0.005) compared to their last assessment. Depression scores increased on the HADS-depression scale ( p = 0.01) and now exceeded the clinically significant threshold of ≥ 8.0 for the first time. Anxiety scores on the HADS remained unchanged. Poorer mental well-being was predicted by HADS depression scores ( p = 0.012) and a secondary-progressive disease course ( p = 0.0004). Conclusions A longer follow-up period revealed the later onset of clinically significant depressive symptoms on the HADS and a decline in self-perceptions of mental and physical well-being associated with the COVID-19 pandemic relative to the first follow-up data point. Trial registration The trial was registered on September 20th 2018 at www.clinicaltrials.gov having identifier NCT03679468. Regist...

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“…The COVID-19 pandemic has also led to major changes in individuals’ lifestyle behaviors, often including a decrease in physical activity levels or leisure time physical activities and/or a deviation from healthy eating habits. During the pandemic, individuals with neurological conditions experienced a decreased level of physical activity participation, which was associated with worsening of disease symptoms and psychosocial concerns (Abasıyanık et al, 2022). Individuals with thoracic level SCI who used manual wheelchairs full-time engaged in lower levels of physical activity during the pandemic compared with the prepandemic period (Marco-Ahulló et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

The impact of the COVID-19 pandemic on individuals living with spinal cord injury: A qualitative study.

LaVela¹,

Wu²,

Nevedal³

et al. 2023

Rehabilitation Psychology

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Purpose/Objective: To explore the impact of the COVID-19 pandemic as experienced and reported by individuals living with a spinal cord injury (SCI). Research Method/Design: Descriptive qualitative design using in-depth semistructured interviews with individuals with SCI (n = 33) followed by thematic analysis. Results: Three main themes described impacts of the COVID-19 pandemic. (a) Impact on health care use; subthemes elaborated that this was attributable to in-person health care facility restrictions or individual decisions to delay care. Individuals with SCI experienced lapses in primary and SCI-specialty care, rehabilitation/therapy services, and home care, but some made use of telehealth services. (b) Impact on weight and/or weight management lifestyle behaviors; subthemes discussed that engagement in physical activity declined because of fitness center closures, recreational activity cancellations, and safety precautions limiting community-based and outdoor activities. The pandemic disrupted participants’ independence in purchasing and making preferred food selections which impacted healthy eating. Participants ate due to boredom, at nonmealtimes, and consumed unhealthy foods during the pandemic. (c) Impact on psychosocial factors; included subthemes noting reduced social interactions, social participation, and ability to pursue pastimes with family, friends, and groups they belonged to. The pandemic also triggered emotional reactions such as worry, fear, doubt, demotivation, and feelings of social isolation. Conclusions: Our findings highlight the magnitude of consequences faced by individuals with SCI when restrictions to health care, healthy lifestyle endeavors, and social participation occurred during the COVID-19 pandemic. Findings may inform SCI health care providers on what is needed in response to future public health or natural disaster crises.

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COVID-19 and Physical Activity Behaviour in People with Neurological Diseases: A Systematic Review

Cited by 17 publications

References 51 publications

Effectiveness of an Inpatient Virtual Reality-Based Pulmonary Rehabilitation Program among COVID-19 Patients on Symptoms of Anxiety, Depression and Quality of Life: Preliminary Results from a Randomized Controlled Trial

Effectiveness of an Inpatient Virtual Reality-Based Pulmonary Rehabilitation Program among COVID-19 Patients on Symptoms of Anxiety, Depression and Quality of Life: Preliminary Results from a Randomized Controlled Trial

The late onset of emotional distress in people with progressive multiple sclerosis during the Covid-19 pandemic: longitudinal findings from the CogEx study

The impact of the COVID-19 pandemic on individuals living with spinal cord injury: A qualitative study.

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