Effectiveness of exercise training on the dyspnoea of individuals with long COVID: A randomised controlled multicentre trial

Romanet, Christophe; Wormser, Johan; Fels, Audrey; Lucas, Pauline; Prudat, Camille; Sacco, Emmanuelle; Bruel, Cédric; Plantefève, Gaëtan; Pène, Frédéric; Châtellier, Gilles; Philippart, François

doi:10.1016/j.rehab.2023.101765

Cited by 25 publications

(11 citation statements)

References 46 publications

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“…These results are somewhat different from several previous studies that reported superior rehabilitation effects following exercise-based programs versus non-exercise intervention treatment in COVID-19 patients. 31 , 32 , 33 , 34 Several potential explanations for these discrepancies can be considered. Firstly, due to safety and supervision concerns in online training, we limited the exercise intensity to low-to-moderate levels.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of tele-exercise training on physical fitness, functional capacity, and health-related quality of life in non-hospitalized individuals with COVID-19: The COFIT-HK study

Poon,

Sun,

Tse

et al. 2024

Journal of Exercise Science & Fitness

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Section: Discussionmentioning

confidence: 99%

Effectiveness of tele-exercise training on physical fitness, functional capacity, and health-related quality of life in non-hospitalized individuals with COVID-19: The COFIT-HK study

Poon,

Sun,

Tse

et al. 2024

Journal of Exercise Science & Fitness

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“…Supplementary Digital Material 3 (Supplementary Table III) 39 - 91 shows the characteristics of the included studies. More than half of the studies (57%, N=30, 2075 participants) included adults with PCC, 42 - 46 , 48 - 51 , 53 , 56 , 57 , 59 - 62 , 64 , 66 , 67 , 70 - 72 , 74 - 76 , 81 , 83 , 85 , 88 , 89 followed by adults with non-severe (34%, N.=18, 1489 participants), severe (6%, N.=3, 230 participants) 39 , 63 , 86 and critical COVID-19 (4%, N.=2, 88 participants). 41 , 90 …”

Section: Evidence Synthesismentioning

confidence: 99%

“…Six studies 48 , 67 , 70 , 75 , 76 , 83 reported significant improvement following interventions for rehabilitation for dyspnea measured with mMRC, Multidimensional Dyspnea Profile, Baseline Dyspnea Index, Transition Dyspnea Index visual analogue scale (VAS) and chronic obstructive pulmonary disease (COPD) assessment test score, modified Borg Dyspnea Scale. In particular, respiratory muscle training in addition to manual therapy compared with respiratory muscle training, 70 supervised pulmonary rehabilitation (PR) compared with unsupervised PR, 75 endurance rehabilitation compared with UC, 48 respiratory muscle training through telerehabilitation compared with UC, 67 6-week online breathing associated with wellbeing program compared with no treatment 76 and PR delivered in telerehabilitation compared with UC. 83…”

Section: Evidence Synthesismentioning

confidence: 99%

“…Sixteen studies 44 , 45 , 48 , 50 , 56 , 57 , 61 , 62 , 67 , 71 , 72 , 74 - 76 , 81 , 88 assessed quality of life with WHOQOL-Bref, EuroQol-5 questionnaire, short-form 12 health questionnaire (SF-12), short-form 36 health questionnaire (SF-36), 15-item King’s Brief Interstitial Lung Disease (K-BILD) questionnaire, Sarcopenia and Quality of Life questionnaire, St George’s Respiratory Questionnaire; eleven of which reported a significant improvement. Two studies 61 , 62 reported that multicomponent telerehabilitation compared to educational instructions 61 or no treatment 62 shows a significant improvement in quality of life.…”

Section: Evidence Synthesismentioning

confidence: 99%

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Rehabilitation and COVID-19: systematic review by Cochrane Rehabilitation

ARIENTI,

LAZZARINI,

ANDRENELLI

et al. 2024

Eur J Phys Rehabil Med

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INTRODUCTION Until the last update in February 2022, the Cochrane Rehabilitation COVID-19 Evidence-based Response (REH-COVER) action identified an increasing volume of evidence for the rehabilitation management of COVID-19. Therefore, our aim was to identify the best available evidence on the effectiveness of interventions for rehabilitation for COVID-19-related limitations of functioning of rehabilitation interest in adults with COVID-19 or post COVID-19 condition (PCC). EVIDENCE ACQUISITION We ran the searches on February 17 th , 2023, in the following databases: PubMed, EMBASE, CENTRAL, CINHAL, and the Cochrane COVID-19 Study Register, applying a publication date restriction to retrieve only papers published in 2022. To retrieve papers published before 2022, we screened the reference lists of previous publications included in the REH-COVER action, covering papers from early 2020 to the end of 2022. This current review includes only randomised controlled trials and concludes the rapid living systematic reviews of the Cochrane Rehabilitation REH-COVER action. The risk of bias and certainty of evidence were evaluated in all studies using the Cochrane Risk of Bias tool and GRADE, respectively. We conducted a narrative synthesis of the evidence. PROSPERO registration number: CRD42022374244. EVIDENCE SYNTHESIS After duplicate removal, we identified 18,950 individual records and 53 RCTs met the inclusion criteria. Our findings suggest that the effect of breathing and strengthening exercise programs on dyspnea and physical exercise capacity compared to no treatment in non-severe COVID-19 patients is uncertain. Multicomponent telerehabilitation may slightly increase physical exercise capacity compared to educational intervention in adults with PCC. There is, however, uncertainty about its effect on lung function and physical exercise capacity when compared to no treatment. Finally, the effect of inspiratory muscle training on maximal inspiratory pressure compared to no treatment in adults with PCC is uncertain. CONCLUSIONS Interventions that are part of comprehensive pulmonary rehabilitation approaches may benefit dyspnea and exercise tolerance in adults with COVID-19 and PCC. The available evidence has several methodological limitations that limit the certainty of evidence and the clinical relevance of findings. Therefore, we cannot provide robust suggestions for practice. While high-quality RCTs are being conducted, clinicians should consider using high-quality evidence from other pulmonary conditions to rehabilitate patients with COVID-19 or PCC using context-specific interventions.

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“…There is already substantial evidence in the literature on the adverse health effects of SARS-CoV-2 on patients. However, researchers and scientists are becoming increasingly interested in the issue of subacute and long-term post-COVID-19 symptoms, which can affect a variety of systems and organs, such as the autonomic system through chest pain, tachycardia, and palpitations; the respiratory system through dyspnoea, cough, and general fatigue; and the musculoskeletal system through muscle and joint pain [4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Dyspnoea, Physical Activity, and Back Pain Levels in Students at Medical Universities after the COVID-19 Pandemic in Poland

Gałczyk,

Zalewska,

Sobolewski

2023

JPM

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Objectives: The purpose of this research was to assess the extent of dyspnoea, physical activity (PA), and back pain complaints and the association of dyspnoea, PA, and back pain complaints with PA in post-COVID-19 students at medical universities in Poland. Methods: An online survey was carried out among Polish medical students (213 women and 204 men) who had had a positive test for SARS-CoV-2 within the last year. The Medical Research Council (MRC) dyspnoea scale was used to assess the degree of dyspnoea. The International Physical Activity Questionnaire (IPAQ) was used to determine the level of PA. The Oswestry Disability Index (ODI) and the Neck Disability Index (NDI) were used to assess back discomfort. Results: The study group had average levels of PA, with median total activity significantly lower in women (median total activity for women was 1189 and for men was 2044, while the standard deviation for women was 1419 and for men was 1450). More than 93% of the students reported no symptoms of dyspnoea. The following results were observed for ODI (median of 1.2 for women and 1.7 for men and standard deviation of 3.1 for women and 4.0 for men) and for NDI (median of 2.8 for women and 2.5 for men, standard deviation of 4.3 for women and 4.0 for men). Cervical spine pain was more frequent and severe. There are small, statistically significant correlations between the MRC and IPAQ measures and the ODI and NDI and IPAQ. Conclusions: In the study group of students of medicine, dyspnoea linked with a history of COVID-19 is not an issue. Post-pandemic PA levels should be increased in this group, with particular attention to female students. Urgent measures are also needed to prevent cervical pain in students at medical universities in Poland.

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Effectiveness of exercise training on the dyspnoea of individuals with long COVID: A randomised controlled multicentre trial

Cited by 25 publications

References 46 publications

Effectiveness of tele-exercise training on physical fitness, functional capacity, and health-related quality of life in non-hospitalized individuals with COVID-19: The COFIT-HK study

Effectiveness of tele-exercise training on physical fitness, functional capacity, and health-related quality of life in non-hospitalized individuals with COVID-19: The COFIT-HK study

Rehabilitation and COVID-19: systematic review by Cochrane Rehabilitation

Assessment of Dyspnoea, Physical Activity, and Back Pain Levels in Students at Medical Universities after the COVID-19 Pandemic in Poland

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