| 殷稚飞,王佳悦,李勇强,刘守国,励建安.远程居家运动训练对新型冠状病毒肺炎出院患者运动功能的影响[J].中国康复医学杂志,2022,(2):169~175 |
| 远程居家运动训练对新型冠状病毒肺炎出院患者运动功能的影响 点此下载全文 |
| 殷稚飞 王佳悦 李勇强 刘守国 励建安 |
| 南京医科大学第一附属医院康复医学中心，南京市，210029 |
| 基金项目：南京市科技计划(2019060002) |
| DOI：10.3969/j.issn.1001-1242.2022.02.005 |
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| 摘要： |
| 摘要
目的：观察远程居家运动训练对新型冠状病毒肺炎（COVID-19）出院患者运动耐力和下肢肌肉力量的影响。
方法：选取新冠患者120例，随机分为对照组（n=61）和试验组（n=59）。对照组给予日常宣教，试验组使用运动康复软件进行远程居家运动训练。在治疗前、6周治疗后和24周随访评估6min步行距离（6MWD）和下肢肌肉力量（ST）。
结果：试验组在治疗后和随访时的6MWD均较治疗前显著改善且优于对照组（P＜0.05）；≤40岁组和40—60岁组、无共病组、女性组在治疗后、随访均较对照组显著改善（P＜0.05）；＞60岁组、有共病组、男性组仅在治疗后明显优于对照组（P＜0.05）；试验组在治疗后的ST较治疗前显著改善且明显优于对照组（P＜0.05）；≤40岁组和40—60岁组在治疗后均较对照组显著改善（P＜0.05）；女性组在治疗后、随访较对照组显著改善（P＜0.05）。
结论：远程居家运动训练可改善COVID-19出院患者的运动能力，且年轻者、无共病者、女性改善较明显。 |
| 关键词：新型冠状病毒肺炎 远程居家运动训练 运动功能 康复 |
| Effectiveness of a remote home-based exercise training program on exercise capacity for COVID-19 survivors Download Fulltext |
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| Department of Rehabilitation Medical Center, The First Affiliated Hospital with Nanjing Medical University, 210029 |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To investigate the effects of a remote home-based exercise training program on exercise capacity and lower limb muscle strength in patients with COVID-19 discharged from hospital.
Method: 120 COVID-19 survivors were randomized with 61 allocated to control and 59 to intervention group. The control group was given daily education instructions, and the intervention group was given remote home-based exercise training using exercise rehabilitation software. Six-minute walking distance (6MWD) and lower extremity muscle strength (ST) were assessed before treatment, after 6 weeks of treatment, and at 24 weeks of follow-up.
Result: The 6MWD of the intervention group was significantly improved and better than that of the control group after treatment and at follow-up (P<0.05), but no significant improvement was found in control group. The 6MWD of the ≤40 years and 40—60 years age groups, the group without co-morbidity, and the female group were significantly better than that of control group after treatment and at follow-up (P<0.05); However, the 6MWD in >60 years age group, the group with co-morbidity, and the male group were significantly better than the control group only after treatment (P<0.05); the ST in the intervention group was significantly improved and better than the control group after treatment (P<0.05); both the ≤40 years group and the 40—60 years age group were significantly better than the control group after treatment (P<0.05); the female group was significantly better than the control group after treatment and at follow-up (P<0.05).
Conclusion: This remote home-based exercise training program improves exercise capacity in patients discharged from COVID-19, and the improvement is more significant in younger, comorbidity-free, and female patients. |
| Keywords:COVID-19 remote home-based exercise exercise capacity rehabilitation |
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