A pulmonary rehabilitation program is an effective strategy to improve forced vital capacity, muscle strength, and functional exercise capacity similarly in adults and older people with post-severe COVID-19 who required mechanical ventilation

Abstract Background It is internationally known that our population is aging. At the same time, some patients with COVID-19, due to their symptoms, required mechanical ventilation (MV) and subsequent pulmonary rehabilitation (PR). This study aimed to compare the effects of a multimodal PR program “A...

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Main Authors: Rodrigo Muñoz-Cofré, María Fernanda del Valle, Gabriel Nasri Marzuca-Nassr, Jorge Valenzuela, Mariano del Sol, Constanza Díaz Canales, Pablo A. Lizana, Fernando Valenzuela-Aedo, Rodrigo Lizama-Pérez, Máximo Escobar-Cabello
Format: Article
Language:English
Published: BMC 2024-04-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-024-04910-9
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author Rodrigo Muñoz-Cofré
María Fernanda del Valle
Gabriel Nasri Marzuca-Nassr
Jorge Valenzuela
Mariano del Sol
Constanza Díaz Canales
Pablo A. Lizana
Fernando Valenzuela-Aedo
Rodrigo Lizama-Pérez
Máximo Escobar-Cabello
author_facet Rodrigo Muñoz-Cofré
María Fernanda del Valle
Gabriel Nasri Marzuca-Nassr
Jorge Valenzuela
Mariano del Sol
Constanza Díaz Canales
Pablo A. Lizana
Fernando Valenzuela-Aedo
Rodrigo Lizama-Pérez
Máximo Escobar-Cabello
author_sort Rodrigo Muñoz-Cofré
collection DOAJ
description Abstract Background It is internationally known that our population is aging. At the same time, some patients with COVID-19, due to their symptoms, required mechanical ventilation (MV) and subsequent pulmonary rehabilitation (PR). This study aimed to compare the effects of a multimodal PR program “ADULT” versus “OLDER” people with COVID-19 who were on MV. Methods The intervention consisted of an 8-week hybrid PR program (2x week). Forced vital capacity (FVC) was measured at the beginning and end of PR, upper and lower limb strength was obtained through hand grip strength (HGS) and the sit-to-stand test (STST), respectively, and functional exercise capacity was measured with the 6-minute walking test (6MWT). Results The main results were an increase in the FVC in the ADULT and OLDER groups (time effect, P = 0.000; η2 = 0.27), an increase in HGS in the ADULT and OLDER groups (time effect, P = 0.000; η2 = 0.52), in the same way, the number of repetitions on the STST increased in the ADULT and OLDER groups (time effect, P = 0.000; η2 = 0.55). Finally, the distance covered on the 6MWT increased in the ADULT and OLDER groups (time effect, P = 0.000; η2 = 0.65). Conclusions The PR program is an effective strategy to improve FVC, muscle strength, and functional exercise capacity similarly in adults and older people with post severe COVID-19 who required MV.
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spelling doaj.art-04ebbcf318c74de5836510e2a6d565412024-10-28T09:09:33ZengBMCBMC Geriatrics1471-23182024-04-012411710.1186/s12877-024-04910-9A pulmonary rehabilitation program is an effective strategy to improve forced vital capacity, muscle strength, and functional exercise capacity similarly in adults and older people with post-severe COVID-19 who required mechanical ventilationRodrigo Muñoz-Cofré0María Fernanda del Valle1Gabriel Nasri Marzuca-Nassr2Jorge Valenzuela3Mariano del Sol4Constanza Díaz Canales5Pablo A. Lizana6Fernando Valenzuela-Aedo7Rodrigo Lizama-Pérez8Máximo Escobar-Cabello9Centro de Excelencia en Estudios Morfológicos y Quirúrgicos, Universidad de La FronteraHospital El Carmen de MaipúFacultad de Medicina, Departamento de Ciencias de la Rehabilitación, Universidad de La FronteraHospital El Carmen de MaipúCentro de Excelencia en Estudios Morfológicos y Quirúrgicos, Universidad de La FronteraHospital El Carmen de MaipúLaboratory of Epidemiology and Morphological Sciences, Instituto de Biología, Pontificia Universidad Católica de ValparaísoUniversidad de La Frontera, Programa de Doctorado en Ciencias MorfológicasDepartment of Physical Education and Sports, Faculty of Sport Sciences, University of GranadaLaboratorio de Función Disfunción Ventilatoria, Departamento de Kinesiología, Universidad Católica del MauleAbstract Background It is internationally known that our population is aging. At the same time, some patients with COVID-19, due to their symptoms, required mechanical ventilation (MV) and subsequent pulmonary rehabilitation (PR). This study aimed to compare the effects of a multimodal PR program “ADULT” versus “OLDER” people with COVID-19 who were on MV. Methods The intervention consisted of an 8-week hybrid PR program (2x week). Forced vital capacity (FVC) was measured at the beginning and end of PR, upper and lower limb strength was obtained through hand grip strength (HGS) and the sit-to-stand test (STST), respectively, and functional exercise capacity was measured with the 6-minute walking test (6MWT). Results The main results were an increase in the FVC in the ADULT and OLDER groups (time effect, P = 0.000; η2 = 0.27), an increase in HGS in the ADULT and OLDER groups (time effect, P = 0.000; η2 = 0.52), in the same way, the number of repetitions on the STST increased in the ADULT and OLDER groups (time effect, P = 0.000; η2 = 0.55). Finally, the distance covered on the 6MWT increased in the ADULT and OLDER groups (time effect, P = 0.000; η2 = 0.65). Conclusions The PR program is an effective strategy to improve FVC, muscle strength, and functional exercise capacity similarly in adults and older people with post severe COVID-19 who required MV.https://doi.org/10.1186/s12877-024-04910-9COVID-19AdultOlderPulmonary rehabilitation
spellingShingle Rodrigo Muñoz-Cofré
María Fernanda del Valle
Gabriel Nasri Marzuca-Nassr
Jorge Valenzuela
Mariano del Sol
Constanza Díaz Canales
Pablo A. Lizana
Fernando Valenzuela-Aedo
Rodrigo Lizama-Pérez
Máximo Escobar-Cabello
A pulmonary rehabilitation program is an effective strategy to improve forced vital capacity, muscle strength, and functional exercise capacity similarly in adults and older people with post-severe COVID-19 who required mechanical ventilation
BMC Geriatrics
COVID-19
Adult
Older
Pulmonary rehabilitation
title A pulmonary rehabilitation program is an effective strategy to improve forced vital capacity, muscle strength, and functional exercise capacity similarly in adults and older people with post-severe COVID-19 who required mechanical ventilation
title_full A pulmonary rehabilitation program is an effective strategy to improve forced vital capacity, muscle strength, and functional exercise capacity similarly in adults and older people with post-severe COVID-19 who required mechanical ventilation
title_fullStr A pulmonary rehabilitation program is an effective strategy to improve forced vital capacity, muscle strength, and functional exercise capacity similarly in adults and older people with post-severe COVID-19 who required mechanical ventilation
title_full_unstemmed A pulmonary rehabilitation program is an effective strategy to improve forced vital capacity, muscle strength, and functional exercise capacity similarly in adults and older people with post-severe COVID-19 who required mechanical ventilation
title_short A pulmonary rehabilitation program is an effective strategy to improve forced vital capacity, muscle strength, and functional exercise capacity similarly in adults and older people with post-severe COVID-19 who required mechanical ventilation
title_sort pulmonary rehabilitation program is an effective strategy to improve forced vital capacity muscle strength and functional exercise capacity similarly in adults and older people with post severe covid 19 who required mechanical ventilation
topic COVID-19
Adult
Older
Pulmonary rehabilitation
url https://doi.org/10.1186/s12877-024-04910-9
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