Effects of a Multicomponent Exercise Program on Improving Frailty in Post-COVID-19 Older Adults after Intensive Care Units: A Single-Group Retrospective Cohort Study
Background: Older adult patients with post-COVID-19 syndrome present greater physical impairment accompanied by frailty than younger patients, which is why multicomponent exercise programs (MEP) are recommended for their positive effects on improving frailty and physical capacity. The aim of this st...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-07-01
|
| Series: | Biology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2079-7737/11/7/1084 |
| _version_ | 1797433815568744448 |
|---|---|
| author | Juan Nicolás Cuenca-Zaldivar Álvaro Monroy Acevedo Josué Fernández-Carnero Eleuterio A. Sánchez-Romero Jorge Hugo Villafañe Carlos Barragán Carballar |
| author_facet | Juan Nicolás Cuenca-Zaldivar Álvaro Monroy Acevedo Josué Fernández-Carnero Eleuterio A. Sánchez-Romero Jorge Hugo Villafañe Carlos Barragán Carballar |
| author_sort | Juan Nicolás Cuenca-Zaldivar |
| collection | DOAJ |
| description | Background: Older adult patients with post-COVID-19 syndrome present greater physical impairment accompanied by frailty than younger patients, which is why multicomponent exercise programs (MEP) are recommended for their positive effects on improving frailty and physical capacity. The aim of this study was to evaluate the effects of a short MEP (Vivifrail; <4 weeks) on improving frailty in post-COVID-19 older adults after intensive care units. Methods: To develop a retrospective cohort study, data were collected from the functional gait training program based on selected Vivifrail MEP in a single-group and applied to patients admitted with a diagnosis of post-COVID-19 functional impairment. The MEP was carried out for 3 weeks, with daily sessions lasting 40 min. Patients included were assessed at the beginning and at the end of the protocol by using the Short Performance Physical Battery (SPPB), the number of falls in the last year, the number of falls with medical attention, the Timed Up and Go (TUG) test, the presence of dementia, the Trunk Control Test (TCT), the Tinetti balance and gait test, Barthel Index, Medical Research Council Sum Score (MRCSS) and handgrip strength dynamometry. Results: The results of this study show statistically significant improvements in physical fitness and frailty with increases in the Short Physical Performance Battery (Z = 9.12, <i>p</i> < 0.001) by means of the MET applied in its short version (<4 weeks) showing even clinically relevant improvements (>2.5 points). Statistically significant improvements were also found in Medical Research Council Sum Score (Z = 12.345, <i>p</i> < 0.001), Barthel Index Score (Z = 12.272, <i>p</i> < 0.001), Trunk Control Test (Z = 12. 36, <i>p</i> < 0.001), Tinetti–POMA (Z = 12.293, <i>p</i> < 0.001) including the balance (Z = 12.11, <i>p</i> < 0.001), gait (Z = 12.164, <i>p</i> < 0.001) subscales and in the hand dynamometry (Z = 12.172, <i>p</i> < 0.001). Conclusions: The selected Vivifrail MEP is effective and safe for improving frailty in post-COVID-19 older adult’s patients. |
| first_indexed | 2024-03-09T10:22:12Z |
| format | Article |
| id | doaj.art-5fb161b655cd40bba4ba25110e733797 |
| institution | Directory Open Access Journal |
| issn | 2079-7737 |
| language | English |
| last_indexed | 2024-03-09T10:22:12Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Biology |
| spelling | doaj.art-5fb161b655cd40bba4ba25110e7337972023-12-01T21:54:50ZengMDPI AGBiology2079-77372022-07-01117108410.3390/biology11071084Effects of a Multicomponent Exercise Program on Improving Frailty in Post-COVID-19 Older Adults after Intensive Care Units: A Single-Group Retrospective Cohort StudyJuan Nicolás Cuenca-Zaldivar0Álvaro Monroy Acevedo1Josué Fernández-Carnero2Eleuterio A. Sánchez-Romero3Jorge Hugo Villafañe4Carlos Barragán Carballar5Research Group in Nursing and Health Care, Puerta de Hierro Health Research Institute—Segovia de Arana (IDIPHISA), 28222 Majadahonda, SpainResearch Group in Nursing and Health Care, Puerta de Hierro Health Research Institute—Segovia de Arana (IDIPHISA), 28222 Majadahonda, SpainDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, 28922 Alcorcón, SpainDepartment of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, SpainIRCCS Fondazione Don Carlo Gnocchi, Piazzale Morandi 6, 20148 Milan, ItalyDepartment of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, SpainBackground: Older adult patients with post-COVID-19 syndrome present greater physical impairment accompanied by frailty than younger patients, which is why multicomponent exercise programs (MEP) are recommended for their positive effects on improving frailty and physical capacity. The aim of this study was to evaluate the effects of a short MEP (Vivifrail; <4 weeks) on improving frailty in post-COVID-19 older adults after intensive care units. Methods: To develop a retrospective cohort study, data were collected from the functional gait training program based on selected Vivifrail MEP in a single-group and applied to patients admitted with a diagnosis of post-COVID-19 functional impairment. The MEP was carried out for 3 weeks, with daily sessions lasting 40 min. Patients included were assessed at the beginning and at the end of the protocol by using the Short Performance Physical Battery (SPPB), the number of falls in the last year, the number of falls with medical attention, the Timed Up and Go (TUG) test, the presence of dementia, the Trunk Control Test (TCT), the Tinetti balance and gait test, Barthel Index, Medical Research Council Sum Score (MRCSS) and handgrip strength dynamometry. Results: The results of this study show statistically significant improvements in physical fitness and frailty with increases in the Short Physical Performance Battery (Z = 9.12, <i>p</i> < 0.001) by means of the MET applied in its short version (<4 weeks) showing even clinically relevant improvements (>2.5 points). Statistically significant improvements were also found in Medical Research Council Sum Score (Z = 12.345, <i>p</i> < 0.001), Barthel Index Score (Z = 12.272, <i>p</i> < 0.001), Trunk Control Test (Z = 12. 36, <i>p</i> < 0.001), Tinetti–POMA (Z = 12.293, <i>p</i> < 0.001) including the balance (Z = 12.11, <i>p</i> < 0.001), gait (Z = 12.164, <i>p</i> < 0.001) subscales and in the hand dynamometry (Z = 12.172, <i>p</i> < 0.001). Conclusions: The selected Vivifrail MEP is effective and safe for improving frailty in post-COVID-19 older adult’s patients.https://www.mdpi.com/2079-7737/11/7/1084COVID-19frailtyexercisephysical activities |
| spellingShingle | Juan Nicolás Cuenca-Zaldivar Álvaro Monroy Acevedo Josué Fernández-Carnero Eleuterio A. Sánchez-Romero Jorge Hugo Villafañe Carlos Barragán Carballar Effects of a Multicomponent Exercise Program on Improving Frailty in Post-COVID-19 Older Adults after Intensive Care Units: A Single-Group Retrospective Cohort Study Biology COVID-19 frailty exercise physical activities |
| title | Effects of a Multicomponent Exercise Program on Improving Frailty in Post-COVID-19 Older Adults after Intensive Care Units: A Single-Group Retrospective Cohort Study |
| title_full | Effects of a Multicomponent Exercise Program on Improving Frailty in Post-COVID-19 Older Adults after Intensive Care Units: A Single-Group Retrospective Cohort Study |
| title_fullStr | Effects of a Multicomponent Exercise Program on Improving Frailty in Post-COVID-19 Older Adults after Intensive Care Units: A Single-Group Retrospective Cohort Study |
| title_full_unstemmed | Effects of a Multicomponent Exercise Program on Improving Frailty in Post-COVID-19 Older Adults after Intensive Care Units: A Single-Group Retrospective Cohort Study |
| title_short | Effects of a Multicomponent Exercise Program on Improving Frailty in Post-COVID-19 Older Adults after Intensive Care Units: A Single-Group Retrospective Cohort Study |
| title_sort | effects of a multicomponent exercise program on improving frailty in post covid 19 older adults after intensive care units a single group retrospective cohort study |
| topic | COVID-19 frailty exercise physical activities |
| url | https://www.mdpi.com/2079-7737/11/7/1084 |
| work_keys_str_mv | AT juannicolascuencazaldivar effectsofamulticomponentexerciseprogramonimprovingfrailtyinpostcovid19olderadultsafterintensivecareunitsasinglegroupretrospectivecohortstudy AT alvaromonroyacevedo effectsofamulticomponentexerciseprogramonimprovingfrailtyinpostcovid19olderadultsafterintensivecareunitsasinglegroupretrospectivecohortstudy AT josuefernandezcarnero effectsofamulticomponentexerciseprogramonimprovingfrailtyinpostcovid19olderadultsafterintensivecareunitsasinglegroupretrospectivecohortstudy AT eleuterioasanchezromero effectsofamulticomponentexerciseprogramonimprovingfrailtyinpostcovid19olderadultsafterintensivecareunitsasinglegroupretrospectivecohortstudy AT jorgehugovillafane effectsofamulticomponentexerciseprogramonimprovingfrailtyinpostcovid19olderadultsafterintensivecareunitsasinglegroupretrospectivecohortstudy AT carlosbarragancarballar effectsofamulticomponentexerciseprogramonimprovingfrailtyinpostcovid19olderadultsafterintensivecareunitsasinglegroupretrospectivecohortstudy |