HIV - implications for exercise in treatment and rehabilitation

Exercise is an integral part of many forms of rehabilitation following muscle injury or surgery. It is usual to advise patients with a viral infection to avoid exercise because of the risk of developing myocarditis. Should HIV+ patients should be encouraged to undertake exercise as part of rehabilit...

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Main Author: M. Mars
Format: Article
Language:English
Published: AOSIS 2004-01-01
Series:South African Journal of Physiotherapy
Subjects:
Online Access:https://sajp.co.za/index.php/sajp/article/view/190
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author M. Mars
author_facet M. Mars
author_sort M. Mars
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description Exercise is an integral part of many forms of rehabilitation following muscle injury or surgery. It is usual to advise patients with a viral infection to avoid exercise because of the risk of developing myocarditis. Should HIV+ patients should be encouraged to undertake exercise as part of rehabilitation and should they further be advised to participate in regular exercise? There is sufficient evidence to support the benefits of regular exercise in the HIV+ patient. They will experience a training effect dependent on the normal parameters of frequency, intensity, duration, and mode of exercise.  The disease does place potential limitations to exercise, as the HI virus directly affects pulmonary, cardiac, skeletal muscle and endocrine function.  The effects of these changes may be  exacerbated by secondary infection and other pathological changes may be induced by treatment.  The advent of highly active antiretroviral therapy has brought with it a range of metabolic changes that may also influence exercise  participation. The limitations to exercise imposed by HIV infection and its treatment are reviewed.
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spelling doaj.art-c4508a10f60a44b698eed30eef8ec1862022-12-22T00:20:51ZengAOSISSouth African Journal of Physiotherapy0379-61752410-82192004-01-0160491710.4102/sajp.v60i4.190190HIV - implications for exercise in treatment and rehabilitationM. Mars0Department of telehealth, Nelson R Mandela School of Medicine, University of NatalExercise is an integral part of many forms of rehabilitation following muscle injury or surgery. It is usual to advise patients with a viral infection to avoid exercise because of the risk of developing myocarditis. Should HIV+ patients should be encouraged to undertake exercise as part of rehabilitation and should they further be advised to participate in regular exercise? There is sufficient evidence to support the benefits of regular exercise in the HIV+ patient. They will experience a training effect dependent on the normal parameters of frequency, intensity, duration, and mode of exercise.  The disease does place potential limitations to exercise, as the HI virus directly affects pulmonary, cardiac, skeletal muscle and endocrine function.  The effects of these changes may be  exacerbated by secondary infection and other pathological changes may be induced by treatment.  The advent of highly active antiretroviral therapy has brought with it a range of metabolic changes that may also influence exercise  participation. The limitations to exercise imposed by HIV infection and its treatment are reviewed.https://sajp.co.za/index.php/sajp/article/view/190hivexerciselung functioncardiac functionskeletal musclemetabolic disturbance
spellingShingle M. Mars
HIV - implications for exercise in treatment and rehabilitation
South African Journal of Physiotherapy
hiv
exercise
lung function
cardiac function
skeletal muscle
metabolic disturbance
title HIV - implications for exercise in treatment and rehabilitation
title_full HIV - implications for exercise in treatment and rehabilitation
title_fullStr HIV - implications for exercise in treatment and rehabilitation
title_full_unstemmed HIV - implications for exercise in treatment and rehabilitation
title_short HIV - implications for exercise in treatment and rehabilitation
title_sort hiv implications for exercise in treatment and rehabilitation
topic hiv
exercise
lung function
cardiac function
skeletal muscle
metabolic disturbance
url https://sajp.co.za/index.php/sajp/article/view/190
work_keys_str_mv AT mmars hivimplicationsforexerciseintreatmentandrehabilitation