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Titre : | Effect of Pulmonary Rehabilitation Approaches on Dyspnea, Exercise Capacity, Fatigue, Lung Functions, and Quality of Life in Patients With COVID-19: A Systematic Review and Meta-analysis (2022) |
Auteurs : | Ishtiaq Ahmed ; Rustem Mustafaoglu ; Ipek Yeldan ; Zeynal Yasaci ; Belgin Erhan ; Belgin Erhan |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 10, 2022) |
Article en page(s) : | p. 2051-2062 |
Note générale : | https://doi.org/10.1016/j.apmr.2022.06.007 |
Langues: | Français |
Descripteurs : |
HE Vinci COVID-19 ; Dyspnée ; Exercice physique ; Poumon ; Réadaptation ; Rééducation de la respiration ; SARS-CoV-2 |
Résumé : | Objective To qualitatively synthesize and quantitatively evaluate the effect of pulmonary rehabilitation (PR) on dyspnea, lung functions, fatigue, exercise capacity, and quality of life (QoL) in patients with COVID-19. Data Sources PubMed, Web of Science, and Cochrane databases were searched from January 2020 to April 2022. Data Selection Randomized controlled trials (RCTs) assessing the effect of PR on dyspnea, lung functions, fatigue, exercise capacity, and QoL in patients with COVID-19. Data Extraction The mean difference (MD) and a 95% CI were estimated for all the outcome measures using random effect models. The following data were extracted by 2 independent reviewers: (1) first author; (2) publication year; (3) nationality; (4) number of patients included (5) comorbidities; (6) ventilatory support; (7) length of inpatient stay; (8) type of PR; (9) outcome measures; and (10) main findings. The risk of bias was evaluated using the cochrane risk of bias tool. Data Synthesis A total of 8 RCTs involving 449 participants were included in the review. PR was found to be significantly effective in improving dyspnea (5 studies, SMD -2.11 [95% CI, -2.96 to -1.27; P<.001 and exercise capacity m ci to p in patients with both acute chronic covid-19 mild severe symptoms whereas fatigue lung functions l were significantly improved symptoms. the effect of pr on qol was inconsistent across studies. found be safe feasible for covid-19. conclusion evidence from studies indicates that program is superior no intervention improving dyspnea appears beneficial patients.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322005123 |