The pulmonary rehabilitation effect on long covid-19 syndrome: A systematic review and meta-analysis

  1. Oliver Martínez-Pozas 123
  2. Erika Meléndez-Oliva 234
  3. Lidia Martínez Rolando 5
  4. José Antonio Quesada Rico 67
  5. Camilo Corbellini 8
  6. Eleuterio A. Sánchez Romero 223
  1. 1 Universidad Rey Juan Carlos
    info

    Universidad Rey Juan Carlos

    Madrid, España

    ROR https://ror.org/01v5cv687

  2. 2 Universidad Europea de Madrid
    info

    Universidad Europea de Madrid

    Madrid, España

    ROR https://ror.org/04dp46240

  3. 3 Physiotherapy and Orofacial Pain Working Group, Sociedad Española de Disfunción Craneomandibular y Dolor Orofacial (SEDCYDO), Madrid, Spain.
  4. 4 Universidad Europea de Valencia
    info

    Universidad Europea de Valencia

    Valencia, España

  5. 5 Hospital Universitario Rey Juan Carlos
    info

    Hospital Universitario Rey Juan Carlos

    Móstoles, España

    ROR https://ror.org/019gdfm13

  6. 6 Universidad Miguel Hernández de Elche
    info

    Universidad Miguel Hernández de Elche

    Elche, España

    ROR https://ror.org/01azzms13

  7. 7 Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Tenerife, Spain.
  8. 8 Department of Physiotherapy, LUNEX International University of Health, Exercise and Sports, Differdange, Luxembourg.
Mostrar afiliaciones +
Revista:
Physiotherapy research international : the journal for researchers and clinicians in physical therapy

ISSN: 1358-2267,  1471-2865

Año de publicación: 2024

Volumen: 29

Número: 2

Páginas: e2077

Tipo: Artículo

DOI: 10.1002/PRI.2077 PMID: 38389299 SCOPUS: 2-s2.0-85185666949 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Physiotherapy research international : the journal for researchers and clinicians in physical therapy

Resumen

Objectives: This systematic review and meta-analysis aims to evaluate the efficacy of pulmonary rehabilitation (PR) in improving dyspnea, fatigue, physical activity, quality of life, anxiety and depression in patients with Long COVID-19 (LC). The impact of PR on LC and a comparison of face-to-face and telerehabilitation approaches was explored.Methods: This systematic review and meta-analysis followed PRISMA guidelines and was registered in PROSPERO. A literature search included PubMed, Web of Science, and Cochrane Library until January 2023. No language filters were applied. Randomized controlled trials, non-randomized controlled trials, and observational studies were included. The risk of bias was assessed using appropriate tools. Descriptive analysis and meta-analysis were performed. Forest plots presented results. Statistical analyses were conducted using the Metafor Package in R v.3.4.2.Results/findings: This systematic review and meta-analysis included 16 studies on PR in LC patients. A total of 1027 adults were included. The studies varied in design, with seven observational studies, three quasi-experimental studies, and six randomized controlled trials. Dyspnea, physical function, quality of life, psychological state, and fatigue were assessed as outcomes. The review found that pulmonary rehabilitation had a significant positive effect on dyspnea, physical function, quality of life (both global and physical domain), anxiety, and depression. However, the effect on fatigue was not significant. Heterogeneity was observed in some analyses, and publication bias was found in certain outcomes. Age and study design were identified as potential moderators. Both face-to-face and telerehabilitation interventions improved the studied outcomes, with only differences in the physical domain of quality of life favoring the face-to-face group.Implications on physiotherapy practice: PR improved dyspnea, physical function, quality of life, and psychological state in LC patients, but not fatigue. Face-to-face and telerehabilitation have similar effects, except for physical quality of life.

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Información de financiación

Award for Best Research Project in post-COVID-19 sequelae awarded by the Ilustre Colegio Profesional de Fisioterapeutas de la Comunidad de Madrid (Spain), December 2021.

Financiadores

  • Ilustre Colegio Profesional de Fisioterapeutas de la Comunidad de Madrid

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