Physical exercise and respiratory therapy on physical fitness, quality of life and executive functions in a survivor of SARS-CoV-2-induced pneumonia
DOI:
https://doi.org/10.47197/retos.v47.93069Keywords:
pneumonia, physical exercise, respiratory therapy, SARS-CoV-2, physical condition, executive functions.Abstract
This study aimed to determine the effects of a moderate aerobic exercise program combined with respiratory therapy on physical condition, health-related quality of life, executive functions, and lung function in a SARS-induced bilateral atypical pneumonia survivor. CoV-2, after discharge from hospital. The subject studied is a 35-year-old man, single, sedentary, and with elementary studies, who was admitted to the emergency room for 14 days for a bilateral atypical pneumonia caused by SARS-CoV-2. The 8-week intervention program consisted of the application of different respiratory exercises plus others aimed at improving cardiorespiratory endurance and muscular strength. The results show an improvement in physical condition, executive functions, and lung function. However, no obvious changes were observed in certain dimensions related to the quality of life expressed by the subject. Therefore, it can be concluded that this mixed intervention program, based on physical exercise and respiratory therapy, generates positive effects on the physical condition, respiratory function and cognitive capacity of the patient participating in this research.
Key words: pneumonia, physical exercise, respiratory therapy, SARS-CoV-2, physical condition, executive functions.
References
Agencia Española de medicamentos y productos sanitarios. (2020). Tratamientos disponibles para el manejo de la infección respiratoria por SARS-CoV-2. https://www.aemps.gob.es/la-aemps/ultima-informacion-de-la-aemps-acerca-del-covid‑19/tratamientos-disponibles-para-el-manejo-de-la-infeccion-respiratoria-por-sars-cov-2/?lang=en
Alawna, m., amro, m., & mohamed, a. a. (2021). Aerobic exercises recommendations and specifications for patients with COVID-19: A systematic review. European Review for Medical and Pharmacological Sciences, 25(24), 13049–13055. https://doi.org/10.26355/eurrev_202012_24211
Artero, A., Madrazo, M., Fernández-Garcés, M. et al. Puntuaciones de gravedad en la neumonía COVID-19: un estudio de cohorte, retrospectivo y multicéntrico. J GEN INTERN MED 36, 1338-1345 (2021). https://doi.org/10.1007/s11606-021-06626-7
Borghi-Silva, A., Arena, R., Castello, V., Simões, R. P., Martins, L. E. B., Catai, A. M., & Costa, D. (2009). Aerobic exercise training improves autonomic nervous control in patients with COPD. Respiratory Medicine, 103(10), 1503–1510. https://doi.org/10.1016/j.rmed.2009.04.015.
Borde, R., Hortobágyi, T., & Granacher, U. (2015). Dose–Response Relationships of Resistance Training in Healthy Old Adults: A Systematic Review and Meta-Analysis. Sports Medicine, 45(12), 1693–1720. https://doi.org/10.1007/s40279-015-0385-9
Carrasco Martínez, A. J., Marín Pagán, C., & Alcaraz Ramón, P. E. (2019). Efectos de la frecuencia de entrenamiento en circuito de alta intensidad sobre la fuerza isocinética y la composición corporal en sujetos no entrenados. Revista de Ciencias de La Actividad Física y Del Deporte de La Universidad Católica de San Antonio, 14(41), 125–138. https://dialnet.unirioja.es/descarga/articulo/7035800.pdf%0Ahttps://dialnet.unirioja.es/servlet/extart?codigo=7035800
Colegio Americano de Medicina Deportiva. Posición de pie: la cantidad y calidad recomendadas de ejercicio para desarrollar y mantener la aptitud cardiorrespiratoria y muscular, y la flexibilidad en adultos sanos. Ejercicio deportivo Med Sci. 1998; 30 (6): 975-91
Di Ruggiero, M. (2011, 1 enero). Declaración de Helsinki, principios y valores bioéticos en juego en la investigación médica con seres humanos. Revista Colombiana de Bioética. https://revistas.unbosque.edu.co/index.php/RCB/article/view/821
Magaz-González, A. M., Mendaña-Cuervo, C., Sahelices-Pinto, C., & García-Tascón, M. (2022). Calidad del descanso durante el confinamiento por la COVID-19 en España. Su relación con la práctica de actividad física (The quality of rest and its relationship with physical activity practice during the COVID-19 lockdown in Spain). Retos, 44, 155–166. https://doi.org/10.47197/retos.v44i0.90716
Ministerio de sanidad igualdad y asuntos sociales. (2021). Información Científica-Técnica Coronavirus. Centro de Coordinación de Alertas y Emergencias Sanitarias., 1, 73. OMS. (2020). Manejo clínico de la COVID-19. Organización Mundial de La Salud, 5, 1–68. https://apps.who.int/iris/bitstream/handle/10665/332638/WHO-2019-nCoV-clinical-2020.5-spa.pdf?sequence=1&isAllowed=y
OMS (2020) Directrices de la OMS sobre Actividad Física y Hábitos sedentarios. Disponible en https://www.who.int/es/publications/i/item/9789240014886
Rodríguez, M. Á., Crespo, I., & Olmedillas, H. (2020). Exercising in times of COVID-19: what do experts recommend doing within four walls? Revista Española de Cardiología, 73(7), 527–529. https://doi.org/10.1016/j.recesp.2020.04.002
Mccormack, P., Burnham, P., & Southern, K. W. (2017). Autogenic drainage for airway clearance in cystic fibrosis. Cochrane Database of Systematic Reviews, 2017(10). https://doi.org/10.1002/14651858.CD009595.pub2
Mohamed, A. A., & Alawna, M. (2020). Role of increasing the aerobic capacity on improving the function of immune and respiratory systems in patients with coronavirus (COVID-19): A review. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 14(4), 489–496. https://doi.org/10.1016/j.dsx.2020.04.038
McIlwaine, M., Bradley, J., Elborn, J. S., & Moran, F. (2017). Personalising airway clearance in chronic lung disease. European Respiratory Review, 26(143). https://doi.org/10.1183/16000617.0086-2016
Nabkasorn, C., Miyai, N., Sootmongkol, A., Junprasert, S., Yamamoto, H., Arita, M., & Miyashita, K. (2006). Effects of physical exercise on depression, neuroendocrine stress hormones and physiological fitness in adolescent females with depressive symptoms. European Journal of Public Health, 16(2), 179–184. https://doi.org/10.1093/eurpub/cki159
Simioni, C., Zauli, G., Martelli, A. M., Vitale, M., Gonelli, A., & Neri, L. M. (2018). Oncotarget-09-17181.Pdf. Oxidative Stress: Role of Physical Exercise and Antioxidant Nutraceuticals in Adulthood and Aging, 9(24), 17181–17198.
Vega Padilla, J. D., & Barón Muñoz, E. A. (2017). Exacerbación de la enfermedad pulmonar obstructiva crónica. Medicina General y de Familia, 6(4), 167–171. https://doi.org/10.24038/mgyf.2017.032
Park, Wan Beom, Kang Il Jun, Gayeon Kim, Jae Phil Choi, Ji Young Rhee, Shinhyea Cheon, Chang Hyun Lee, Jun Sun Park, Yeonjae Kim, Joon Sung Joh, Bum Sik Chin, Pyeong Gyun Choe, Ji Hwan Bang, Sang Won Park, Nam Joong Kim, Dong Gyun Lim, Yeon Sook Kim, Myoung don Oh, and Hyoung Shik Shin. 2018. “Correlation between Pneumonia Severity and Pulmonary Complications in Middle East Respiratory Syndrome.” Journal of Korean Medical Science 33(24):1–5. doi: 10.3346/jkms.2018.33.e169.
Garber, C. E., Blissmer, B., Deschenes, M. R., Franklin, B. A., Lamonte, M. J., Lee, I. M., Nieman, D. C., & Swain, D. P. (2011). Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: Guidance for prescribing exercise. Medicine and Science in Sports and Exercise, 43(7), 1334–1359. https://doi.org/10.1249/MSS.0b013e318213fefb
Gagnon, D. D., Dorman, S., Ritchie, S., Mutt, S. J., Stenbäck, V., Walkowiak, J., & Herzig, K. H. (2019). Multi-Day Prolonged Low- to Moderate-Intensity Endurance Exercise Mimics 10(September), 1–12. https://doi.org/10.3389/fphys.2019.01123.
Gonçalves, C. A. M., Dantas, P. M. S., dos Santos, I. K., Dantas, M., da Silva, D. C. P., Cabral, B. G. de A. T., Guerra, R. O., & Júnior, G. B. C. (2020). Effect of Acute and Chronic Aerobic Exercise on Immunological Markers: A Systematic Review. Frontiers in Physiology, 10(January), 1–11. https://doi.org/10.3389/fphys.2019.01602
Ghodge, S., Tilaye, P., Deshpande, S., Nerkar, S., Kothary, K., Manwadkar, S., Fisioterapia, F. De, & Somaiya, K. J. (2020). Efecto de la telerehabilitación pulmonar en Capacidad funcional en sobrevivientes de COVID ; Una inicial Evidencia. 10, 123–129.
Huang., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Research, 288(April), 112954. https://doi.org/10.1016/j.psychres.2020.112954
Nelson, Miriam E., W. Jack Rejeski, Steven N. Blair, Pamela W. Duncan, James O. Judge, Abby C. King, Carol A. Macera, and Carmen Castaneda-Sceppa. 2007. “Physical Activity and Public Health in Older Adults: Recommendation from the American College of Sports Medicine and the American Heart Association.” Circulation 116(9):1094–1105. doi: 10.1161/CIRCULATIONAHA.107.185650.
Strassmann, A., Steurer-Stey, C., Lana, K. D., Zoller, M., Turk, A. J., Suter, P., & Puhan, M. A. (2013). Population-based reference values for the 1-min sit-to-stand test. International Journal of Public Health, 58(6), 949–953. https://doi.org/10.1007/s00038-013-0504-z
Paneroni, M., Simonelli, C., Saleri, M., Bertacchini, L., Venturelli, M., Troosters, T., Ambrosino, N., & Vitacca, M. (2021). Muscle Strength and Physical Performance in Patients without Previous Disabilities Recovering from COVID-19 Pneumonia. American Journal of Physical Medicine and Rehabilitation, 100(2), 105–109. https://doi.org/10.1097/PHM.0000000000001641
Simioni, Carolina, Giorgio Zauli, Alberto M. Martelli, Marco Vitale, Arianna Gonelli, and Luca M. Neri. 2018. “Oncotarget-09-17181.Pdf.” Oxidative Stress: Role of Physical Exercise and Antioxidant Nutraceuticals in Adulthood and Aging 9(24):17181–98.
Gálvez Fernández, I., Gavala González, J. & Fernández García, J. (2019, 13 diciembre). Modificación de la composición corporal y del gasto energético en mujeres jóvenes tras un programa de entrenamiento aeróbico (Modification of body composition and energy expenditure in young women after an aerobic training program). RETOS, Nuevas tendencias en Educación Física, Deportes y Recreación, 38, 114-117. https://doi.org/10.47197/retos.v38i38.74659
Ghodge, S., Tilaye, P., Deshpande, S., Nerkar, S., Kothary, K., Manwadkar, S., Fisioterapia, F. De, & Somaiya, K. J. (2020). Efecto de la telerehabilitación pulmonar en Capacidad funcional en sobrevivientes de COVID ; Una inicial Evidencia. 10, 123–129.
Baumann, F. T., Zimmer, P., Finkenberg, K., Hallek, M., Bloch, W., & Elter, T. (2012). Influence of endurance exercise on the risk of pneumonia and fever in leukemia and lymphoma patients undergoing high dose chemotherapy . A pilot study. December, 638–642.
Borde, Ron, Tibor Hortobágyi, and Urs Granacher. 2015. “Dose–Response Relationships of Resistance Training in Healthy Old Adults: A Systematic Review and Meta-Analysis.” Sports Medicine 45(12):1693–1720. doi: 10.1007/s40279-015-0385-9.
Liu, K., Chen, Y., Wu, D., Lin, R., Wang, Z., & Pan, L. (2020). Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19. Complementary Therapies in Clinical Practice, 39, 101132. https://doi.org/10.1016/j.ctcp.2020.101132
Huang., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Research, 288(April), 112954. https://doi.org/10.1016/j.psychres.2020.112954
Wang, T. J., Chau, B., Lui, M., Lam, G. T., Lin, N., & Humbert, S. (2020). Physical medicine and rehabilitation and pulmonary rehabilitation for COVID-19. American Journal of Physical Medicine and Rehabilitation, 99(9), 769–774. https://doi.org/10.1097/PHM.0000000000001505
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