Rol del ejercicio en el síndrome post COVID
Role of exercise in post-COVID Syndrome Una revisión tipo Scoping
Contenido principal del artículo
Alrededor del 20% de todos los pacientes con COVID-19 desarrollan el síndrome post-COVID-19 (SPC), el cual se define como la persistencia de síntomas o complicaciones prolongadas más allá de cuatro semanas posterior al inicio de los síntomas de la infección y los cuales no pueden ser explicados por un diagnóstico alternativo. Objetivo: determinar el papel del ejercicio en los resultados funcionales de los pacientes con SPC. Metodología: https://osf.io/vg4mp/. Se incluyeron un total de 13 artículos dentro de los cuales se encontraron estudios cuantitativos de tipo experimental, cuasi experimental, ensayos clínicos y cohortes publicados entre 2019 y enero de 2023 en los idiomas de inglés y español consultados en las bases de datos PUBMED, Medline, Sportdiscus, CINHAL, Scopus, Web of Science, Biblioteca Virtual de salud BVS y PsyInfo. Posterior a eliminar los duplicados, los artículos fueron analizados por su título y resumen y finalmente se analizó el texto completo por parte de dos investigadores para su inclusión. Resultados: Todos los artículos incluían un programa de ejercicio de entre 3 y 12 semanas de duración y de 30 a 90 minutos en cada sesión. Las modalidades de entrenamiento fueron: ejercicios de los músculos respiratorios, entrenamiento de fuerza+resistencia, fuerza+resistencia+entrenamiento de los músculos respiratorio, fuerza+resistencia+intervención psicológica, telerehabilitación con entrenamiento de resistencia, entrenamiento de intensidad interválico moderado y entrenamiento funcional. En términos generales todos los modos de entrenamiento usados en los diferentes protocolos presentaron beneficios para los pacientes relacionados con la disminución de síntomas (disnea y fatiga muscular), mejoría en la funcionalidad, la fuerza muscular, capacidad aeróbica, calidad de vida y salud mental (menor depresión y ansiedad). Conclusión Los principales resultados fueron la reducción de la disnea y la fatiga, la mejora del VO2Max, la función pulmonar, la calidad de vida, la funcionalidad y la salud mental. El ejercicio en un contexto de rehabilitación es una intervención eficaz para tratar los síntomas relacionados con el SPC, por lo que los pacientes que experimentan síntomas relacionados con la salud física o mental deben ser incluidos en alguna estrategia de rehabilitación relacionada con el ejercicio.
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Detalles del artículo
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