Management of Long COVID—The CoviMouv' Pilot Study: Importance of Adapted Physical Activity for Prolonged Symptoms Following SARS-CoV2 Infection

Frontiers in Sports and Active Living

David Hupin¹  Elisabeth Botelho-Nevers²  Amandine Gagneux-Brunon²  Claire Colas³  Frédéric Roche⁵  Pierre Labeix⁶  Manon Bayle⁶  Flora Schein⁷  Emma Breugnon⁷  Céline Cazorla⁷  Arnauld Garcin⁹  Léonard Feasson^1,10 

[1] 0Department of Medicine, Solna, Karolinska Institute, Stockholm, Sweden;CIRI, Team GIMAP, Univ Lyon, Université Jean Monnet, INSERM, U1111, CNRS, UMR530, Saint-Étienne, France;Chaire ActiFS, Presage Institute, Jean Monnet University, Lyon University, Saint-Étienne, France;Chaire PreVacCI, Presage Institute, Lyon University, Jean Monnet University, Saint-Étienne, France;Chaire Santé des Ainés, Presage Institute, Jean Monnet University, Lyon University, Saint-Étienne, France;Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France;Department of Infectious Diseases, University Hospital Center, Saint-Étienne, France;INSERM, U1059, SAINBIOSE, DVH, Lyon University, Jean Monnet University, Saint-Étienne, France;Innovation and Pharmacology Clinical Research Unit, University Hospital of Saint-Etienne, Saint-Étienne, France;Interuniversity Laboratory of Human Movement Biology, EA 7424, Lyon University, Jean Monnet University, Saint-Étienne, France;

关键词: COVID-19;    long COVID;    ongoing symptomatic COVID-19;    fatigue;    exercise;    education;   

DOI  :  10.3389/fspor.2022.877188

来源: DOAJ

【 摘 要 】

ContextAfter a COVID-19 infection, some patients have persistent symptoms, the most common is fatigue. To prevent it from becoming chronic (post-COVID-19 syndrome), early management before 3 months could be useful. Exercise and education are recommended.ObjectiveTo assess fatigue in patients with prolonged symptoms after COVID-19 infection and who received a mixed program of remote adapted physical activity and therapeutic education. The secondary objective was to evaluate the efficacy and safety of this training method thanks to aerobic and anaerobic parameters.Methods“CoviMouv': From Coaching in Visual to Mouv in real” is a nonrandomized controlled pilot study. Patients in telerehabilitation followed 12 remote exercise sessions and 3 therapeutic education workshops. Patients on traditional rehabilitation followed their program with a community-based physiotherapist.ResultsFatigue was reduced after the one-month intervention in both groups (p = 0.010). The majority of aerobic parameters were significantly improved, e.g., maximal oxygen uptake (p = 0.005), walking distance (p = 0.019) or hyperventilation values (p = 0.035). The anaerobic parameter was not improved (p = 0.400). No adverse event was declared.DiscussionTelerehabilitation is a good alternative when a face-to-face program is not possible. This care at an early stage of the disease could help prevent the chronicity of post-COVID-19 symptoms and the installation of vicious circles of physical deconditioning. A larger study would be necessary.

【 授权许可】

Unknown