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The Effects of a Pulmonary Rehabilitation Programme on Functional Capacity and Strength of Respiratory Muscles in Patients with Post-COVID Syndrome Cover

The Effects of a Pulmonary Rehabilitation Programme on Functional Capacity and Strength of Respiratory Muscles in Patients with Post-COVID Syndrome

Open Access
|Jun 2024

Figures & Tables

Figure 1.

The distribution of patients depends on the time of initiation of PR after COVID-19 (N=80, 43 females, 37 males).
The distribution of patients depends on the time of initiation of PR after COVID-19 (N=80, 43 females, 37 males).

Differences in outcomes of the PR programme according to the time elapsed between disease onset and the beginning of rehabilitation (N=80, 43 females, 37 males)_

Variable2 to 3 months (n=16) M±SD3 to 4 months (n=7) M±SDMore than 4 months (n=57) M±SDP*Cohen’s d
PImax21.44±24.0717.86±14.3817.28±15.050.0323.36
PImax (%)19.88±22.7816.43±13.2915.00±14.510.0213.29
PEmax7.56±21.622.86±25.249.46±18.010.1803.30
PEmax(%)8.38±20.330.57±23.3210.18±24.000.7853.86
FVC0.31±0.340.02±0.270.11±0.280.3633.33
FVC(%)5.47±6.691.29±8.752.40±7.450.2695.92
FEV10.15±0.210.02±0.180.08±0.190.1243.29
FEV1(%)3.87±4.821.00±6.712.38±6.140.8124.96
FEV1/FVC1.48±4.892.35±5.040.23±3.100.3276.16
DLCO2.99±3.593.61±5.040.29±2.910.2753.20
DLCO(%)8.33±10.3614.86±15.121.14±11.120.7094.41
6MWT(m)525.87±105.47468.43±146.46501.21±99.610.4834.78
6MWT(%)88.07±11.0691.17±17.5287.16±12.680.7986.33
SpO2 (before 6MWT)97.60±0.9997.43±1.4096.96±1.810.37459.08
SpO2 (after 6MWT)94.40±3.3893.71±3.1594.78±4.680.81322.07
Dyspnea1.97±1.642.93±1.432.78±2.070.3321.35
Heart rate84.19±16.1481.71±10.4580.57±11.870.0476.43

Characteristics of patients (N=80, 43 females, 37 males)_

VariableAll patientsFemales (n=43)Males (n=37)
Mean age (years)50.96±10.2250.46±10.5351.54±9.97
Age (interval)25–6825–6828–68
Age (mode)494952
Age (median)51.55152
BMI>30kg/m2*37 (46.3%)17 (39.5%)20 (54.1%)
Comorbidity56 (70%)32 (74.4%)24 (64.9%)

Pathological values of pulmonary parameters and respiratory muscle strength before and after the PR programme (N=80, 43 females, 37 males)

VariableBaseline n(%)After PR n(%)P*Cohen’s d
PImax<80%57 (71.3)41 (51.3)<0.0010.89
PEmax<80%28 (35)13 (16.3)<0.0010.15
FVC<80%14 (17.5)8 (10)0.2510.06
FEV1<80%19 (23.8)14 (17.5)0.3380.59
FEV1/FVC<70%16 (20)18 (22.5)0.6990.41
DLCO<80%15 (18.8)13 (16.3)0.6770.26
6MWT<80 %44 (55)17 (21.3)0.0070.65

The effects of the PR programme on muscle strength (N=80, 43 females, 37 males)_

VariableBaseline M±SDAfter PR M±SDMean difference (95%CI)P*Cohen’s d
PImax69.90±26.4988.06±26.2318.16 (−21.94–(−14.38))<0.0011.07
PImax(%)64.74±25.0180.84±24.5716.10 (−19.72–(−12.48))<0.0010.99
PEmax92.16±30.03100.66±30.498.50 (−12.78–(−4.22))<0.0010.44
PEmax(%)90.80±27.2699.78±25.828.98 (−14.13–(−3.82))0.0010.39
FVC4.14±1.284.33±1.29−0.14 (−0.21–(−0.07))<0.0010.48
FVC(%)98.16±18.28100.49±16.97−2.92 (−4.64–(−1.19))0.0010.39
FEV13.04±0.933.15±0.96−0.08 (−0.13–(−0.04))0.0010.42
FEV1(%)90.61±18.9792.16±18.58−2.36 (−3.76–(−0.97))0.0010.39
FEV1/FVC74.28±11.6273.47±11.930.68 (−0.18–1.54)0.1220.18
DLCO24.34±7.5824.96±7.81−1.17 (−2.02–(−0.33))0.0070.35
DLCO(%)95.23±21.5795.88±21.72−4.03 (−7.11–(−0.95))0.0110.33
6MWT(m)442.76±96.22503.11±105.15−66.92 (−84.01–(−49.82))<0.0010.91
6MWT(%)77.72±16.0687.68±13.86−9.66 (−11.78–(−7.55))<0.0011.08
SpO2 (before 6MWT)96.59±2.1097.14±1.64−0.64 (−1.09–(−0.19))0.0060.33
SpO2 (after 6MWT)94.15±4.8994.60±4.29−0.56 (−1.09–(−0.04))0.0360.25
Dyspnea (Borg)3.53±2.322.63±1.940.95 (0.44–1.45)<0.0010.44
Heart rate81.43±12.67113.65±18.27−32.22 (−36.39)–(31.99))<0.0011.75
DOI: https://doi.org/10.2478/sjph-2024-0017 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 123 - 131
Submitted on: Sep 28, 2023
Accepted on: Apr 23, 2024
Published on: Jun 14, 2024
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year

© 2024 Lana Vranić, Zrinka Biloglav, Petar Medaković, Jasminka Talapko, Ivana Škrlec, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.