Exercise training for adults hospitalized with an acute respiratory condition: a systematic scoping review

Abstract

Objective: In adults hospitalized with an acute or chronic respiratory condition, to determine what has been reported regarding exercise programmes in terms of content, tolerability, evaluation and adverse events. Data sources: A systematic search was conducted of electronic databases (PubMed, EMBASE, CINAHL, PEDro, The Cochrane Library), trial registries and conference abstracts (Thoracic Society of Australia and New Zealand Annual Scientific Meeting, the European Respiratory Society Congress, the American Thoracic Society International Conference). Review methods: Studies were included if they (1) recruited adults hospitalized with an acute or chronic respiratory condition, (2) described an exercise programme that targeted peripheral muscles and (3) reported that ⩾80% of the sample had initiated training within 72 hours of hospitalization. Results: The last search was conducted on 2 June 2019. Of the 6282 records identified, 20 met the study criteria. These described 18 separate studies (2018 participants). Studies were conducted in adults hospitalized with an exacerbation of chronic obstructive pulmonary disease or with community-acquired pneumonia. The content of exercise programmes included aerobic and/or resistance training, neuromuscular electrical stimulation, whole-body vibration or movement out of bed. In eight studies (44%), the initial session was prescribed using objective measures of exercise capacity, peripheral muscle force and the ability to undertake activities of daily living. Across 7420 training sessions, seven adverse events were reported. Conclusion: Methods used to prescribe and titrate exercise programmes in adults hospitalized with an acute or an exacerbation of a chronic respiratory condition were disparate. When reported, programmes were well tolerated and adverse events were infrequent.

Evaluación de un programa de rehabilitación física de corta duración, posterior a infección por COVID-19

“…[10][11][12] El ejercicio cuidadosamente prescrito es una parte esencial de la rehabilitación. 13,14 Este estudio propone un programa de 12 sesiones de rehabilitación, tres veces por semana, en un grupo heterogéneo de pacientes que presentaron infección por COVID-19 en grados variables, y expone los resultados con base en la medida de la percepción de la fatiga, calidad de sueño y mejora en la calidad de vida, como parámetros para registrar la respuesta al tratamiento en los pacientes estudiados.…”

“…Se cuentan y registran el número de repeticiones logradas por el paciente, ésta es una prueba funcional que ha sido utilizada, junto con la prueba de caminata de seis minutos, para evaluar la capacidad física en pacientes cardiópatas y neumópatas. 11 Durante la realización del programa implementado, los pacientes estuvieron monitoreados con la escala de esfuerzo de Borg, 13 la cual estuvo siempre visible para los participantes.…”

“…2022; 34 (1-4): 14-19 www.medigraphic.com/medicinafisica www.medigraphic.org.mx ticos en las personas que presentaron COVID-19. [12][13][14]18 Esto está provocando un cambio en los servicios de rehabilitación que nos motiva a mejorar la forma de trabajo, para hacer eficientes los espacios y la disponibilidad de horarios para el tratamiento, así como para plantearnos el uso de aplicaciones de telemedicina. Es recomendable un seguimiento a largo plazo de los pacientes que reciben terapia de rehabilitación posterior a infección por COVID-19, además de ampliar el estudio e incluir un grupo control.…”

The impact of physical training on length of hospital stay and physical function in patients hospitalized with community-acquired pneumonia: protocol for a randomized controlled trial

“…The safety of initiating exercise in patients early during hospitalization is an area of interest. In a newly published systematic review of patients hospitalized with acute respiratory conditions, a total of 17 adverse events were reported across 1146 participants who completed a total of ~ 7420 exercise sessions [ 33 ]. Only 1 serious adverse event occurred and resolved spontaneously in the group performing low-intensity exercise [ 34 ].…”

“…Only 1 serious adverse event occurred and resolved spontaneously in the group performing low-intensity exercise [ 34 ]. Therefore, there is no clear relationship between the prescription of exercise intensity and adverse events [ 33 ]. However, to ensure that our exercise interventions are delivered safely, oxygen saturation and heart rate are continuously monitored during exercise by pulse oximetry (PalmSAT 2500 Series Pulse Oximeter, NONIN Medical Inc., Minneapolis, USA).…”