Post-COVID: effects of physical exercise on functional status and work ability in health care personnel

Hasenoehrl, Timothy; Palma, Stefano; Huber, Dominikus; Kastl, Stefan P.; Steiner, Manuel; Jordakieva, Galateja; Crevenna, Richard

doi:10.1080/09638288.2022.2111467

Cited by 16 publications

(41 citation statements)

References 44 publications

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“…Liao et al [ 32 ] showed that the physical functions and 6MWD of healthcare workers were significantly worse compared to a healthy population. Hasenoehrl et al [ 33 ] demonstrated significant improvements in the 6MWD of healthcare workers with mild to severe long-COVID (57.6–68.9 m) after an eight-week exercise intervention program. Our result is comparable with the reported improvement of 77.50 m among healthcare workers after rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…Liao et al [ 32 ] investigated the long-term effects of COVID-19 on healthcare workers one year after hospital discharge and showed that the physical functions and six-minute walking distance (6MWD) of healthcare workers were significantly worse compared to a healthy population. Hasenoehrl et al [ 33 ] demonstrated significant improvements in physical performance (6MWD, 30 sec STST) in healthcare workers with post-COVID after an eight-week exercise intervention program. Increases in 30 s STST were directly associated with improvements in work ability.…”

Section: Introductionmentioning

confidence: 99%

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Impact of Rehabilitation on Physical and Neuropsychological Health of Patients Who Acquired COVID-19 in the Workplace

Müller

Poppele

Ottiger

et al. 2023

IJERPH

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Workers, especially healthcare workers, are exposed to an increased risk for SARS-CoV-2 infection. However, less is known about the impact of rehabilitation on health outcomes associated with post-COVID. This longitudinal observational study examined the changes in physical and neuropsychological health and work ability after inpatient rehabilitation of 127 patients (97 females/30 males; age 21–69 years; Mean = 50.62) who acquired COVID-19 in the workplace. Post-COVID symptoms, functional status, physical performance, neuropsychological health, employment, and work ability were assessed before and after rehabilitation. Group differences relating to sex, professions, and acute COVID status were also analyzed. Except for fatigue, the prevalence of all post-COVID symptoms decreased after rehabilitation. Significant improvements in physical performance and neuropsychological health outcomes were determined. Moreover, healthcare workers showed a significantly greater reduction in depressive symptoms compared to non-healthcare workers. Nevertheless, participants reported poor work ability, and 72.5% of them were still unable to work after discharge from rehabilitation. As most participants were still suffering from the impact of COVID-19 at rehabilitation discharge, ongoing strategies in aftercare are necessary to improve their work ability. Further investigations of this study population at 6 and 12 months after rehabilitation should examine the further course of post-COVID regarding health and work ability status.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of Rehabilitation on Physical and Neuropsychological Health of Patients Who Acquired COVID-19 in the Workplace

Müller

Poppele

Ottiger

et al. 2023

IJERPH

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“…Concepts for inpatient rehabilitation have already been proposed to treat somatic and psychological disorders28; and there are already first hints that rehabilitation measures could be successful to improve fatigue, dyspnoea and cognition 29–31. Physical fitness, psychological outcomes and capacity to work might also be improved 32. Olfactory training is recommended for loss of smell and taste,2 although studies on this are still inconclusive 33.…”

Section: Discussionmentioning

confidence: 99%

“…[29][30][31] Physical fitness, psychological outcomes and capacity to work might also be improved. 32 Olfactory training is recommended for loss of smell and taste, 2 although studies on this are still inconclusive. 33 Therefore, the effectiveness of all these approaches would still need to be investigated in further, larger studies, ideally together with implementation studies in outpatient care.…”

Section: Open Accessmentioning

confidence: 99%

Incidence of post-COVID syndrome and associated symptoms in outpatient care in Bavaria, Germany: a retrospective cohort study using routinely collected claims data

Donnachie

Hapfelmeier

Linde³

et al. 2022

BMJ Open

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ObjectivesTo estimate the treatment incidence of post-COVID syndrome (postinfectious sequelae present at least 12 weeks following infection) in the context of ambulatory care in Bavaria, Germany, and to establish whether related diagnoses occur more frequently than in patients with no known history of COVID-19.DesignRetrospective cohort analysis of routinely collected claims data.SettingAmbulatory care in Bavaria, Germany, observed from January 2020 to March 2022 (data accessed May 2022).Participants391 990 patients with confirmed COVID-19 diagnosis, 62 659 patients with other respiratory infection and a control group of 659 579 patients with no confirmed or suspected diagnosis of COVID-19.Primary and secondary outcome measuresPrimary outcome is diagnosis of post-COVID syndrome documented in ambulatory care. Secondary outcomes are: chronic fatigue syndrome, psychological disorder, fatigue, mild cognitive impairment, disturbances of taste and smell, dyspnoea, pulmonary embolism and myalgia.ResultsAmong all patients with confirmed COVID-19, 14.2% (95% CI 14.0% to 14.5%) received a diagnosis of a post-COVID syndrome, and 6.7% (95% CI 6.5% to 6.9%) received the diagnosis in at least two quarterly periods during a 2-year follow-up. Compared with patients with other respiratory infections and with controls, patients with COVID-19 more frequently received a variety of diagnoses including chronic fatigue syndrome (1.6% vs 0.6% and 0.3%, respectively), fatigue (13.3% vs 9.2% and 6.0%), dyspnoea (9.9% vs 5.1% and 3.2%) and disturbances of taste and smell (3.2% vs 1.2% and 0.5%). The treatment incidence of post-COVID syndrome was highest among adults aged 40–59 (19.0%) and lowest among children aged below 12 years (2.6%).ConclusionsOur results demonstrate a moderately high incidence of post-COVID syndrome 2 years after COVID-19 diagnosis. There is an urgent need to find efficient and effective solutions to help patients with dyspnoea, fatigue, cognitive impairment and loss of smell. Guidelines and treatment algorithms, including referral criteria, and occupational and physical therapy, require prompt and coherent implementation.

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“…The current extended state of COVID-19 could affect many features of people's lives, older adults are a particularly vulnerable population, as they may be more susceptible to the effects of the virus, as well as its effects on physical performance.1 It has become increasingly clear that infected patients have symptoms not only in the acute phase, approximately 10%-20% of people experience a variety of mid-and long-term effects after they recover from their initial infection. 2 The elderly are more likely to develop chronic diseases which can limit their functioning and lead to disability. This disability can cause early inability to work and loss of independence, as well as decreased psychophysical capabilities which can lead to reduced social participation.…”

Section: Introductionmentioning

confidence: 99%

Effect of Tai Chi versus Aerobic Training on Improving Hand Grip Strength, Fatigue, and Functional Performance in Older Adults Post-COVID-19: a randomized controlled trial

2023

JPTCP

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Background: The recent pandemic of COVID-19 has left a wide range of after-effects on the health of older adults. The effects of the pandemic have been particularly felt in the areas of physical strength, fatigue, and functional performance. Material and methods: Fifty-four participants were allocated into three groups: Tai Chi (TC) attended 4 sessions of 60-min TC training per week for consecutive 12 weeks, Aerobic Training (AT) attended 4 sessions of 60-min aerobic training per week for 12 weeks, and Control (CON) instructed to maintain a daily routine. Hand grip strength (HGS) and Fatigue Severity Scale (FSS) were used to evaluate the participants. Functional performance outcomes were determined The functional performance outcome was determined by The 30-second Chair Stand Test (CST), The 30-second Arm Curl Test (ACT), The 8-feet Up-and-Go test (TUG), and The 2 min steps. Pre-post comparisons of all outcomes in each group and comparisons between groups were analyzed using the ANOVA test with SPSS software.

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Post-COVID: effects of physical exercise on functional status and work ability in health care personnel

Cited by 16 publications

References 44 publications

Impact of Rehabilitation on Physical and Neuropsychological Health of Patients Who Acquired COVID-19 in the Workplace

Impact of Rehabilitation on Physical and Neuropsychological Health of Patients Who Acquired COVID-19 in the Workplace

Incidence of post-COVID syndrome and associated symptoms in outpatient care in Bavaria, Germany: a retrospective cohort study using routinely collected claims data

Effect of Tai Chi versus Aerobic Training on Improving Hand Grip Strength, Fatigue, and Functional Performance in Older Adults Post-COVID-19: a randomized controlled trial

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