Research Article
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Year 2024, Volume: 15 Issue: 1, 39 - 45, 31.01.2024
https://doi.org/10.31067/acusaglik.1314895

Abstract

References

  • 1 Negrini F, De Sire A, Andrenelli E, et al. Rehabilitation and COVID-19: update of the rapid living systematic review by Cochrane Rehabilitation Field as of April 30th, 2021. Eur J Phys Rehabil Med. 2021. DOI:10.23736/S1973-9087.21.07125-2
  • 2 Held N and Moss M. Optimizing Post-Intensive Care Unit Rehabilitation. Turk Thorac J. 2019;20:147-52. DOI:10.5152/TurkThoracJ.2018.18172
  • 3 Ngai JC, Ko FW, Ng SS, et al. The long-term impact of severe acute respiratory syndrome on pulmonary function, exercise capacity and health status. Respirology. 2010;15:543-50. DOI:10.1111/j.1440-1843.2010.01720.x
  • 4 Liu K, Zhang W, Yang Y, et al. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complement Ther Clin Pract. 2020;39:101166. DOI:10.1016/j.ctcp.2020.101166
  • 5 Spielmanns M, Pekacka-Egli AM, Schoendorf S, et al. Effects of a Comprehensive Pulmonary Rehabilitation in Severe Post-COVID-19 Patients. Int J Environ Res Public Health. 2021;18. DOI:10.3390/ijerph18052695
  • 6 Curci C, Pisano F, Bonacci E, et al. Early rehabilitation in post-acute COVID-19 patients: data from an Italian COVID-19 Rehabilitation Unit and proposal of a treatment protocol. Eur J Phys Rehabil Med. 2020;56:633-41. DOI:10.23736/S1973-9087.20.06339-X
  • 7 Spruit MA, Holland AE, Singh SJ, et al. COVID-19: Interim Guidance on Rehabilitation in the Hospital and Post-Hospital Phase from a European Respiratory Society and American Thoracic Society-coordinated International Task Force. Eur Respir J. 2020. DOI:10.1183/13993003.02197-2020
  • 8 Chan KS, Pfoh ER, Denehy L, et al. Construct validity and minimal important difference of 6-minute walk distance in survivors of acute respiratory failure. Chest. 2015;147:1316-26. DOI:10.1378/chest.14-1808
  • 9 Troosters T, Gosselink R and Decramer M. Six minute walking distance in healthy elderly subjects. Eur Respir J. 1999;14:270-4. DOI:10.1034/j.1399-3003.1999.14b06.x
  • 10 Yoo JI, Choi H and Ha YC. Mean Hand Grip Strength and Cut-off Value for Sarcopenia in Korean Adults Using KNHANES VI. J Korean Med Sci. 2017;32:868-72. DOI:10.3346/jkms.2017.32.5.868
  • 11 Turan Z, Ozyemisci Taskiran O, Erden Z, et al. Does hand grip strength decrease in chronic obstructive pulmonary disease exacerbation? A cross-sectional study. Turk J Med Sci. 2019;49:802-8. DOI:10.3906/sag-1811-22
  • 12 Turan Z, Topaloglu M and Ozyemisci Taskiran O. Medical Research Council-sumscore: a tool for evaluating muscle weakness in patients with post-intensive care syndrome. Crit Care. 2020;24:562. DOI:10.1186/s13054-020-03282-x
  • 13 Hermans G, Clerckx B, Vanhullebusch T, et al. Interobserver agreement of Medical Research Council sum-score and handgrip strength in the intensive care unit. Muscle Nerve. 2012;45:18-25. DOI:10.1002/mus.22219
  • 14 Dowdy DW, Eid MP, Dennison CR, et al. Quality of life after acute respiratory distress syndrome: a meta-analysis. Intensive Care Med. 2006;32:1115-24. DOI:10.1007/s00134-006-0217-3
  • 15 Beaudart C, Mccloskey E, Bruyere O, et al. Sarcopenia in daily practice: assessment and management. BMC Geriatr. 2016;16:170. DOI:10.1186/s12877-016-0349-4
  • 16 Jones SE, Kon SS, Canavan JL, et al. The five-repetition sit-to-stand test as a functional outcome measure in COPD. Thorax. 2013;68:1015-20. DOI:10.1136/thoraxjnl-2013-203576
  • 17 Bohannon RW. Reference values for the five-repetition sit-to-stand test: a descriptive meta-analysis of data from elders. Perceptual and motor skills. 2006;103:215–22. DOI:10.2466/pms.103.1.215-222
  • 18 Bernabeu-Mora R, Medina-Mirapeix F, Llamazares-Herran E, et al. The accuracy with which the 5 times sit-to-stand test, versus gait speed, can identify poor exercise tolerance in patients with COPD: A cross-sectional study. Medicine (Baltimore). 2016;95:e4740. DOI:10.1097/MD.0000000000004740
  • 19 Podsiadlo D and Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39:142-8. DOI:10.1111/j.1532-5415.1991.tb01616.x
  • 20 Bohannon RW. Reference values for the timed up and go test: a descriptive meta-analysis. J Geriatr Phys Ther. 2006;29:64-8. DOI:10.1519/00139143-200608000-00004
  • 21 Jenkins S, Cecins N, Camarri B, et al. Regression equations to predict 6-minute walk distance in middle-aged and elderly adults. Physiother Theory Pract. 2009;25:516-22. DOI:10.3109/09593980802664711
  • 22 Cote CG, Casanova C, Marin JM, et al. Validation and comparison of reference equations for the 6-min walk distance test. Eur Respir J. 2008;31:571-8. DOI:10.1183/09031936.00104507
  • 23 Parry SM, Nalamalapu SR, Nunna K, et al. Six-Minute Walk Distance After Critical Illness: A Systematic Review and Meta-Analysis. J Intensive Care Med. 2021;36:343-51. DOI:10.1177/0885066619885838
  • 24 Curci C, Pisano F, Bonacci E, et al. Early rehabilitation in post-acute COVID-19 patients: data from an Italian COVID-19 rehabilitation unit and proposal of a treatment protocol. A cross-sectional study. Eur J Phys Rehabil Med. 2020. DOI:10.23736/S1973-9087.20.06339-X
  • 25 Fuglebjerg NJU, Jensen TO, Hoyer N, et al. Silent hypoxia in patients with SARS CoV-2 infection before hospital discharge. Int J Infect Dis. 2020;99:100-1. DOI:10.1016/j.ijid.2020.07.014
  • 26 Hui DS, Wong KT, Ko FW, et al. The 1-year impact of severe acute respiratory syndrome on pulmonary function, exercise capacity, and quality of life in a cohort of survivors. Chest. 2005;128:2247-61. DOI:10.1378/chest.128.4.2247
  • 27 Bloem AEM, Veltkamp M, Spruit MA, et al. Validation of 4-meter-gait-speed test and 5-repetitions-sit-to-stand test in patients with pulmonary fibrosis: a clinimetric validation study. Sarcoidosis Vasc Diffuse Lung Dis. 2018;35:317-26. DOI:10.36141/svdld.v35i4.7035
  • 28 Bennell K, Dobson F and Hinman R. Measures of physical performance assessments: Self-Paced Walk Test (SPWT), Stair Climb Test (SCT), Six-Minute Walk Test (6MWT), Chair Stand Test (CST), Timed Up & Go (TUG), Sock Test, Lift and Carry Test (LCT), and Car Task. Arthritis Care Res (Hoboken). 2011;63 Suppl 11:S350-70. DOI:10.1002/acr.20538
  • 29 Chan KS, Zheng JP, Mok YW, et al. SARS: prognosis, outcome and sequelae. Respirology. 2003;8 Suppl:S36-40. DOI:10.1046/j.1440-1843.2003.00522.x
  • 30 Carfi A, Bernabei R, Landi F, et al. Persistent Symptoms in Patients After Acute COVID-19. JAMA. 2020;324:603-5. DOI:10.1001/jama.2020.12603

Functional Capacity in COVID-19 related Acute Respiratory Distress Syndrome Survivors

Year 2024, Volume: 15 Issue: 1, 39 - 45, 31.01.2024
https://doi.org/10.31067/acusaglik.1314895

Abstract

Background/Purpose:: The aim of this retrospective study is to determine the functional capacity, global muscle weakness and quality of life in COVID-19 survivors. Acute respiratory distress syndrome survivors frequently develop impaired physical function, quality of life, and muscle weakness.
Methods: Acute respiratory distress syndrome survivors related to COVID-19 underwent standardized physical clinical evaluation, Medical Research Council-sumscore, hand-grip strength, 6-minute walk test, 5 repetition-chair-stand test, timed up and go test and Short form-36 evaluation following 4-6 weeks after hospital discharge in Physical Medicine and Rehabilitation Outpatient Clinic.
Results: Fifteen patients (10 men, 5 women) with median age 69 years and length of intensive care unit stay 10 days were analyzed. There were impairments in 6-minute walk test, 5 repetition-chair-stand test, hand-grip strength and, Role-physical, Role-emotional and Social functioning domains of Short form-36. 6-minute walk distance was negatively correlated with timed up and go. SF-physical functioning was positively correlated with hand-grip strength, Medical Research Council-sumscore and 5 repetition-chair-stand. SF-general health was positively correlated with hand-grip strength.
Conclusion: There were varying degrees of functional impairment in survivors. Therefore, it could add advantage to assess these patients after nearly 4-6 weeks following discharge in order to ascertain rehabilitation needs and giving appropriate therapies.

References

  • 1 Negrini F, De Sire A, Andrenelli E, et al. Rehabilitation and COVID-19: update of the rapid living systematic review by Cochrane Rehabilitation Field as of April 30th, 2021. Eur J Phys Rehabil Med. 2021. DOI:10.23736/S1973-9087.21.07125-2
  • 2 Held N and Moss M. Optimizing Post-Intensive Care Unit Rehabilitation. Turk Thorac J. 2019;20:147-52. DOI:10.5152/TurkThoracJ.2018.18172
  • 3 Ngai JC, Ko FW, Ng SS, et al. The long-term impact of severe acute respiratory syndrome on pulmonary function, exercise capacity and health status. Respirology. 2010;15:543-50. DOI:10.1111/j.1440-1843.2010.01720.x
  • 4 Liu K, Zhang W, Yang Y, et al. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complement Ther Clin Pract. 2020;39:101166. DOI:10.1016/j.ctcp.2020.101166
  • 5 Spielmanns M, Pekacka-Egli AM, Schoendorf S, et al. Effects of a Comprehensive Pulmonary Rehabilitation in Severe Post-COVID-19 Patients. Int J Environ Res Public Health. 2021;18. DOI:10.3390/ijerph18052695
  • 6 Curci C, Pisano F, Bonacci E, et al. Early rehabilitation in post-acute COVID-19 patients: data from an Italian COVID-19 Rehabilitation Unit and proposal of a treatment protocol. Eur J Phys Rehabil Med. 2020;56:633-41. DOI:10.23736/S1973-9087.20.06339-X
  • 7 Spruit MA, Holland AE, Singh SJ, et al. COVID-19: Interim Guidance on Rehabilitation in the Hospital and Post-Hospital Phase from a European Respiratory Society and American Thoracic Society-coordinated International Task Force. Eur Respir J. 2020. DOI:10.1183/13993003.02197-2020
  • 8 Chan KS, Pfoh ER, Denehy L, et al. Construct validity and minimal important difference of 6-minute walk distance in survivors of acute respiratory failure. Chest. 2015;147:1316-26. DOI:10.1378/chest.14-1808
  • 9 Troosters T, Gosselink R and Decramer M. Six minute walking distance in healthy elderly subjects. Eur Respir J. 1999;14:270-4. DOI:10.1034/j.1399-3003.1999.14b06.x
  • 10 Yoo JI, Choi H and Ha YC. Mean Hand Grip Strength and Cut-off Value for Sarcopenia in Korean Adults Using KNHANES VI. J Korean Med Sci. 2017;32:868-72. DOI:10.3346/jkms.2017.32.5.868
  • 11 Turan Z, Ozyemisci Taskiran O, Erden Z, et al. Does hand grip strength decrease in chronic obstructive pulmonary disease exacerbation? A cross-sectional study. Turk J Med Sci. 2019;49:802-8. DOI:10.3906/sag-1811-22
  • 12 Turan Z, Topaloglu M and Ozyemisci Taskiran O. Medical Research Council-sumscore: a tool for evaluating muscle weakness in patients with post-intensive care syndrome. Crit Care. 2020;24:562. DOI:10.1186/s13054-020-03282-x
  • 13 Hermans G, Clerckx B, Vanhullebusch T, et al. Interobserver agreement of Medical Research Council sum-score and handgrip strength in the intensive care unit. Muscle Nerve. 2012;45:18-25. DOI:10.1002/mus.22219
  • 14 Dowdy DW, Eid MP, Dennison CR, et al. Quality of life after acute respiratory distress syndrome: a meta-analysis. Intensive Care Med. 2006;32:1115-24. DOI:10.1007/s00134-006-0217-3
  • 15 Beaudart C, Mccloskey E, Bruyere O, et al. Sarcopenia in daily practice: assessment and management. BMC Geriatr. 2016;16:170. DOI:10.1186/s12877-016-0349-4
  • 16 Jones SE, Kon SS, Canavan JL, et al. The five-repetition sit-to-stand test as a functional outcome measure in COPD. Thorax. 2013;68:1015-20. DOI:10.1136/thoraxjnl-2013-203576
  • 17 Bohannon RW. Reference values for the five-repetition sit-to-stand test: a descriptive meta-analysis of data from elders. Perceptual and motor skills. 2006;103:215–22. DOI:10.2466/pms.103.1.215-222
  • 18 Bernabeu-Mora R, Medina-Mirapeix F, Llamazares-Herran E, et al. The accuracy with which the 5 times sit-to-stand test, versus gait speed, can identify poor exercise tolerance in patients with COPD: A cross-sectional study. Medicine (Baltimore). 2016;95:e4740. DOI:10.1097/MD.0000000000004740
  • 19 Podsiadlo D and Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39:142-8. DOI:10.1111/j.1532-5415.1991.tb01616.x
  • 20 Bohannon RW. Reference values for the timed up and go test: a descriptive meta-analysis. J Geriatr Phys Ther. 2006;29:64-8. DOI:10.1519/00139143-200608000-00004
  • 21 Jenkins S, Cecins N, Camarri B, et al. Regression equations to predict 6-minute walk distance in middle-aged and elderly adults. Physiother Theory Pract. 2009;25:516-22. DOI:10.3109/09593980802664711
  • 22 Cote CG, Casanova C, Marin JM, et al. Validation and comparison of reference equations for the 6-min walk distance test. Eur Respir J. 2008;31:571-8. DOI:10.1183/09031936.00104507
  • 23 Parry SM, Nalamalapu SR, Nunna K, et al. Six-Minute Walk Distance After Critical Illness: A Systematic Review and Meta-Analysis. J Intensive Care Med. 2021;36:343-51. DOI:10.1177/0885066619885838
  • 24 Curci C, Pisano F, Bonacci E, et al. Early rehabilitation in post-acute COVID-19 patients: data from an Italian COVID-19 rehabilitation unit and proposal of a treatment protocol. A cross-sectional study. Eur J Phys Rehabil Med. 2020. DOI:10.23736/S1973-9087.20.06339-X
  • 25 Fuglebjerg NJU, Jensen TO, Hoyer N, et al. Silent hypoxia in patients with SARS CoV-2 infection before hospital discharge. Int J Infect Dis. 2020;99:100-1. DOI:10.1016/j.ijid.2020.07.014
  • 26 Hui DS, Wong KT, Ko FW, et al. The 1-year impact of severe acute respiratory syndrome on pulmonary function, exercise capacity, and quality of life in a cohort of survivors. Chest. 2005;128:2247-61. DOI:10.1378/chest.128.4.2247
  • 27 Bloem AEM, Veltkamp M, Spruit MA, et al. Validation of 4-meter-gait-speed test and 5-repetitions-sit-to-stand test in patients with pulmonary fibrosis: a clinimetric validation study. Sarcoidosis Vasc Diffuse Lung Dis. 2018;35:317-26. DOI:10.36141/svdld.v35i4.7035
  • 28 Bennell K, Dobson F and Hinman R. Measures of physical performance assessments: Self-Paced Walk Test (SPWT), Stair Climb Test (SCT), Six-Minute Walk Test (6MWT), Chair Stand Test (CST), Timed Up & Go (TUG), Sock Test, Lift and Carry Test (LCT), and Car Task. Arthritis Care Res (Hoboken). 2011;63 Suppl 11:S350-70. DOI:10.1002/acr.20538
  • 29 Chan KS, Zheng JP, Mok YW, et al. SARS: prognosis, outcome and sequelae. Respirology. 2003;8 Suppl:S36-40. DOI:10.1046/j.1440-1843.2003.00522.x
  • 30 Carfi A, Bernabei R, Landi F, et al. Persistent Symptoms in Patients After Acute COVID-19. JAMA. 2020;324:603-5. DOI:10.1001/jama.2020.12603
There are 30 citations in total.

Details

Primary Language English
Subjects Rehabilitation
Journal Section Research Articles
Authors

Zeynep Turan 0000-0001-8142-3467

Mahir Topaloğlu 0000-0002-9364-4512

Özden Özyemişçi Taşkıran 0000-0002-2052-6072

Publication Date January 31, 2024
Submission Date June 20, 2023
Published in Issue Year 2024Volume: 15 Issue: 1

Cite

EndNote Turan Z, Topaloğlu M, Özyemişçi Taşkıran Ö (January 1, 2024) Functional Capacity in COVID-19 related Acute Respiratory Distress Syndrome Survivors. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 15 1 39–45.