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358 results for “pulmonary rehabilitation”
Not only pulmonary rehabilitation for critically ill patients with COVID-19
<p><strong>Background</strong></p> <p>Prolonged immobility in COVID-19 patients in mechanical ventilation combined with the infection-mediated harmful immune response can be responsible of peripheral nervous system complications, such as Intensive Care Unit Acquired Weakness (ICU-AW). We report preliminary findings of our monocentric prospective study.</p> <p><strong>Method</strong></p> <p>Prospective observational study of PCR-confirmed COVID-19 patients in mechanical ventilation in the Intensive Care Unit of Azienda Ospedaliero Universitaria Careggi (Firenze). We evaluated: 1. muscle power grading on motor response to nociceptive stimuli by means of MRC; 2. nerve conduction velocities, compound muscle action potentials (CMAP) and sensory nerve action potentials (SNAP) of six motor and four sensitive nerves in bilateral upper and lower limbs; 3. spontaneous muscle activity in bilateral tibialis anterior and biceps by needle. The presence of combined critical illness polyneuropathy and myopathy (CIPNM) was defined by very low amplitude of CMAP and/or SNAP on neurophysiological evaluation with normal or mildly reduced nerve conduction velocities, combined with myopathic features on needle electromyography. Data about pre-existing comorbidities such as diabetes and hypertension were also collected.</p> <p><strong>Findings</strong></p> <p>Between March 23 March 2020 to 10 April 2020, we performed ENG studies in 9 patients. Based on clinical examination ICU-AW (MRC score <48/60) was present in all 9 patients. Four of them had diagnosis of CIPNM at neurophysiological evaluation, and 3 of the remaining 5 patients presented neurophysiological findings consistent with common peroneal nerve compression</p> <p><strong>Interpretation</strong></p> <p>The present findings suggest that in critically ill patients affected by COVID-19 functional motor deficits are highly prevalent and should be searched for. ICU-AW have been found to negatively affect weaning from mechanical ventilation long-term outcome and increase in-hospital mortality of critical patients. Early recognition of these complications could help clinicians to plan an appropriate neuromotor rehabilitation (e.g. by early passive limbs mobilization and posture changes) for improving respiratory function and clinical outcome.</p> <p><strong>Funding</strong></p> <p>None</p> <p> </p>
Impact of a pulmonary rehabilitation program on social disadvantage and physical activity data of postCOVID19 patients: A North-African pilot study
<p><strong>WHAT IS ALREADY KNOWN</strong></p> <ul> <li>In post-acute COVID19, many patients still manifest symptoms for weeks and months.</li> <li>Psychological manifestations are prevalent and persisting in recovered COVID19 patients.</li> <li>Indeed, COVID19 was reported to possibly lead to symptoms of depression and anxiety, and to alter health-related quality of life (HRQoL).</li> <li>Physical activity has been proven to be effective in improving both mental and physical health.</li> <li>Thus, COVID19 patients could benefit from pulmonary rehabilitation program (PRP).</li> <li>Many studies related the effects of a standard PRP on physical activity and HRQoL in post COVID19 patients. However, to the best of the authors’ knowledge, no study evaluated the physical activity and social disadvantage of patients who were hospitalized for COVID19 in a low income country.</li> <li>This paper is the second part of a cross sectional study that aimed to evaluate the impact of a PRP on social disadvantage (physical activity, hospital anxiety and depression (HAD), HRQoL) data of Tunisian patients with postCOVID19.</li> </ul> <p><strong>WHAT THIS PAPER ADDS</strong></p> <ul> <li>The present North African study demonstrated that a PRP improved HRQoL, HAD, and physical activity data of Tunisian COVID19 patients.</li> <li>For instance, the means of the functional, psychological and relation dimensions, and the VQ11 total score (ie; main outcome) decreased significantly by 1.79, 2.00, 1.57, and 5.36 points. In addition, the means of the HAD anxiety and depression scores decreased significantly by 2.07, and 2.57 points, respectively, and the means of the physical activity and total scores improved significantly by 1.75 and 1.78 points, respectively.</li> <li>To the best of the authors’ knowledge, this is the first African and Arab study investigating the impact of a PRP on postcovid19 patients in terms of social disadvantages and physical activity.</li> <li> </li> </ul> <ul> <li>This study confirms that an outpatient PRP program improves physical activity, psychological status and HRQoL in the management of postCOVID19 patients.</li> </ul>
Cardio-pulmonary Rehabilitation and Sleep Quality
ClinicalTrials.gov study NCT04668599. IPD Sharing: NO. Countries: 1. Publications: 5.
Virtual Pulmonary Rehabilitation Program for COPD Patients; a Pilot Study
ClinicalTrials.gov study NCT06915740. IPD Sharing: NO. Countries: 1. Publications: 3.
Effects of Walking and Home-Based Pulmonary Rehabilitation on Anxiety and Sleep Quality
ClinicalTrials.gov study NCT06862713. IPD Sharing: YES. Countries: 1. Publications: 13.
A Pulmonary Rehabilitation Shared Decision Making Intervention
ClinicalTrials.gov study NCT04990180. IPD Sharing: NO. Countries: 1. Publications: 1.
Clinical Effects of Exercise Program Added to Pulmonary Rehabilitation in Patients With Cystic Fibrosis
ClinicalTrials.gov study NCT03295201. IPD Sharing: NO. Countries: 1. Publications: 5.
Rehabilitation of Idiopathic Pulmonary Fibrosis (IPF) Patients
ClinicalTrials.gov study NCT01118221. IPD Sharing: Not stated. Countries: 1. Publications: 2.
Effect of Pulmonary Rehabilitation and Physical Activity on Long COVID (PuReCOVID)
ClinicalTrials.gov study NCT07046442. IPD Sharing: YES. Countries: 1. Publications: 19.
Negative Pressure Ventilation-rehabilitation on Acute Exacerbation of Chronic Obstructive Pulmonary Disease
ClinicalTrials.gov study NCT04843696. IPD Sharing: NO. Countries: 1. Publications: 2.
Telehealth Pulmonary Rehabilitation for Hispanic and African-American Patients Admitted With Exacerbation of COPD
ClinicalTrials.gov study NCT03007485. IPD Sharing: NO. Countries: 1. Publications: 2.
Increasing Adherence to Pulmonary Rehabilitation After COPD Related Hospitalizations (Study 2)
ClinicalTrials.gov study NCT04521608. IPD Sharing: NO. Countries: 1. Publications: 1.
Home Pulmonary Rehabilitation for COPD
ClinicalTrials.gov study NCT03480386. IPD Sharing: Not stated. Countries: 1. Publications: 2.
Early Exercise-Based Rehabilitation in Patients Hospitalized for Acute Pulmonary Embolism
ClinicalTrials.gov study NCT07143539. IPD Sharing: YES. Countries: 1. Publications: 20.
Effect Of Pulmonary Rehabilitation in Patients With Alpha-1 Antitrypsin Deficiency
ClinicalTrials.gov study NCT07242079. IPD Sharing: YES. Countries: 1. Publications: 17.
Innovation in Pulmonary Rehabilitation
ClinicalTrials.gov study NCT00123422. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Effectiveness of a Preoperative Pulmonary Rehabilitation Program in Patients Awaiting Lung Resection
ClinicalTrials.gov study NCT01963923. IPD Sharing: Not stated. Countries: 1. Publications: 1.
An Implementation Trial to Improve Access to Pulmonary Rehabilitation in People With COPD
ClinicalTrials.gov study NCT04217330. IPD Sharing: YES. Countries: 1. Publications: 2.
Pulmonary Rehabilitation in Functional Outcomes and Its Relationship With Morbidity and Mortality in Patients With COPD
ClinicalTrials.gov study NCT03692793. IPD Sharing: YES. Countries: 1. Publications: 21.
Rethinking Pulmonary Rehabilitation - a Three-arm Randomised Multicentre Trial
ClinicalTrials.gov study NCT05664945. IPD Sharing: NO. Countries: 1. Publications: 1.
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These curated guides explain access requirements, typical timelines, costs, and reuse considerations for widely used research datasets.
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International Brain Laboratory public data
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OpenNeuro
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