ABSTRACT
INTRODUCTION AND OBJECTIVE: Patients with congenital diaphragmatic hernia (CDH) can have up to 40 times more frequency of muskuloskeletal deformities and decreased perception of physical activity tan their pairs. The objective of this study is to evaluate the safety and efficacy of an individualized exercise program in late adolescents and young adults with repaired CDH, as well as a description of their basal status. MATERIAL AND METHODS: Non randomized prospective trial of 13 patients with repaired CDH between 1997-2005. An initial physical exploration and a pre-post assessment of bioimpedance (BIA), dynamometry, maximal inspiratory and expiratory pressure (MIP/MEP), 6-minute walk test (6MWT), physical activity level (IPAQ) and quality of life (QoL) was made. The training program last for 4 weeks. For the statistical analysis, the Student's t test for paired samples and Wilcoxon test were used. RESULTS: 77% (n=10) were male with a mean age of 19.23±2.13 years. In baseline BIA, 62% (n=8) had truncal sarcopenia that improved in -0.43±0.58, and P=.016. MIP, MEP, 6MWT and QoL tests increased by -7.27±8.26 cmH2O, P=.008; -11.91±10.20 cmH2O, P=.002; -70.63±17.88 m, P=.001; -42,19±26.79, P=.00 respectively. The IPAQ did not change significantly (P=0.86), however the time dedicated to muscle strengthening increased. No adverse effects were reported. CONCLUSIONS: A personalized rehabilitation program is safe and could improve the respiratory muscle strength and truncal sarcopenia as well as the submaximal effort capacity in late adolescents and young adults with repaired CDH.
Subject(s)
Humans , Rehabilitation , Rehabilitation Services , Pelvic Floor , Urinary Incontinence , Fecal Incontinence , Pelvic Organ ProlapseABSTRACT
Objetivo: En Madrid, durante la pandemia por COVID-19, debido a la saturación hospitalaria se precisó la medicalización de hoteles para traslado de pacientes infectados por SARS-CoV-2 con evolución favorable. Su situación clínica tipo era de fatiga y desacondicionamiento físico, precisando y beneficiándose de un abordaje rehabilitador. El Servicio de Rehabilitación desarrolló material educativo en formato de papel sobre ejercicio terapéutico adaptado a las diferentes situaciones funcionales detectadas. El objetivo es describir el perfil de pacientes ingresados en un hotel medicalizado y analizar el grado de satisfacción y adherencia al ejercicio pautado durante el ingreso y en domicilio y los factores relacionados. Material y método: Estudio descriptivo de pacientes ingresados en el Hotel Colón durante dos meses de 2020, con análisis de variables socio demográficas, y de cuestionarios con respecto al grado de adherencia y satisfacción del tratamiento rehabilitador durante ingreso y al alta. Resultado: Participaron 100 pacientes con una edad media de 52 años±14.5, donde el 61% (n=61) fueron mujeres. El 99% (n=99) refirió comprender los ejercicios, los realizaron durante el ingreso el 90% (n=90), mientras un 58% (n=58) los continuó al alta. El 92% (n=92) se mostró «muy satisfecho» con el material educativo, considerándolo fácil de realizar en el 100% (n=100) de los casos. Conclusión: Los pacientes se mostraron satisfechos con el material educativo, fueron ejercicios comprensibles y tuvieron adherencia durante el ingreso y en domicilio. El material educativo en formato papel podría considerarse una herramienta útil para el manejo de pacientes con infección por SARS-CoV-2.(AU)
Objective: In Madrid, during the pandemic, due to hospital saturation, medicalisation of hotels was required for the transfer of patients infected by SARS-CoV-2 with favourable evolution. Their typical clinical situation was one of fatigue and physical deconditioning, requiring and benefiting from a rehabilitative approach. The Rehabilitation Department developed educational material in paper format on therapeutic exercise adapted to the different functional situations detected. To describe the profile of patients admitted to a medicalised hotel and to analyse the degree of satisfaction, utility and adherence to the exercise prescribed during hospitalisation and at home and the related factors. Material and method: We conducted a descriptive study of patients admitted to the Hotel Colon during April and May 2020. We analysed the socio-demographic and clinical variables, as well as the responses to the adherence and satisfaction questionnaires about rehabilitation management during admission and at discharge. Results: 100 patients participated in the study with a mean age of 52±14.5 years, where 61% (n=61) were women. 99% (n=99) reported they understood the material with a 90% (n=90) adherence to exercise during admission and 58% (n=58) at discharge. 92% (n=92) were very satisfied with the educational material and considered it easy to perform in 100% (n=100) of cases. Conclusion: The use of paper-based educational material of therapeutic exercise appears to be an effective resource in the management of patients with SARS-CoV-2 infection during admission, thus minimising the exposure of healthcare staff.(AU)
Subject(s)
Humans , Male , Female , Inpatients , Severe acute respiratory syndrome-related coronavirus , Coronavirus Infections , Betacoronavirus , Teaching Materials , Pandemics , Patient Transfer , Spain , Epidemiology, Descriptive , RehabilitationABSTRACT
OBJECTIVE: In Madrid, during the pandemic, due to hospital saturation, medicalisation of hotels was required for the transfer of patients infected by SARS-CoV-2 with favourable evolution. Their typical clinical situation was one of fatigue and physical deconditioning, requiring and benefiting from a rehabilitative approach. The Rehabilitation Department developed educational material in paper format on therapeutic exercise adapted to the different functional situations detected. To describe the profile of patients admitted to a medicalised hotel and to analyse the degree of satisfaction, utility and adherence to the exercise prescribed during hospitalisation and at home and the related factors. MATERIAL AND METHOD: We conducted a descriptive study of patients admitted to the Hotel Colon during April and May 2020. We analysed the socio-demographic and clinical variables, as well as the responses to the adherence and satisfaction questionnaires about rehabilitation management during admission and at discharge. RESULTS: 100 patients participated in the study with a mean age of 52±14.5 years, where 61% (n=61) were women. 99% (n=99) reported they understood the material with a 90% (n=90) adherence to exercise during admission and 58% (n=58) at discharge. 92% (n=92) were "very satisfied" with the educational material and considered it easy to perform in 100% (n=100) of cases. CONCLUSION: The use of paper-based educational material of therapeutic exercise appears to be an effective resource in the management of patients with SARS-CoV-2 infection during admission, thus minimising the exposure of healthcare staff.
