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Systematic Review of Changes and Recovery in Physical Function and Fitness After Severe Acute Respiratory Syndrome–Related Coronavirus Infection: Implications for COVID-19 Rehabilitation

Physical Therapy, 2020-10, Vol.100 (10), p.1717-1729 [Peer Reviewed Journal]

The Author(s) 2020. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2020 ;The Author(s) 2020. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please email: journals.permissions@oup.com. ;COPYRIGHT 2020 Oxford University Press ;COPYRIGHT 2020 Oxford University Press ;2020. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the associated terms available at https://academic.oup.com/journals/pages/coronavirus . ;The Author(s) 2020. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please email: journals.permissions@oup.com ;The Author(s) 2020. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please email: journals.permissions@oup.com 2020 ;ISSN: 0031-9023 ;EISSN: 1538-6724 ;DOI: 10.1093/ptj/pzaa129 ;PMID: 32737507

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  • Title:
    Systematic Review of Changes and Recovery in Physical Function and Fitness After Severe Acute Respiratory Syndrome–Related Coronavirus Infection: Implications for COVID-19 Rehabilitation
  • Author: Rooney, Scott ; Webster, Amy ; Paul, Lorna
  • Subjects: Betacoronavirus ; Convalescence ; Coronavirus Infections - diagnosis ; Coronavirus Infections - physiopathology ; Coronavirus Infections - rehabilitation ; Coronaviruses ; COVID-19 ; Exercise ; Exercise therapy ; Health aspects ; Health Status ; Humans ; Infections ; Medical research ; Medicine, Experimental ; Not Selected ; Pandemics ; Physical fitness ; Pneumonia, Viral - diagnosis ; Pneumonia, Viral - physiopathology ; Pneumonia, Viral - rehabilitation ; Recovery of Function ; Rehabilitation ; SARS-CoV-2 ; Severe acute respiratory syndrome ; Systematic review
  • Is Part Of: Physical Therapy, 2020-10, Vol.100 (10), p.1717-1729
  • Description: Abstract Objective This review sought to (1) compare physical function and fitness outcomes in people infected with Severe Acute Respiratory Syndrome-related Coronavirus (SARS-CoV) with healthy controls, (2) quantify the recovery of physical function and fitness following SARS-CoV infection, and (3) determine the effects of exercise following SARS-CoV infection. Methods Four databases (CINAHL, MEDLINE, ProQuest, and Web of Science Core Collections) were searched in April 2020 using keywords relating to SARS-CoV, physical function, fitness, and exercise. Observational studies or randomized controlled trials were included if they involved people following SARS-CoV infection and either assessed the change or recovery in physical function/fitness or evaluated the effects exercise postinfection. Results A total 10 articles were included in this review. Evidence from 9 articles demonstrated that SARS-CoV patients had reduced levels of physical function and fitness postinfection compared with healthy controls. Furthermore, patients demonstrated incomplete recovery of physical function, with some experiencing residual impairments 1 to 2 years postinfection. Evidence from 1 randomized controlled trial found that a combined aerobic and resistance training intervention significantly improved physical function and fitness postinfection compared with a control group. Conclusions Physical function and fitness are impaired following SARS-CoV infection, and impairments may persist up to 1 to 2 years postinfection. Researchers and clinicians can use these findings to understand the potential impairments and rehabilitation needs of people recovering from the current coronavirus 2019 (COVID-19) outbreak. While 1 study demonstrated that exercise can improve physical function and fitness postinfection, further research is required to determine the effectiveness of exercise in people recovering from similar infections (eg, COVID-19). Impact Considering the similarities in pathology and clinical presentation of SARS-CoV and COVID-19, it is likely that COVID-19 patients will present with similar impairments to physical function. Accordingly, research is required to measure the extent of functional impairments in COVID-19 cohorts. In addition, research should evaluate whether rehabilitation interventions such as exercise can promote postinfection recovery.
  • Publisher: United States: Oxford University Press
  • Language: English
  • Identifier: ISSN: 0031-9023
    EISSN: 1538-6724
    DOI: 10.1093/ptj/pzaa129
    PMID: 32737507
  • Source: Coronavirus Research Database
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