Journal of Mazandaran University of Medical Sciences
مجله دانشگاه علوم پزشکی مازندران
J Mazandaran Univ Med Sci
Medical Sciences
http://jmums.mazums.ac.ir
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2023
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مقایسه تاثیر برنامه تمرینی استقامتی و مقاومتی بر برخی شاخصهای ریوی، عملکردی و کیفیت زندگی بیماران کووید-19 ترخیص شده از بیمارستان
Comparing the Effects of Endurance and Resistance Training Programs on some Pulmonary, Functional, and Quality of Life Indicators in Patients with COVID-19 Discharged from Hospital
فیزیولوژی ورزشی
Sport Physiology
پژوهشي-کامل
Research(Original)
<span style="font-size:12pt"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="FA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">سابقه</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt"> و هدف:</span></span></span></span> <span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">درمطالعه حاضر اثر 6 هفته تمرین استقامتی و مقاومتی بر شاخص</span></span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black">های ریوی، عملکرد جسمانی و کیفیت زندگی بیماران کووید-19 پس از ترخیص از بیمارستان بررسی شد.</span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:#0e101a"></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">مواد و روش</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.1pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">تعداد 36 بیمار کووید-19 (سن 98/0</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"Cambria","serif"">±</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">76/38 سال؛ وزن 88/2</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"Cambria","serif"">±</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">86/81 کیلوگرم) انتخاب شدند. در شروع و پایان مطالعه، آزمون</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">های ریوی (<sub>1</sub></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">FEV</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">، </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">FVC</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">، </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">­FVC</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">/<sub>1</sub></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">FEV</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""> و </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">MVV</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">)</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">،</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""> جسمانی (آزمون 6 دقیقه راه رفتن)، کیفیت زندگی (36-</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">SF</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">)</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""> و تن</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">سنجی در آزمودنی</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">ها انجام شد. سپس آزمودنی</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">ها به سه گروه تمرین استقامتی (45 دقیقه با شدت 60-75 درصد حداکثر ضربان قلب تخمینی)؛ تمرین مقاومتی (45 دقیقه با شدت 40-70 درصد یک تکرار بیشینه) و کنترل تقسیم شدند. مداخله به مدت 6 هفته (3 جلسه) انجام شد. برای تحلیل آماری از آزمون آنوای یکطرفه استفاده شد.</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">یافته</span></span></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">ها:</span></span></span></span> <span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">نتایج حاکی از افزایش معنی</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">دار <sub>1</sub></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">FEV</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""> (029/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">p</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">)، </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">FVC</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""> (047/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">p</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">)، </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">­FVC</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">/<sub>1</sub></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">FEV</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""> (043/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">p</span></span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar"">) در گروه استقامتی در مقایسه با کنترل بود، </span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">در حالی که تفاوت در </span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">MVV</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""> (041/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">p</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">) و</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">FVC</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">/<sub>1</sub></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">FEV</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""> (022/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">p</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">) بین گروه استقامتی و مقاومتی مشاهده شد</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">.</span></span> <span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">مسافت آزمون 6 دقیقه</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">ای در گروه استقامتی (0001/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">P</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">) و مقاومتی (001/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">P</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">) در مقایسه با کنترل افزایش یافت، گرچه بین گروه</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">های تمرینی تفاوتی مشاهده نشد (48/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">p</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">).</span></span><b> </b><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">مشارکت در برنامه</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">های تمرینی استقامتی و مقاومتی با بهبود معنی</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">دار ابعاد عملکرد جسمانی (به</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">ترتیب 024/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">P</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""> و 09/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">P</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">) و سلامت عمومی (به ترتیب 022/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">P</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar""> و 015/0=</span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:90%">P</span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">) در مقایسه با شرایط کنترل همراه بود.<span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Koodak""><span style="color:black"><span style="letter-spacing:-.2pt">استنتاج:</span></span></span></span> <span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">براساس نتایج، شرکت در تمرین استقامتی با شدت متوسط می</span></span><span lang="AR-SA" style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span><span lang="FA" style="line-height:90%"><span style="font-family:"B Zar"">تواند موجب افزایش عملکرد ریوی، آمادگی قلبی-تنفسی و کیفیت زندگی مبتلایان به کووید-19</span></span><span lang="FA" style="font-family:"B Zar""> پس از ترخیص از بیمارستان شود </span><span lang="AR-SA" style="font-family:"B Zar"">و می</span><span lang="AR-SA" style="font-family:"B Zar""><span style="letter-spacing:-.2pt"></span></span><span lang="AR-SA" style="font-family:"B Zar"">تواند در توانبخشی بیماران کووید-19 به کار برده شود.</span><span lang="AR-SA" style="line-height:90%"><span style="font-family:"B Zar""><span style="color:black"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span></span></span></span></span>
<span style="font-size:12pt"><span style="line-height:135%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:135%">The present study investigated the effect of six weeks of endurance and resistance training on pulmonary indices, physical performance, and quality of life in COVID-19 patients after discharge from hospital.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:135%"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span style="font-family:"Arial","sans-serif""><span style="letter-spacing:-.2pt">Materials and methods:</span></span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:135%"><span style="letter-spacing:-.2pt">Thirty six patients with COVID-19 (mean age: 38.76±0.98 years, mean weight: 81.86±2.88 kg) were selected. At the beginning and end of the study, pulmonary (FEV<sub>1</sub>, FVC, FEV<sub>1</sub>/FVC, and MVV), physical (6-minute walk test), quality of life (SF-36), and anthropometry tests were performed. The patients were divided into three groups: Endurance training (45 minutes at 60-75% estimated HR), Resistance training (45 minutes at 40-70% of I-RM), and controls. The intervention was conducted for 6 weeks (3 sessions). One-way ANOVA test was used for statistical analysis.</span></span></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:135%"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span style="font-family:"Arial","sans-serif"">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:135%">Findings indicated a significant increase in FEV<sub>1</sub> (P=0.029), FVC (P=0.047), FEV<sub>1</sub>/FVC (P=0.043) in the endurance training group compared to the control group, while difference was observed in MVV (P=0.041) and FEV<sub>1</sub>/FVC (P=0.022) between endurance training and resistance training groups. The 6-minute test distance increased in the endurance training (P=0.0001) and resistance training (P=0.001) groups compared to the control group, but no difference was observed between the training groups (P=0.48). Endurance and resistance training programs induced significant improvements in physical performance (P=0.024 and P=0.09, respectively) and general health (P=0.022 and P=0.015, respectively) dimensions compared to the control group.</span></span></span></span></span><br>
<span style="font-size:12pt"><span style="line-height:135%"><span style="vertical-align:top"><span style="font-family:"Times New Roman","serif""><b><span style="font-size:10.0pt"><span style="line-height:135%"><span style="font-family:"Arial","sans-serif"">Conclusion:</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:135%"> Moderate-intensity endurance training can improve pulmonary function, physical performance, and quality of life in patients with COVID-19 after discharge from hospital and can be used in rehabilitation programs of these patients.<i></i></span></span></span></span></span></span><br>
بیماری کووید-19, تمرین مقاومتی, حداکثر تهویه ارادی, آزمون پله چستر, ظرفیت حیاتی اجباری
COVID-19, resistance training, maximal voluntary ventilation, Chester staircase test, forced vital capacity
60
71
http://jmums.mazums.ac.ir/browse.php?a_code=A-10-16089-1&slc_lang=fa&sid=1
Reza
Rafigh Neghabi
رضا
رفیق نقابی
rafigh.reza96@gmail.com
1003194753284600152820
1003194753284600152820
No
MSc in Sport Sciences, Department of Exercise Physiology, Faculty of Sport Sciences, University of Birjand, Birjand, Iran
کارشناس ارشد فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه بیرجند، بیرجند، ایران
Mohsen Mohammadnia Ahmadi
محسن
محمدنیا احمدی
m.m.ahmadi2005@birjand.ac.ir
1003194753284600152821
1003194753284600152821
Yes
Assistant Professor, Department of Exercise Physiology, Faculty of Sport Sciences, University of Birjand, Birjand, Iran
. استادیار فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه بیرجند، بیرجند، ایران
Reza
Ghahremani
رضا
قهرمانی
r.ghahremani@birjand.ac.ir
1003194753284600152822
1003194753284600152822
No
Assistant Professor, Department of Exercise Physiology, Faculty of Sport Sciences, University of Birjand, Birjand, Iran
. استادیار فیزیولوژی ورزشی، دانشکده علوم ورزشی، دانشگاه بیرجند، بیرجند، ایران
Khatereh
Arabikhan
خاطره
عربیخوان
khatereharabikhan@yahoo.com
1003194753284600152823
1003194753284600152823
No
Infectious Diseases Specialist, Shahid Modarres Hospital, Health and Treatment Network, Kashmar, Iran
متخصص بیماریهای عفونی، بیمارستان شهید مدرس کاشمر، کاشمر، ایران