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Besnier F, Bérubé B, Malo J, Gagnon C, Grégoire CA, Juneau M, Simard F, L’Allier P, Nigam A, Iglésies-Grau J, Vincent T, Talamonti D, Dupuy EG, Mohammadi H, Gayda M, Bherer L. Cardiopulmonary Rehabilitation in Long-COVID-19 Patients with Persistent Breathlessness and Fatigue: The COVID-Rehab Study. Int J Environ Res Public Health 2022; 19:ijerph19074133. [PMID: 35409815 PMCID: PMC8998214 DOI: 10.3390/ijerph19074133] [Citation(s) in RCA: 29] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 03/16/2022] [Accepted: 03/24/2022] [Indexed: 01/27/2023]
Abstract
(1) Background: Cardiopulmonary and brain functions are frequently impaired after COVID-19 infection. Exercise rehabilitation could have a major impact on the healing process of patients affected by long COVID-19. (2) Methods: The COVID-Rehab study will investigate the effectiveness of an eight-week cardiopulmonary rehabilitation program on cardiorespiratory fitness (V˙O2max) in long-COVID-19 individuals. Secondary objectives will include functional capacity, quality of life, perceived stress, sleep quality (questionnaires), respiratory capacity (spirometry test), coagulation, inflammatory and oxidative-stress profile (blood draw), cognition (neuropsychological tests), neurovascular coupling and pulsatility (fNIRS). The COVID-Rehab project was a randomised clinical trial with two intervention arms (1:1 ratio) that will be blindly evaluated. It will recruit a total of 40 individuals: (1) rehabilitation: centre-based exercise-training program (eight weeks, three times per week); (2) control: individuals will have to maintain their daily habits. (3) Conclusions: Currently, there are no specific rehabilitation guidelines for long-COVID-19 patients, but preliminary studies show encouraging results. Clinicaltrials.gov (NCT05035628).
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Affiliation(s)
- Florent Besnier
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - Béatrice Bérubé
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Psychology, Université du Québec à Montréal, Montréal, QC H3C 3P8, Canada
- Research Center, Institut Universitaire de Gériatrie de Montréal, Montréal, QC H3W 1W5, Canada
| | - Jacques Malo
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - Christine Gagnon
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
| | - Catherine-Alexandra Grégoire
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
| | - Martin Juneau
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - François Simard
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - Philippe L’Allier
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - Anil Nigam
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - Josep Iglésies-Grau
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - Thomas Vincent
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
| | - Deborah Talamonti
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
| | - Emma Gabrielle Dupuy
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
| | - Hânieh Mohammadi
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
| | - Mathieu Gayda
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
- Correspondence:
| | - Louis Bherer
- Research Center and Centre ÉPIC, Montreal Heart Institute, Montréal, QC H1T 1N6, Canada; (F.B.); (B.B.); (J.M.); (C.G.); (C.-A.G.); (M.J.); (F.S.); (P.L.); (A.N.); (J.I.-G.); (T.V.); (D.T.); (E.G.D.); (H.M.); (L.B.)
- Department of Medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
- Research Center, Institut Universitaire de Gériatrie de Montréal, Montréal, QC H3W 1W5, Canada
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