AUTHOR=Colas Claire , Bayle Manon , Labeix Pierre , Botelho-Nevers Elisabeth , Gagneux-Brunon Amandine , Cazorla Céline , Schein Flora , Breugnon Emma , Garcin Arnauld , Feasson Léonard , Roche Frédéric , Hupin David 

TITLE=Management of Long COVID—The CoviMouv' Pilot Study: Importance of Adapted Physical Activity for Prolonged Symptoms Following SARS-CoV2 Infection

JOURNAL=Frontiers in Sports and Active Living

VOLUME=4

YEAR=2022

URL=https://www.frontiersin.org/journals/sports-and-active-living/articles/10.3389/fspor.2022.877188

DOI=10.3389/fspor.2022.877188

ISSN=2624-9367

ABSTRACT=<sec><title>Context</title><p>After a COVID-19 infection, some patients have persistent symptoms, the most common is fatigue. To prevent it from becoming chronic (post-COVID-19 syndrome), early management before 3 months could be useful. Exercise and education are recommended.</p></sec><sec><title>Objective</title><p>To assess fatigue in patients with prolonged symptoms after COVID-19 infection and who received a mixed program of remote adapted physical activity and therapeutic education. The secondary objective was to evaluate the efficacy and safety of this training method thanks to aerobic and anaerobic parameters.</p></sec><sec><title>Methods</title><p>“CoviMouv': From Coaching in Visual to Mouv in real” is a nonrandomized controlled pilot study. Patients in telerehabilitation followed 12 remote exercise sessions and 3 therapeutic education workshops. Patients on traditional rehabilitation followed their program with a community-based physiotherapist.</p></sec><sec><title>Results</title><p>Fatigue was reduced after the one-month intervention in both groups (<italic>p</italic> = 0.010). The majority of aerobic parameters were significantly improved, e.g., maximal oxygen uptake (<italic>p</italic> = 0.005), walking distance (<italic>p</italic> = 0.019) or hyperventilation values (<italic>p</italic> = 0.035). The anaerobic parameter was not improved (<italic>p</italic> = 0.400). No adverse event was declared.</p></sec><sec><title>Discussion</title><p>Telerehabilitation is a good alternative when a face-to-face program is not possible. This care at an early stage of the disease could help prevent the chronicity of post-COVID-19 symptoms and the installation of vicious circles of physical deconditioning. A larger study would be necessary.</p></sec>