Functional capacity assessment instruments in post-Covid 19 patients: a systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i5.41812

Keywords:

Functional capacity; Post covid 19; Post covid 19 syndrome; Covid long; Post Covid sequels.

Abstract

“Long Covid” is the term used to describe an illness found in people who have recovered from Covid 19 but still report lasting effects of the infection or the usual symptoms for much longer than expected. The treatment of this condition aims to improve functional capacity, increase quality of life, facilitate social reintegration after hospitalization, reduce fatigue, dyspnea, ageusia and improve the ability to perform daily activities. As the evaluation is of paramount importance for the conduct of the treatment, the objective of the present study was to identify, characterize and classify the instruments for evaluating the functional capacity of patients affected with Covid Longo. In this way, searches were carried out in the PEDro, COCHRANE and PubMed databases, using the descriptors: “Long Covid”, “Post Covid syndrome”, “functional capacity”, “sequels Functional capacity tests” associated through the Boolean operators “AND” and “OR”. 101 articles were obtained through searches in the bases, soon after applying the inclusion and exclusion criteria, 6 studies were included for analysis. Through the analysis of the works, 20 evaluation instruments were identified divided between scales, questionnaires and functional tests that transit in the specialties of cardiorespiratory, neurological and musculoskeletal evaluation, aimed at the management of the post-Covid 19 patient. It is concluded, therefore, that there are a variety of assessment instruments for the management of post-Covid patients, with a prevalence in cardiopulmonary assessment. In addition to the respiratory part, in the musculoskeletal assessment domain, the most used instrument was the handgrip test by dynamometry.

References

Anaya, J. M., Rojas, M., Salinas M. L., et al. (2021). Post-COVID syndrome. A case series and comprehensive review. Autoimmun Rev. 20(11):102947.

Araújo, C. G. S. (1999). Teste de sentar-levantar: apresentação de um procedimento para avaliação em Medicina do Exercício e do Esporte. Revista Brasileira De Medicina Do Esporte. 5(5), 179–182.

Brasil. (2020). Ministério da Saúde. Protocolo de manejo clínico do coronavírus (Covid-19) na Atenção Primária à Saúde. Brasília: Ministério da Saúde. http://www.paho.org/bra/index.php?option=com_content&view=article&id=6101:covid19&Itemid=875. Acesso em: 18 de ago 2020.

Brasil. (2022). Ministério da Saúde. Manual para avaliação e manejo de condições pós-covid na Atenção Primária à Saúde. Ministério da Saúde, Universidade Federal do Rio Grande do Sul. – Brasília: Ministério da Saúde. http://bvsms.saude.gov.br/bvs/publicacoes/manual_avaliação_manejo_condições_covid.pdf ISBN 978-65-5993-174-3.

Cacau, L. A. P., Mesquita R., Furlanetto, K. C., et al. (2020). Avaliação e intervenção para a reabilitação cardiopulmonar de pacientes recuperados da COVID-19. ASSOBRAFIR Ciência. 11(1), 183–193.

Carrara, D., Avelar, A. F. M., Kusahara, D. M., & Pedreira, M. L. G. (2009). Oximetria de pulso arterial. Conselho Regional de Enfermagem de São Paulo.

Carvalho, C. D., Pereira, N., Pamponet, P. B. K., et al. (2017). Desempenho no teste de caminhada de seis minutos e fatores associados em adultos jovens saudáveis. Revista Pesquisa em Fisioterapia. 7(3): 408–417.

Carvalho, M. C. T., Jesus, B. M. B., Castro, V. L., & Trindade, L. M. D. (2021). O impacto na qualidade de vida dos indivíduos após a Covid-19: o que mudou? Rev. Investigação, Sociedade e Desenvolvimento. 10(14): 1.

Clark, M. E., Kori, S. H., & Broeckel, J. (1996). Kinesiophobia and chronic pain: psychometric characteristics and factor analysis of the Tampa scale. In: 15th Annual Scientific Meeting of the American Pain Society. Washington: American Pain Society. 1: 16-27.

COREN-SP. (2013). Realização de Prova de Função Pulmonar/Espirometria por Enfermeiro, Técnico e Auxiliar de Enfermagem, Conselho Regional de Enfermagem do Trabalho.

Del, C. T., Fabero, G. R, Plaza, M. G., et al. (2023). Home-based respiratory muscle training on quality of life and exercise tolerance in long-term post-COVID-19: Randomized controlled trial. Rev. Ann Phys Rehabil Med. 66(1), 101709.

Enax, K. E., Forsting J., Rohm, M., Schwenkreis, P., et al. (2023). Quantitative muscle magnetic resonance imaging depicts microstructural abnormalities but no signs of inflammation or dystrophy in post-COVID-19 condition. Eur Journal Neurol. 30(4):970-981.

Fernández, L. P. C., Cancela, C. I., Moro, L. M. P., et al. (2023). Exploring the trajectory curve of long-term musculoskeletal post-COVID pain symptoms in hospitalized COVID-19 survivors: a multicenter study. Rev. Pain. 164(2):413-420.

Frésard, I., Genecand, L., Altarelli, M., et al. (2022). Dysfunctional breathing diagnosed by cardiopulmonary exercise testing in 'long COVID' patients with persistent dyspnoea. BMJ Open Respir Res. 9(1), e001126.

Galvão, T. F., Pansani, T. S. A., & Harrad, D. (2015). Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Epidemiologia e Serviços De Saúde. Epidemiol. Serv. Saúde, 24(2), 335–342.

Goldoni, E. S., Bittencourt, J. V., Espirito Santo, L. R., et al. (2023). Neuropathic-like symptoms and central sensitization related signs and symptoms negatively affect the functional performance of patients with knee osteoarthritis - a cross-sectional study. Osteoarthr Cartil Open. 2023 Apr 5;5(2):100358.

Gruenewaldt, A., Nylander, E., & Hedman K. (2022). Classification and occurrence of an abnormal breathing pattern during cardiopulmonary exercise testing in subjects with persistent symptoms following COVID-19 disease. Physiol Rep. 10(4):e15197.

Herdy, A. H., & Caixeta, A. (2016). Brazilian Cardiorespiratory Fitness Classification Based on Maximum Oxygen Consumption. Arquivos Brasileiros de Cardiologia. 106(5): 389–395.

Heshui, S., Xiaoyu, H., & Nanchuan, J. (2020). Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. The Lancet Infectious Diseases. 20(4): 425-434.

Hockele, L. F., Sachet, A. J. V., Rossi, D., & Eibel, B. (2022). Pulmonary and Functional Rehabilitation Improves Functional Capacity, Pulmonary Function and Respiratory Muscle Strength in Post COVID-19 Patients: Pilot Clinical Trial. Int J Environ Res Public Health. 12;19(22):14899.

Jimeno, A. A, Franco, L. F., Buendía, R. A., et al. (2022). Rehabilitation for post-COVID-19 condition through a supervised exercise intervention: A randomized controlled trial. Scand J Med Sci Sports. 32(12):1791-1801.

Jones, P. W., Harding, G., Berry, P., et al. (2009). Development and first validation of the COPD Assessment Test. Eur Respir J. 34(3):648-54.

Kamal, M., Abo, O. M., Hussein, A., & Saeed, H. (2021). Assessment and characterisation of post-COVID-19 manifestations. Int J Clin Pract. 75(3), e13746.

Kersten, J., Hoyo, L., Wolf, A., & Hüll, E. (2022). Cardiopulmonary Exercise Testing Distinguishes between Post-COVID-19 as a Dysfunctional Syndrome and Organ Pathologies. Int J Environ Res Public Health. 10;19(18):11421.

Kovelis, D., Segretti, N. O., Probst, V. S., et al. (2008). Validação do Modified Pulmonary Functional Status and Dyspnea Questionnaire e da escala do Medical Research Council para o uso em pacientes com doença pulmonar obstrutiva crônica no Brasil. Jornal Brasileiro de Pneumologia. 34(12): 1008–1018.

López, H. Y., Oropeza, V. J. J., García, L. D. A., et al. (2023). Untargeted analysis in post-COVID-19 patients reveals dysregulated lipid pathways two years after recovery. Rev. Front Mol Biosci. 3(10), 1100486.

Machado, F. V. C., Meys, R., Delbressine, J. M., et al. (2021). Construct validity of the post-COVID-19 Functional Status Scale in adult subjects with COVID-19. Health Qual Life Outcomes. 3;19(1):40.

Mahase, E. (2020). Covid-19: O que sabemos sobre “Long Covid”? BMJ jour. 370:2815, 10.1136/bmj.m2815.

Nalbandian, A., Sehgal, K., Gupta, A., et al. (2021). Síndrome pós-aguda de COVID-19. Rev Nat Med. 27: 601–615. https://doi.org/10.1038/s41591-021-01283-z.

Nambi, G., Abdelbasset, W. K., Alrawaili, S. M., et al. (2022). Estudo comparativo de eficácia do treinamento aeróbico de baixa e alta intensidade com treinamento de resistência em homens idosos da comunidade com sarcopenia pós-COVID 19: um estudo controlado randomizado. Rev. Reabilitação Clínica. 36(1):59-68.

Nogueira, I., C., Fountora, F. F., & Carvalho, C. R. F. (2021). Recomendações para avaliação e reabilitação pós-Covid 19. Associação Brasileira de Fisioterapia (ASSOBRAFIR).

Núñez, C. R., Rivera, L. G., Arias, C. M., Soto, G. D., García, P. R., & Torres, C. R. (2021). Use of sit-to-stand test to assess the physical capacity and exertional desaturation in patients post COVID-19. Chron Respir Dis. 18:1479973121999205.

Ochani, R., Asad, A., Yasmin, F., Shaikh, S., et al. (2021). COVID-19 pandemic: from origins to outcomes. A comprehensive review of viral pathogenesis, clinical manifestations, diagnostic evaluation, and management. Rev. Infez Med. 1;29(1):20-36.

Olímpio, S. C., Marques, M. V. S. M., et al. (2019). .Modified medical research council (mmrc) e a sua relação com variáveis respiratórias e o tempo de internação em pacientes hospitalizados com doença pulmonar obstrutiva crônica. Revista Brasileira de Ciências da Saúde. 23(4): 485-492.

Oliveira, E. N., Santos, K. T., & Reis, L. A. (2017). Força de preensão manual como indicador de funcionalidade em idosos. Revista Pesquisa em Fisioterapia. 7(3):384–392.

Palau, P., Domínguez, E., Gonzalez, C., et al. (2022). Effect of a home-based inspiratory muscle training programme on functional capacity in postdischarged patients with long COVID: the InsCOVID trial. BMJ Open Respir Res. 9(1):e001439.

Paneroni, M., Simonelli, C., Saleri, M., et al. (2021). Muscle Strength and Physical Performance in Patients Without Previous Disabilities Recovering From COVID-19 Pneumonia. Am J Phys Med Rehabil. 100(2):105-109.

Pereira, F. A., Rodrigues, C. K., & Sousa, F. S. (2020). Pesquisa sobre variabilidade na Educação Estatística: uma revisão sistemática da literatura. Zetetike, Campinas. 28: e020004.

Raman, B., Bluemke, D. A., Lüscher, T. F., & Neubauer, S. (2022). Long COVID: post-acute sequelae of COVID-19 with a cardiovascular focus. Eur Heart J. 43(11):1157-1172.

Published

26/05/2023

How to Cite

SOUSA, V. R. da S. de .; ALVES , M. L. de C. .; SILVA , E. da . Functional capacity assessment instruments in post-Covid 19 patients: a systematic review. Research, Society and Development, [S. l.], v. 12, n. 5, p. e25812541812, 2023. DOI: 10.33448/rsd-v12i5.41812. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/41812. Acesso em: 21 nov. 2024.

Issue

Section

Review Article