This study aimed to observe the effect of cardiovascular response to body positioning after cardiopulmonary exercise testing in post covid individuals. Ninety post covid participants (age group 18-45) were assigned into four groups: standing, sitting, supine, and prone position. All participants were assessed cardiovascular response, VO2max baseline, post exercise in standing, sitting, supine and prone by using pulse oximeter, digital sphygmomanometer, polar heart rate and Borg scale. In SpO2, rate of perceived exertion (RPE), diastolic blood pressure, and heart rate, there was no significant difference between the groups at pre-exercise. However, a significant difference was observed at 1 min post-exercise and at 3 min post-exercise. As for systolic blood pressure, there was no significant difference between the groups at pre-exercise and at 1 min post-exercise, but a significant difference was noted at 3 min post-exercise. The findings of this study suggest that, when comparing standing, sitting, supine, and prone positions, the prone position exhibited faster recovery in terms of oxygen saturation and rate of perceived exertion, while the supine position showed quicker recovery in both systolic and diastolic blood pressure. Additionally, individuals with long-COVID symptoms were observed to have a lower VO2max.
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Barbagelata, L., Masson, W., Iglesias, D., Lillo, E., Migone, J.F., Orazi, M.L. and Maritano Furcada, J., 2022. Cardiopulmonary exercise testing in patients with post-COVID-19 syndrome. Medicina Clinica 159: 6-11. https://doi.org/10.1016/j.medcli.2021.07.007
Christle, J.W. and Arena, R., 2020. Cardiopulmonary exercise testing and prescription of exercise. In: Pressler, A. and Niebauer, J. (eds.) Textbook of sports and exercise cardiology. Springer, Cham, Switzerland. https://doi.org/10.1007/978-3-030-35374-2_43
Cole, C.R., Blackstone, E.H., Pashkow, F.J., Snader, C.E. and Lauer, M.S., 1999. Heart-rate recovery immediately after exercise as a predictor of mortality. New England Journal of Medicine 341: 1351-1357. https://doi.org/10.1056/NEJM199910283411804
Dani, M., Dirksen, A., Taraborrelli, P., Torocastro, M., Panagopoulos, D., Sutton, R. and Lim, P.B., 2021. Autonomic dysfunction in ’long COVID’: rationale, physiology and management strategies. Clinical Medicine 21: e63-e67. https://doi.org/10.7861/clinmed.2020-0896
Fernández-de-Las-Peñas, C., Palacios-Ceña, D., Gómez-Mayordomo, V., Florencio, L.L., Cuadrado, M.L., Plaza-Manzano, G. and Navarro-Santana, M., 2021. Prevalence of post-COVID-19 symptoms in hospitalized and non-hospitalized COVID-19 survivors: a systematic review and meta-analysis. European Journal of Internal Medicine 92: 55-70. https://doi.org/10.1016/j.ejim.2021.06.009
Guazzi, M., Adams, V., Conraads, V., Halle, M., Mezzani, A., Vanhees, L., Arena, R., Fletcher, G.F., Forman, D.E., Kitzman, D.W., Lavie, C.J., Myers, J., The European Association for Cardiovascular Prevention & Rehabilitation and The American Heart Association, 2012. EACPR/AHA scientific statement. Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations. Circulation 126: 2261-2274. https://doi.org/10.1161/CIR.0b013e31826fb946
Hwangbo, G., Lee, D.H., Park, S.H. and Han, J.W., 2017. Changes in cardiopulmonary function according to posture during recovery after maximal exercise. Journal of physical Therapy Science 29: 1163-1166. https://doi.org/10.1589/jpts.29.1163
Itagi, A.B.H., Jayalakshmi, M.K. and Yunus, G.Y., 2020. Effect of obesity on cardiovascular responses to submaximal treadmill exercise in adult males. Journal of Family Medicine AND Primary Care 9: 4673-4679. https://doi.org/10.4103/jfmpc.jfmpc_543_20
Kim, K., Lee, H.Y., Lee, D.Y. and Nam, C.W., 2015. Changes in cardiopulmonary function in normal adults after the Rockport 1 mile walking test: a preliminary study. Journal of Physical Therapy Science 27: 2559-2561. https://doi.org/10.1589/jpts.27.2559
Lewthwaite, H., Jensen, D. and Ekström, M., 2021. How to assess breathlessness in chronic obstructive pulmonary disease. International Journal of Chronic Obstructive Pulmonary Disease 16: 1581-1598. https://doi.org/10.2147/COPD.S277523
Lone, S.A. and Ahmad, A., 2020. COVID-19 pandemic – an African perspective. Emerging Microbes and Infections 9: 1300-1308. https://doi.org/10.1080/22221751.2020.1775132
Mukund, S. and Kolase, R., 2021. Evaluation of recovery of oxygen saturation and rate of perceived exertion in different body positions after submaximal exercise test in normal healthy individual. Vims Journal of Physical Therapy 3: 105-110. https://doi.org/10.46858/VIMSJPT.3209
Pump, B., Talleruphuus, U., Christensen, N.J., Warberg, J. and Norsk, P., 2002. Effects of supine, prone, and lateral positions on cardiovascular and renal variables in humans. American Journal of Physiology – Regulatory, Integrative and Comparative Physiology 283: R174-R180. https://doi.org/10.1152/ajpregu.00619.2001
Rekha, C. and Sivachidambaram, K., 2018. Aerobic fitness at young age on immediate and long term cardiovascular disease risk factors: evidence from cardia study and its implications in Indian context. Indian Journal of Public Health Research and Development 9(3): 76.
Shamsuzzaman, A.S., Sugiyama, Y., Kamiya, A., Fu, Q. and Mano, T., 1998. Head-up suspension in humans: effects on sympathetic vasomotor activity and cardiovascular responses. Journal of Applied Physiology 84: 1513-1519. https://doi.org/10.1152/jappl.1998.84.5.1513
Watanabe, N., Reece, J. and Polus, B.I., 2007. Effects of body position on autonomic regulation of cardiovascular function in young, healthy adults. Chiropractic and Osteopathy 15: 19. https://doi.org/10.1186/1746-1340-15-19
Wielemborek-Musial, K., Szmigielska, K., Leszczynska, J. and Jegier, A., 2016. Blood pressure response to submaximal exercise test in adults. BioMed Research International 2016: 5607507. https://doi.org/10.1155/2016/5607507
| All Time | Past 365 days | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 562 | 125 | 12 |
| Full Text Views | 44 | 35 | 0 |
| PDF Views & Downloads | 70 | 52 | 0 |
This study aimed to observe the effect of cardiovascular response to body positioning after cardiopulmonary exercise testing in post covid individuals. Ninety post covid participants (age group 18-45) were assigned into four groups: standing, sitting, supine, and prone position. All participants were assessed cardiovascular response, VO2max baseline, post exercise in standing, sitting, supine and prone by using pulse oximeter, digital sphygmomanometer, polar heart rate and Borg scale. In SpO2, rate of perceived exertion (RPE), diastolic blood pressure, and heart rate, there was no significant difference between the groups at pre-exercise. However, a significant difference was observed at 1 min post-exercise and at 3 min post-exercise. As for systolic blood pressure, there was no significant difference between the groups at pre-exercise and at 1 min post-exercise, but a significant difference was noted at 3 min post-exercise. The findings of this study suggest that, when comparing standing, sitting, supine, and prone positions, the prone position exhibited faster recovery in terms of oxygen saturation and rate of perceived exertion, while the supine position showed quicker recovery in both systolic and diastolic blood pressure. Additionally, individuals with long-COVID symptoms were observed to have a lower VO2max.
| All Time | Past 365 days | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 562 | 125 | 12 |
| Full Text Views | 44 | 35 | 0 |
| PDF Views & Downloads | 70 | 52 | 0 |