Effects of a plank-based strength training programme on muscle activation in patients with long COVID: a case series

Authors

  • Sofía Laguarta-Val Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain. https://orcid.org/0000-0002-8836-7135
  • María Carratalá-Tejada Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain
  • Francisco Molina-Rueda Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain. https://orcid.org/0000-0002-8616-5505
  • Ricardo Moreta-Fuentes Fisyos Center. Madrid. Spain.
  • Diego Fernández-Vázquez Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain. https://orcid.org/0000-0002-7766-1507
  • Raúl López-González Rey Juan Carlos University. Faculty of Health Sciences. Movement Analysis, Biomechanics, Ergonomics, and Motor Control Laboratory. Madrid. Spain.
  • Carmen Jiménez-Antona Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain. https://orcid.org/0000-0001-9253-8884
  • César Moreta-Fuentes FREMAP Care Center. Fuenlabrada (Madrid). Spain.
  • Alberto Javier Fidalgo-Herrera Alfonso X el Sabio University. Villanueva de la Cañada (Madrid). Spain. https://orcid.org/0000-0002-8202-2670
  • Juan Carlos Miangolarra-Page Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain. https://orcid.org/0000-0001-5886-1573
  • Víctor Navarro-López Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain. https://orcid.org/0000-0003-1362-6312

DOI:

https://doi.org/10.23938/ASSN.1083

Keywords:

COVID-19, Exercise Therapy, Rehabilitation, Muscle Strength

Abstract

Background. This study aimed to analyse the effects of a plank-based strength training programme on muscle activation in patients with long COVID.

Subjects and methods. Case series study that included patients with long COVID who participated in a 12-week trunk and pelvic muscle strength training programme. Clinical variables and the modified fatigue impact scale (MFIS) were used to assess fatigue levels. Percentage of muscle activation during a core muscle plank was measured via surface electromyography. Pre- and post-intervention results were compared using the Wilcoxon signed-rank test and evaluated with Cohen’s D effect size (ES).

Results. Twenty-one subjects participated in the study; 81% female, mean age 47.5 years (range: 28-55 years), and median duration of symptoms 21 months (range: 5-24 months); 90.5% of the participants experienced fatigue (MFIS score ≥ 38). Muscle activation during plank exercises improved across all muscles after the intervention, with significant increases in the left (p = 0.011, medium ES) and right external oblique (p  =0.039, small ES) muscles and the right latissimus dorsi muscle (p = 0.039, small ES). Additionally, significant reductions in fatigue were observed in the total MFIS score (p = 0.004, medium ES) and in the physical (p < 0.001, large ES) and psychosocial subscales (p = 0.033, small ES).

Conclusions. Results suggest that a plank-based strength training programme may be effective in enhancing trunk and pelvic muscle activation in individuals with long COVID.

 

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Author Biographies

Sofía Laguarta-Val, Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain.

Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain.

María Carratalá-Tejada, Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain

Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain.

Rey Juan Carlos University. Faculty of Health Sciences. Movement Analysis, Biomechanics, Ergonomics, and Motor Control Laboratory. Madrid. Spain.

Francisco Molina-Rueda, Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain.

Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain.

Rey Juan Carlos University. Faculty of Health Sciences. Movement Analysis, Biomechanics, Ergonomics, and Motor Control Laboratory. Madrid. Spain.

Ricardo Moreta-Fuentes, Fisyos Center. Madrid. Spain.

Fisyos Center. Madrid. Spain.

Diego Fernández-Vázquez, Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain.

Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain. 

Rey Juan Carlos University. Faculty of Health Sciences. Movement Analysis, Biomechanics, Ergonomics, and Motor Control Laboratory. Madrid. Spain.

Raúl López-González, Rey Juan Carlos University. Faculty of Health Sciences. Movement Analysis, Biomechanics, Ergonomics, and Motor Control Laboratory. Madrid. Spain.

Rey Juan Carlos University. Faculty of Health Sciences. Movement Analysis, Biomechanics, Ergonomics, and Motor Control Laboratory. Madrid. Spain.

Carmen Jiménez-Antona, Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain.

Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain.

César Moreta-Fuentes, FREMAP Care Center. Fuenlabrada (Madrid). Spain.

FREMAP Care Center. Fuenlabrada (Madrid). Spain.

Alberto Javier Fidalgo-Herrera, Alfonso X el Sabio University. Villanueva de la Cañada (Madrid). Spain.

Alfonso X el Sabio University. Villanueva de la Cañada (Madrid). Spain.

Juan Carlos Miangolarra-Page, Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain.

Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain.

Rey Juan Carlos University. Faculty of Health Sciences. Movement Analysis, Biomechanics, Ergonomics, and Motor Control Laboratory. Madrid. Spain.

University Hospital of Fuenlabrada. Physical Medicine and Rehabilitation Service. Madrid. Spain.

Víctor Navarro-López, Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain.

Rey Juan Carlos University. Faculty of Health Sciences. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department. Madrid. Spain.

Rey Juan Carlos University. Faculty of Health Sciences. Movement Analysis, Biomechanics, Ergonomics, and Motor Control Laboratory. Madrid. Spain.

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Published

2024-10-02

How to Cite

1.
Laguarta-Val S, Carratalá-Tejada M, Molina-Rueda F, Moreta-Fuentes R, Fernández-Vázquez D, López-González R, et al. Effects of a plank-based strength training programme on muscle activation in patients with long COVID: a case series. An Sist Sanit Navar [Internet]. 2024 Oct. 2 [cited 2025 Dec. 13];47(3):e1083. Available from: https://recyt.fecyt.es/index.php/ASSN/article/view/103088

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Research articles

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