Evidence map›Paper›PMID 40584711›Full record

ArticleFrontiers in medicine2025

Use of speleotherapy in patients with post-COVID-19 syndrome.

René Garbsch, Mona Kotewitsch, Hendrik Schäfer, Marc Teschler, Frank C Mooren, Boris Schmitz

Abstract read
In one paragraph

Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

René GarbschDepartment of Rehabilitation Sciences, Faculty of Health, University of Witten/Herdecke, Witten, Germany.
Mona KotewitschDepartment of Rehabilitation Sciences, Faculty of Health, University of Witten/Herdecke, Witten, Germany.
Hendrik SchäferDepartment of Rehabilitation Sciences, Faculty of Health, University of Witten/Herdecke, Witten, Germany.
Marc TeschlerDepartment of Rehabilitation Sciences, Faculty of Health, University of Witten/Herdecke, Witten, Germany.
Frank C MoorenDepartment of Rehabilitation Sciences, Faculty of Health, University of Witten/Herdecke, Witten, Germany.
Boris SchmitzDepartment of Rehabilitation Sciences, Faculty of Health, University of Witten/Herdecke, Witten, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The post-COVID-19 syndrome (PCS) is characterized by persistent or newly developed symptoms and performance deficits lasting at least 3 months following SARS-CoV-2 infection, with dyspnea as a common symptom. Speleotherapy, a form of climatotherapy utilizing the microclimatic conditions of natural or artificial caves, has been proposed as a supportive treatment for chronic airway diseases, potentially improving lung function and exercise tolerance. Methods: This study investigated the short-term effects of speleotherapy on lung diffusion capacity (DLCO) in PCS patients through a prospective interrupted time-series analysis. Forty-six patients (51.9 ± 9.3 years; 43% female) referred for rehabilitation were included, with a history of COVID-19 infection and persistent deficits lasting over 3 months. Patients underwent spirometric assessments of DLCO repeatedly on days without speleotherapy intervention and on days with intervention, alongside subjective symptom evaluations using the Nijmegen questionnaire. Results: PCS patients performed a median of four out of seven speleotherapy sessions during rehabilitation, resulting in a total of 388 measurements. Analysis revealed no significant changes in DLCO or related parameters (transfer coefficient (KCO), inspiratory volume (IV), total lung capacity (TLC), Residual volume (RV)) during rehabilitation and between speleotherapy and control days ( Conclusion: Speleotherapy did not improve DLCO or alleviate symptoms in PCS patients within this study cohort. Further research is needed to investigate whether speleotherapy can alleviate pulmonary dysfunction in different PCS populations.

Indexed as

DLCOlong COVIDpost-COVID-19SARS-CoV-2speleotherapy

Identifiers

PMID40584711
PMCPMC12203607

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.