[The multi-professional care team to guide the rehabilitation of Covid long patients]. / L'équipe soignante pluriprofessionnelle pour guider la réhabilitation des patients Covid long.

La Porte verte hospital in Versailles is one of the reference establishments in the Yvelines department (78) for the reception and care of patients with long term cancer. The follow-up care and rehabilitation department and the day hospital organize care dedicated to very complex patients. The teams offer a personalized rehabilitation care program over a defined period of time, with multidisciplinary management and the ability to conduct explorations, assessments and evaluations on site.

Lactate recovery kinetics in response to high-intensity exercises.

PURPOSE: The aim of this study was to investigate lactate recovery kinetics after high-intensity exercises. METHODS: Six competitive middle-distance runners performed 500-, 1000-, and 1500-m trials at 90 % of their current maximal speed over 1500 m. Each event was followed by a passive recovery to obtain blood lactate recovery curves (BLRC). BLRC were fitted by the bi-exponential time function: La(t) = La(0) + A 1(1-e (-γ1t) ) + A 2(1-e (-γ2t) ), where La(0) is the blood lactate concentration at exercise completion, and γ 1 and γ 2 enlighten the lactate exchange ability between the previously active muscles and the blood and the overall lactate removal ability, respectively. Applications of the model provided parameters related to lactate release, removal and accumulation rates at exercise completion, and net amount of lactate released during recovery. RESULTS: The increase of running distance was accompanied by (1) a continuous decrease in γ 1 (p < 0.05), (2) a primary decrease (p < 0.05) and then a stabilization of γ 2, and (3) a constant increase in blood concentrations (p < 0.05) and whole body accumulation of lactate (p < 0.05). Estimated net lactate release, removal and accumulation rates at exercise completion, as well as the net amount of lactate released during recovery were not significantly altered by distance. CONCLUSION: Alterations of lactate exchange and removal abilities have presumably been compensated by an increase in muscle-to-blood lactate gradient and blood lactate concentrations, respectively, so that estimated lactate release, removal and accumulation rates remained almost stable as distance increased.

Differences in lactate exchange and removal abilities between high-level African and Caucasian 400-m track runners.

The present study aimed to investigate (1) whether high-level 400-m track runners of different ethnic origin displayed divergent post-run blood lactate concentrations (p400m[La]) and (2) if this discrepancy was based on differences in lactate exchange and removal abilities. Twenty male African (n = 12) and Caucasian (n = 8) runners, paired in terms of personal record, performed (1) an all-out 400-m run to measure p400m[La] at 3, 5 and 7 min into recovery and (2) a 1-min 25.2 km h(-1) running (not maximal but standardized) exercise followed by 90-min passive recovery to determine individual blood lactate recovery curves (IBLRC). IBLRCs were fitted to a bi-exponential time function: [Formula: see text] where γ 1 and γ 2 denote lactate exchange ability between the previously worked muscles and blood, and overall ability for lactate removal, respectively. The quantity of lactate accumulated at the end of the 1-min exercise (Q LaA) was also estimated. Our study showed that after the all-out 400-m run, p400m[La] was lower in African than in Caucasian runners at 3 and 5 min but not at 7 min into recovery. After the standardized exercise, γ 1 and γ 2 were lower (p < 0.01) and Q LaA was higher (p < 0.05) in African than in Caucasian runners. These data suggest that for similar performance levels, ethnicity involves differences in lactate accumulation, exchange and removal.