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dc.contributor.authorHaraf, Rebecca H.
dc.contributor.authorFaghy, Mark
dc.contributor.authorCarlin, Brian
dc.contributor.authorJosephson, Richard A.
dc.date.accessioned2021-01-05T10:53:27Z
dc.date.available2021-01-05T10:53:27Z
dc.date.issued2021-01
dc.identifier.citationHaraf, R. H., Faghy, M., Carlin, B., Josephson, R. A. (2021). ‘The physiological impact of masking is insignificant and should not preclude routine use during daily activities, exercise, and rehabilitation’. Journal of Cardiopulmonary Rehabilitation and Prevention, 41(1), pp. 1-5.en_US
dc.identifier.issn1932-7501
dc.identifier.doi10.1097/HCR.0000000000000577
dc.identifier.urihttp://hdl.handle.net/10545/625497
dc.description.abstractMasking has been employed as a strategy for reducing transmission of a variety of communicable diseases. With the outbreak of SARS-CoV-2, many countries have implemented mandatory public masking. However, the perceived impact of mask use on pulmonary function has been a deterrent to public compliance with recommendations. COVID-19 has shed light on the impact that comorbid cardiac and pulmonary conditions may have on disease severity. This knowledge has led to increased primary and secondary prevention efforts for which exercise and rehabilitation are central. The importance of safe methods of exercise while mitigating risk of viral transmission is paramount to global recovery from the pandemic and prevention of future outbreaks. We constructed a focused literature review of the impact of various masks on pulmonary function at rest and with exercise. This was then incorporated into recommendations for the integration of masks with exercise and rehabilitation in the COVID-19 era. While there is a paucity of evidence, we identified the physiological effects of masking at rest and during exercise to be negligible. The perceived impact appears to be far greater than the measured impact, and increased frequency of mask use leads to a physiological and psychological adaptive response. Masking during daily activities, exercise, and rehabilitation is safe in both healthy individuals and those with underlying cardiopulmonary disease. Rehabilitation participants should be reassured that the benefits of masking during COVID-19 far outweigh the risks, and increased frequency of mask use invokes adaptive responses that make long-term masking tolerable.en_US
dc.description.sponsorshipN/Aen_US
dc.language.isoenen_US
dc.publisherOvid Technologies (Wolters Kluwer Health)en_US
dc.relation.urlhttps://journals.lww.com/jcrjournal/Fulltext/2021/01000/The_Physiological_Impact_of_Masking_Is.1.aspxen_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectRehabilitationen_US
dc.subjectPulmonary and Respiratory Medicineen_US
dc.subjectCardiology and Cardiovascular Medicineen_US
dc.titleThe physiological impact of masking is insignificant and should not preclude routine use during daily activities, exercise, and rehabilitationen_US
dc.typeArticleen_US
dc.contributor.departmentUniversity Hospitals Cleveland Medical Center, and Case Western Reserve University, School of Medicine, Cleveland, Ohioen_US
dc.contributor.departmentHealthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, Illinoisen_US
dc.contributor.departmentUniversity of Derbyen_US
dc.contributor.departmentSleep Medicine and Lung Health Consultants, Pittsburgh Critical Care Associates, Pittsburgh, Pennsylvaniaen_US
dc.identifier.journalJournal of Cardiopulmonary Rehabilitation and Preventionen_US
dc.source.journaltitleJournal of Cardiopulmonary Rehabilitation and Prevention
dc.source.volume41
dc.source.issue1
dc.source.beginpage1
dc.source.endpage5
dcterms.dateAccepted2020-12-01
dc.author.detail782098en_US


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