Functionality before and after physiotherapy in post COVID-19 patients
Funcionalidad antes y después de fisioterapia en pacientes post COVID-19
DOI:
https://doi.org/10.25176/RFMH.v23i3.5532Keywords:
SARS-CoV-2; Occupational Therapy; Physical Therapy ModalitiesAbstract
Background: COVID-19 is a disease that since its appearance in 2019 has represented a challenge for health services. The sequelae are a consequence of a deterioration in the quality of life, fatigue, dyspnea and joint pain. Objective: Compare physical, respiratory, cognitive and functional independence functional parameters in post-COVID-19 patients, with respiratory sequelae before and after a respiratory physical and occupational therapy program. Methods: A comparative, quasi-experimental, prospective study was conducted in outpatients discharged from hospitalization due to COVID-19 in a 3rd level hospital of the Instituto Mexicano del Seguro Social in Puebla, Mexico during 2020-2021. Scales were applied before and after the rehabilitation program. Descriptive statistics were used. Results: We included 116 patients, 57.7% men, mean age 47.32 years (min. 20, max. 79); 77 (66.3%) patients had moderate symptoms in hospitalization. A significant p value was obtained (p <0.000) Conclusions: Significant improvement is observed in post-COVID-19 patients after receiving respiratory physical and occupational therapy.
Downloads
References
World Health Organization WHO COVID-19 Dashboard. [(accessed on 3 September 2023)]. Available online: https://covid19.who.int
Gupta A., Madhavan M.V., Sehgal K., Nair N., Mahajan S., Sehrawat T.S., Bikdeli B., Ahluwalia N., Ausiello J.C., Wan E.Y., et al. Extrapulmonary manifestations of COVID-19. Nat Med. 26:1017–1032. doi: 10.1038/s41591-020-0968-3.
Abdullahi A. Safety and Efficacy of Chest Physiotherapy in Patients with COVID-19: A Critical Review. Front. Med. 2020;7:454. doi: 10.3389/fmed.2020.00454.
Ahmed T., Shah R.J., Rahim S.E.G., Flores M., O’Linn A. Coronavirus Disease 2019 (COVID-19) Complicated by Acute Respiratory Distress Syndrome: An Internist’s Perspective. Cureus. 2020;12:e7482. doi: 10.7759/cureus.7482.
Barker-Davies R.M., O’Sullivan O., Senaratne K.P.P., Baker P., Cranley M., Dharm-Datta S., Ellis H., Goodall D., Gough M., Lewis S., et al. The Stanford Hall consensus statement for post-COVID-19 rehabilitation. Br. J. Sports Med. 2020;54:949–959. doi: 10.1136/bjsports-2020-102596.
Huang C., Huang L., Wang Y., Li X., Ren L., Gu X., Kang L., Guo L., Liu M., Zhou X., et al. 6-month consequences of COVID-19 in patients discharged from hospital: A cohort study. Lancet. 2021;397:220–232. doi: 10.1016/S0140-6736(20)32656-8.
Nalbandian A., Sehgal K., Gupta A., Madhavan M.V., McGroder C., Stevens J.S., Cook J.R., Nordvig A.S., Shalev D., Sehrawat T.S., et al. Post-acute COVID-19 syndrome. Nat. Med. 2021;27:601–615. doi: 10.1038/s41591-021-01283-z
World Health Organization (WHO). Coronavirus disease (COVID-19) Weekly Epidemiological Updates and Monthly Operational Updates. [Internet] Geneva: WHO; September 2023. [Accessed on 4 September 2023.] Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports
Subsecretaría de Prevención y Promoción de la Salud. (2023). Informe Técnioc Semanal COVID-19 México. ACUERDO número 01/08/2023. Retrieved from: https://www.gob.mx/cms/uploads/attachment/file/846869/InformeTecnico_Semanal_COVID-19_2023.08.01.pdf
Boldrini P, Bernetti A, Fiore P; SIMFER Executive Committee, SIMFER Committee for International Affairs. Impact of COVID-19 outbreak on rehabilitation services and Physical and Rehabilitation Medicine physicians’ activities in Italy. An official document of the Italian PRM Society (SIMFER). Eur J Phys Rehabil Med. 2020;56(3): 316-318. doi: 10.23736/S1973-9087.20.06256-5.
Martí JD, Muñoz G, Gimeno-Santos E, Balañá A, Vilaró J. Análisis descriptivo de la fisioterapia respiratoria en España. Rehabil. 2016;50(3):160-5. doi: 10.1016/j.rh.2016.03.003.
Halpin SJ, McIvor C, Whyatt G, Adams A, Harvey O, McLean L, et al. Postdischarge symptoms and rehabilitation needs in survivors of COVID-19 infection: A cross-sectional evaluation. J Med Virol. 2021;93(2):1013-22. doi: 10.1002/jmv.26368.
Via-Clavero G, Sanjuán-Naváis M, Menéndez-Albuixech M, Corral-Ansa L, Martínez-Estalella G, Díaz-Prieto-Huidobro A. Evolución de la fuerza muscular en pacientes críticos con ventilación mecánica invasiva. Enferm Intensiva. 2013;24(4):155-166. doi: 10.1016/j.enfi.2013.09.001.
Pancera S, Galeri S, Porta R, Pietta I, Bianchi LNC, Carrozza MC, et al. Feasibility and Efficacy of the Pulmonary Rehabilitation Program in a Rehabilitation Center: CASE REPORT OF A YOUNG PATIENT DEVELOPING SEVERE COVID-19 ACUTE RESPIRATORY DISTRESS SYNDROME. J Cardiopulm Rehabil Prev. 2020; 40(4): 205-208. doi: 10.1097/HCR.0000000000000529.
Vitacca M, Paneroni M, Baiardi P, De Carolis V, Zampogna E, Belli S, et al. Development of a Barthel Index based on dyspnea for patients with respiratory diseases. Int J Chron Obstruct Pulmon Dis. 2016; 11(1):1199-206. doi: 10.2147/COPD.S104376.
Cid-Ruzafa J, Damián-Moreno J. Valoración de la discapacidad física: El Índice de Barthel. Rev Esp Salud Pública. 1997;71(2): 127-139. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-57271997000200004&lng=es.
Zampogna E, Paneroni M, Belli S, Aliani M, Gandolfo A, Visca D, et al. Pulmonary Rehabilitation in Patients Recovering from COVID-19. Respiration. 2021;100(5):416-422. doi: 10.1159/000514387.
Ávila-Álvarez A, Viana-Moldes I, Torres-Tobio G, López-Cortón A. Reflexión sobre la implementación de un instrumento de evaluación cognitiva en terapia ocupacional. La batería de evaluación cognitiva Loewenstein Occupational Therapy Cognitiva Assessment (LOTCA). TOG (A Coruña) 2010; 7(11): 1-11. Disponible en: https://www.revistatog.com/num11/pdfs/revision1.pdf
Bustos-Viviescas BJ, Acevedo-Mindiola AA, Lozano-Zapata RE. Valores de fuerza prensil de mano en sujetos aparentemente sanos de la ciudad de Cúcuta, Colombia. MedUNAB. 2019; 21(3): 363-377. doi: 10.29375/01237047.2791.
Molina-Molina M. Secuelas y consecuencias de la COVID-19. Neumología y Salud. 2020; 23(2):71-7. Disponible en: https://www.neumologiaysalud.es/descargas/R13/R132-8.pdf
Mo X, Jian W, Su Z, Chen M, Peng H, Peng P, et al. Abnormal pulmonary function in COVID-19 patients at time of hospital discharge. Eur Respir J. 2020; 55(6): 1-11. doi: 10.1183/13993003.01217-2020.
Ros-Dopico L, Tung-Chen Y, Pilares-Barco M, Muñoz-Garcia A. Monitoring of the rehabilitation therapy of COVID-19 effort dyspnea. Enferm Infecc Microbiol Clin. 2021;39(5):258–9. d oi: 10.1016/j.eimc.2020.08.006.
Maestre-Muñiz MM, Arias Á, Mata-Vázquez E, Martín-Toledano M, López-Larramona G, Ruiz-Chicote AM, et al. Long-term outcomes of patients with Coronavirus disease 2019 at one year after hospital discharge. J Clin Med. 2021; 10(13):2945. doi: 10.3390/jcm10132945.
Gugnani A. Effects of breathing exercises and incentive spirometry in improving lung capacity on individuals with lung fibrosis. Eur J Mol Clin Med. 2020;7(2):1407-35.
Chan KS, Pfoh ER, Denehy L, Elliott D, Holland AE, Dinglas VD, et al. Construct validity and minimal important difference of 6-minute walk distance in survivors of acute respiratory failure. Chest. 2015;147(5):1316-26. doi: 10.1378/chest.14-1808.
Liu K, Zhang W, Yang Y, Zhang J, Li Y, Chen Y. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complement Ther Clin Pract. 2020;39: 101166. doi: 10.1016/j.ctcp.2020.101166
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Revista de la Facultad de Medicina Humana
This work is licensed under a Creative Commons Attribution 4.0 International License.