Abstract
Introduction: Respiratory physiotherapy is one of the therapeutic methods in various respiratoryviral infections. Breathing exercises with other interventions, could enhance the total lung capacityand symptom alleviation in patients with virus-related acute respiratory distress syndrome (ARDS).Aim: To study the clinical evaluation of the role of physiotherapy in hospitalised patients of covid-19diseases. Method: This was an Observational (prospective, cross-sectional) study. 187 patientswere recruited and diagnosed as COVID-19 as per RTPCR at NSCB Medical College, Jabalpur (MP).Patients were randomised into the physiotherapy group and controlled group. Patients in thephysiotherapy group were undergone positional changes, prone ventilation, Breathing exercise,Resistive training, Passive joint motion, Muscle stretching, Bedside standing training, enduranceexercise by a specialized physiotherapist. Mean cough severity index, MMRC grade, respiration rateand peripheral blood saturation were recorded before and after intervention and compared with thecontrolled group. Result: There was significant improvement found in MMRC grade and respirationrate after physical therapy in the physiotherapy group (p-value < 0.05). Exertional dyspnoea andcough severity index significant deceased in physiotherapy group. The positive change was found inperipheral blood saturation. There was decreased in hospitalization stay in the physiotherapy groupas compared to the controlled group. Conclusion: Our study revealed the positive effect ofphysiotherapy on covid-19 disease in terms of symptoms and hospitalization duration among thephysiotherapy group. Physiotherapy exerts a beneficial role in the management of the covid-19disease.
Highlights
Respiratory physiotherapy is one of the therapeutic methods in various respiratory viral infections
With existing comorbidities that may be associated with hypersecretion or ineffective cough, ventilated patients who have inadequate airway clearance, prone lying patients and patients who suffer from ICU acquired weakness may require physiotherapy, as all these conditions may worsen their morbidity and mortality
This study showed the severity of cough had been decreased earlier in the physiotherapy group than in the control group
Summary
Respiratory physiotherapy is one of the therapeutic methods in various respiratory viral infections. Aim: To study the clinical evaluation of the role of physiotherapy in hospitalised patients of covid-19 diseases. Hsieh MJ et al revealed that pulmonary physiotherapy help in the recovery of pulmonary function and decrease hospital stay and improve quality of life in survivors of viral related acute respiratory distress syndrome[3]. It may the prevention of disabilities acquired during hospitalization in ICU and resulting from infection. The primary aim of this study was to evaluate the effectiveness of chest physiotherapy on Covid-19 patients in terms of clinical and hospital stay
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