Role of Physiotherapy in Hospitalised Patients of COVID-19 disease

  • Dr. Sanjay Kumar Bharty MBBS DNB, Associate professor, Department of Respiratory Medicine, SEPM, NSCB Medical College Jabalpur, Madhya Pradesh, India
  • Dr. Jitendra Kishore Bhargava MBBS DTCD MD, professor Director, Department of Respiratory Medicine, SEPM, NSCB Medical College Jabalpur, Madhya Pradesh, India
  • Dr. Brahma Prakash MBBS DNB, Associate professor, Department of Respiratory medicine, SEPM, NSCB Medical College Jabalpur, Madhya Pradesh, India
  • Dr. Vikas Patel MBBS MD, Assistant professor, Department of Respiratory medicine, SEPM, NSCB Medical college Jabalpur, Madhya Pradesh, India
  • Dr. Avinash Jain MBBS MD, Assistant professor, Department of Respiratory medicine, SEPM, NSCB Medical college Jabalpur, Madhya Pradesh, India
  • Dr. Sumit Khatri MBBS MD, Senior Resident, Department of Respiratory Medicine, SEPM, NSCB Medical college Jabalpur Madhya Pradesh India
Keywords: COVID-19, Corona Virus Disease 2019, Respiratory Physiotherapy, Breathing exercise, Blood saturation, Hospitalization stay

Abstract

Introduction: Respiratory physiotherapy is one of the therapeutic methods in various respiratory viral infections. Breathing exercises with other interventions, could enhance the total lung capacity and 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-19 diseases.

Method: This was an Observational (prospective, cross-sectional) study. 187 patients were 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 the physiotherapy group were undergone positional changes, prone ventilation, Breathing exercise, Resistive training, Passive joint motion, Muscle stretching, Bedside standing training, endurance exercise by a specialized physiotherapist. Mean cough severity index, MMRC grade, respiration rate and peripheral blood saturation were recorded before and after intervention and compared with the controlled group.

Result: There was significant improvement found in MMRC grade and respiration rate after physical therapy in the physiotherapy group (p-value < 0.05). Exertional dyspnoea and cough severity index significant deceased in physiotherapy group. The positive change was found in peripheral blood saturation. There was decreased in hospitalization stay in the physiotherapy group as compared to the controlled group.

Conclusion: Our study revealed the positive effect of physiotherapy on covid-19 disease in terms of symptoms and hospitalization duration among the physiotherapy group. Physiotherapy exerts a beneficial role in the management of the covid-19 disease.

Downloads

Download data is not yet available.

Author Biographies

Dr. Sanjay Kumar Bharty, MBBS DNB, Associate professor, Department of Respiratory Medicine, SEPM, NSCB Medical College Jabalpur, Madhya Pradesh, India

MBBS DNB (Respiratory medicine)

Associate professor

Dr. Brahma Prakash, MBBS DNB, Associate professor, Department of Respiratory medicine, SEPM, NSCB Medical College Jabalpur, Madhya Pradesh, India

MBBS MD (Respiratory medicine)

Senior Resident

Dr. Sumit Khatri, MBBS MD, Senior Resident, Department of Respiratory Medicine, SEPM, NSCB Medical college Jabalpur Madhya Pradesh India

MBBS MD (Respiratory medicine)

Senior Resident

References

The Australian and New Zealand Intensive Care Society. The Australian and New Zealand Intensive Care Society (ANZICS) COVID-19 Guidelines Version 1. 2020

Cabillic M, Gouilly P, Reychler G. Techniques manuelles de drainage bronchique des adultes et adolescents : quel niveau de preuve ? [Manual airway clearance techniques in adults and adolescents: What level of evidence?]. Rev Mal Respir. 2018 May;35(5):495-520. French. doi: 10.1016/j.rmr.2015.12.004.

Hsieh MJ, Lee WC, Cho HY, Wu MF, Hu HC, Kao KC, Chen NH, Tsai YH, Huang CC. Recovery of pulmonary functions, exercise capacity, and quality of life after pulmonary rehabilitation in survivors of ARDS due to severe influenza A (H1N1) pneumonitis. Influenza Other Respir Viruses. 2018 Sep;12(5):643-648. doi: 10.1111/irv.12566.

Stenton C. The MRC breathlessness scale. Occup Med (Lond). 2008 May;58(3):226-7. doi: 10.1093/occmed/kqm162.

Gomes GR, Donadio MVF. Effects of the use of respiratory physiotherapy in children admitted with acute viral bronchiolitis. Arch Pediatr. 2018 Aug;25(6):394-398. doi: 10.1016/j.arcped.2018.06.004.

O’Reilly N et al. physiopedia[Online]; Respiratory Management of COVID-19. 2020. 26.11.2020: doi: 10.1016/j.jphys.2020.03.011 .

Zhu Y, Wang Z, Zhou Y, Onoda K, Maruyama H, Hu C, et al. Summary of respiratory rehabilitation and physical therapy guidelines for patients with COVID-19 based on recommendations of World Confederation for Physical Therapy and National Association of Physical Therapy. J Phys Ther Sci. 2020;32(8):545-549. doi: 10.1589/jpts.32.545.

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020 Feb 15;395(10223):497-506. doi: 10.1016/S0140-6736(20)30183-5.

Greenhalgh T, Knight M, A'Court C, Buxton M, Husain L. Management of post-acute covid-19 in primary care. BMJ. 2020 Aug 11;370:m3026. doi: 10.1136/bmj.m3026.

Lee N, Hui D, Wu A, Chan P, Cameron P, Joynt GM,et al. A major outbreak of severe acute respiratory syndrome in Hong Kong. N Engl J Med. 2003 May 15;348(20):1986-94. doi: 10.1056/NEJMoa030685.

Thomas P, Baldwin C, Bissett B, Boden I, Gosselink R, Granger CL, et al. Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. J Physiother. 2020 Apr;66(2):73-82. doi: 10.1016/j.jphys.2020.03.011.

Lau HM, Ng GY, Jones AY, Lee EW, Siu EH, Hui DS. A randomised controlled trial of the effectiveness of an exercise training program in patients recovering from severe acute respiratory syndrome. Aust J Physiother. 2005;51(4):213-9. doi: 10.1016/s0004-9514(05)70002-7.

CITATION
DOI: 10.17511/ijmrr.2021.i03.04
Published: 2021-06-17
How to Cite
1.
Dr. Sanjay Kumar Bharty, Dr. Jitendra Kishore Bhargava, Dr. Brahma Prakash, Dr. Vikas Patel, Dr. Avinash Jain, Dr. Sumit Khatri. Role of Physiotherapy in Hospitalised Patients of COVID-19 disease. Int J Med Res Rev [Internet]. 2021Jun.17 [cited 2024Apr.19];9(3):154-9. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/1284
Section
Original Article