Vol 5, No 4 (2020)
Review article
Published online: 2020-07-21

open access

Page views 1683
Article views/downloads 2834
Get Citation

Connect on Social Media

Connect on Social Media

Application and effectiveness of respiratory physiotherapy in the prevention and treatment of patients with Covid-19

Oliwia A. Jarosz1, Beniamin Szmelcer1, Marta Podhorecka1
Medical Research Journal 2020;5(4):265-270.

Abstract

Introduction: COVID-19 as a respiratory disease is the latest challenge in modern medicine. As in most health problems, respiratory rehabilitation also finds application in this case. Materials and methods: Analysis of available literature, articles in the Google Scholar and PubMed database using keywords: COVID-19, respiratory physiotherapy, lung disease, prevention, therapy. The available literature was subjectively selected, and then the latest version of each article was used. Results: There are many physiotherapeutic methods and techniques that can be applied in the fight against COVID-19 disease, but there is still a lack of scientific research that would confirm their effectiveness in this particular disease entity. Rehabilitation of sick people, both in severe and moderate condition, should be based on airway clearance, respiratory control and adequate physical activity. Conclusions: The issue of rehabilitation in COVID-19 disease requires further interest of researchers because there is still insufficient literature on this subject. Undeniably physiotherapy should be a significant part of the interdisciplinary approach to fight this disease entity, because the effects of its absence can significantly affect the health of patients.

Article available in PDF format

View PDF Download PDF file

References

  1. Kuciel-Lewandowska J, Paprocka-Borowicz M, Hawrylak A, et al. Miejsce fizjoterapii w pulmonologii. Acta Bio-Optica et Informatica Medica. 2008; 4: 284–285.
  2. Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020; 109: 102433.
  3. Ahn DG, Shin HJ, Kim MH, et al. Current Status of Epidemiology, Diagnosis, Therapeutics, and Vaccines for Novel Coronavirus Disease 2019 (COVID-19). J Microbiol Biotechnol. 2020; 30(3): 313–324.
  4. Spruit MA. Pulmonary rehabilitation. European Respiratory Review. 2014; 23(131): 55–63.
  5. Olbrych A. Wpływ rehabilitacji na poprawę wydolności fizycznej ocenianej za pomocą sześciominutowego wysiłkowego testu marszowego. Medycyna Rodzinna 2018 Jan. ; 21(1): 34–38.
  6. Grochans E, Bąk A, Reczyńska A, et al. Ocena jakości życia chorych z przewlekłymi chorobami układu oddechowego. Probl Hig Epidemiol. 2012; 93(3): 542–545.
  7. Wojda E, Nowiński A, Śliwiński P. Rehabilitacja oddechowa. Przewodnik Lekarza 2007 Mar 21. ; 1: 129–133.
  8. Jastrzębski D, Ziora D, Hydzik G, et al. Rehabilitacja oddechowa chorych na raka płuca. Pneumonol. Alergol. Pol. 2012 Oct; 80. ; 6: 546–554.
  9. Parocka-Borowicz M, Demczyszak I, Kuciel-Lewandowska J. Fizjoteraia w chorobach układu oddechowego. Górnickie Wydawnictwo Medyczne Wrocław 2009. p 8-19. : 16–32.
  10. Dylewicz P, Bromboszcz J, et al. Badanie chorego kwalifikowanego do ćwiczeń fizycznych w programie rehabilitacji kardiologicznej. In: Dylewicz P., Bromboszcz J., Przywarska I., Borowicz-Bieńkowska S., Wilk M.: Rehabilitacja kardiologiczna – stosowanie ćwiczeń fizycznych. 3rd ed. Elipsa-JAIM. 2009: 195–208.
  11. Gębska M. Weber- Nowakowska K., Żyżniewska- Banaszak E. Zastosowanie techniki fonacyjno-oddechowo-artykulacyjnej – jako formy profilaktyki i rehabilitacji zaburzeń emisji głosu u nauczycieli. Hygeia Public Health 2014 Jan. ; 49(2): 209–214.
  12. Miki K, Maekura R, Kitada S, et al. Pulmonary rehabilitation for COPD improves exercise time rather than exercise tolerance: effects and mechanisms. Int J Chron Obstruct Pulmon Dis. 2017; 12: 1061–1070.
  13. Kwaśniewska A, Kamusińska E. Rola pielęgniarki w rehabilitacji pacjentów po zabiegach operacyjnych w obrębie jamy brzusznej. Studia Medyczne. 2012; 25(1): 73.
  14. O'Neill K, O'Donnell AE, Bradley JM. Airway clearance, mucoactive therapies and pulmonary rehabilitation in bronchiectasis. Respirology. 2019; 24(3): 227–237.
  15. Wnuk D, Hansdorfer-Korzon R, Żuralska-Wnuk J, et al. Postępowanie fizjoterapeutyczne u pacjentów po zabiegu resekcji miąższu płuca. Pneumonologia i Alergologia Polska. 2013; 82(1): 46–54.
  16. Hupa M, Orczyk M, Baryła A, et al. Wpływ rehabilitacji pulmonologicznej na stan pacjentów z astmą oskrzelową. Fizjoterapia Oddechowa. ; 2015: 24–27.
  17. Rutkowski R, Rutkowska A, Rutkowski K, et al. Wybrane zagadnienia rehabilitacji oddechowej. Fizjoterapia Polska 2009; 1(4); vol. ; 9: 21–30.
  18. Yin Y, Wunderink RG. MERS, SARS and other coronaviruses as causes of pneumonia. Respirology. 2018; 23(2): 130–137.
  19. Haines KJ, Berney S. Physiotherapists during COVID-19: usual business, in unusual times. J Physiother. 2020; 66(2): 67–69.
  20. Chinese Association of Rehabilitation Medicine, Respiratory Rehabilitation Committee of Chinese Association of Rehabilitation Medicine, Cardiopulmonary Rehabilitation Group of Chinese Society of Physical Medicine and Rehabilitation. [Recommendations for respiratory rehabilitation of coronavirus disease 2019 in adult]. Zhonghua Jie He He Hu Xi Za Zhi. 2020; 43(4): 308–314.
  21. Melbourne: ANZICS, ANZICS COVID-19 Guidelines. https://www.anzics.com.au/wp-content/uploads/2020/03/ANZICS-COVID-19-Guidelines-Version-1.pdf (2020 Apr 28).
  22. Canadian Physiotherapy Association; The CPA's Position on Tele-Rehabilitation; c2020. https://physiotherapy.ca/cpas-position-tele-rehabilitation (2020 Apr 28).
  23. Cieloszczyk A., Lewko A., Śliwińska A., Włoch T., Pyszora A., Koronawirus SARS-COV-2 Zalecenia do prowadzenia fizjoterapii dorosłych pacjentów z COVID-19. https://kif.info.pl/file/2020/03/Zalecenia-do-prowadzenia-fizjoterapii-doros%C5%82ych-pacjento%CC%81w-z-COVID-19-1.pdf (2020 Apr 28).
  24. De l’Associazione Riabilitatori dell’Insufficienza Respiratoria, en collaboration avec l’Associazione Italiana Fisioterapisti, Indicazioni per la fisioterapia respiratoria in pazienti con infezione da COVID-19; c2020. https://aifi.net/wp-content/uploads/2020/03/Indicazioni-per-fisioterapia-respiratoria-in-COVID19-agg-16-03-2020.pdf (2020 Apr 28).
  25. Nota congiunta AIFI – Commissioni di Albo dei Fisioterapisti, Note Sulla Rimodulazione Degli Interventi Fisioterapici in Relazione All’emergenza COVID19; c2020. https://aifi.net/wp-content/uploads/2020/03/nota-12-marzo-2020-COVID19-per-fisioterapisti-congiunto-AIFI-CDA-OrdiniTSRMPSTRP.pdf ( 2020 Apr 28).
  26. Gosselink R, Bott J, Johnson M, et al. Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients. Intensive Care Med. 2008; 34(7): 1188–1199.
  27. Kiekens C, Boldrini P, Andreoli A, et al. Rehabilitation and respiratory management in the acute and early post-acute phase. "Instant paper from the field" on rehabilitation answers to the COVID-19 emergency. Eur J Phys Rehabil Med. 2020; 56(3): 323–326.
  28. Jiménez-Pavón D, Carbonell-Baeza A, Lavie CJ. Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: Special focus in older people. Prog Cardiovasc Dis. 2020 [Epub ahead of print].
  29. Lavie CJ, Ozemek C, Carbone S, et al. Sedentary Behavior, Exercise, and Cardiovascular Health. Circ Res. 2019; 124(5): 799–815.
  30. CHAN KS, ZHENG JP, Mok YW, et al. SARS: prognosis, outcome and sequelae. Respirology. 2003; 8(s1): S36–S40.
  31. Zhu C, Wu Y, Liu H, et al. Early pulmonary rehabilitation for SARS-CoV-2 pneumonia: Experience from an intensive care unit outside of the Hubei province in China. Heart Lung. 2020 [Epub ahead of print].
  32. Chen P, Mao L, Nassis GP, et al. Coronavirus disease (COVID-19): The need to maintain regular physical activity while taking precautions. J Sport Health Sci. 2020; 9(2): 103–104.