A bstract Background: Coronavirus disease (COVID-19) is an infectious disease caused by SARS-CoV-2, clinically presenting with common symptoms of fever, dry cough, and breathlessness within 14 days of exposure. Its severity ranges from mild to severe, latter manifesting into severe acute respiratory syndrome. As a part of multidisciplinary team, physiotherapy along with medical management was administered to patients with COVID-19 in an acute care setup. This retrospective study aims to explore various patient characteristics and will aid in identifying the impairments associated with the disease, giving a direction to the physiotherapy community in planning future management strategy to improve quality of life. Patients and methods: The present study is a unicentric study wherein prospective analysis of retrospective data of patients referred for physiotherapy from May 13 to July 31, 2020, was performed. (i) Characteristics of patients, (ii) associated comorbidities, (iii) hospital course since the time of admission to discharge, (iv) mode of oxygen delivery, (v) pre- and post-physiotherapy treatment values of oxygen saturation and heart rate, and (vi) physiotherapy treatment were recorded. The archived data were analyzed using the commercially available SPSS software version 24. Wilcoxon's matched pair test was used to compare pre- and post-treatment oxygen saturation and heart rate, and McNemar's test was used to compare mode of oxygen delivery and pre- and post-physiotherapy treatment. Results: Descriptive analysis of data showed a better outcome in terms of grade of dyspnea and rate of discharge on day 14 of physiotherapy treatment. Hence, a comparative analysis of day 1 and day 14 was performed for mode of oxygen delivery, oxygen saturation, and heart rate. A statistically significant improvement was observed in the heart rate ( p = 0.001) and oxygen delivery ( p = 0.000). However, no significant difference in the level of oxygen saturation was found ( p = 0.6433). Conclusion: Physiotherapy treatment in conjunction with medical treatment can be effectively administered in patients with COVID-19 in acute care setup taking into consideration the health status and the hemodynamic stability of the patients. It emphasizes the role of physiotherapy in the alleviation of symptoms, facilitating early weaning and recovery enabling early discharge from the hospital. How to cite this article: Verma CV, Arora RD, Mistry HM, Kubal SV, Kolwankar NS, Patil PC, et al . Changes in Mode of Oxygen Delivery and Physiological Parameters with Physiotherapy in COVID-19 Patients: A Retrospective Study. Indian J Crit Care Med 2021;25(3):317–321.
Dance as movement therapy is known to improve balance, cardiorespiratory endurance, body composition, mood, and quality of life among healthy adults. Literature informing the effect of dance therapy on functional-outcome based on the International Classification of Function (ICF) model is lacking for children with neuro-motor impairment. Thus, the current study aimed to review the effect of various traditional dance forms on functioning based on the ICF model in children with neuro-motor disorders. The findings will inform and guide therapists and clinicians on effective utilization of dance therapy as an adjunct therapeutic tool. A comprehensive electronic search was conducted between 2012 and 2022 through PubMed, CINAHL, Google Scholar, and Cochrane. A total of 17 articles were included: 3 review articles, 2 randomized control trials, 9 quasi-experimental studies, and 3 case reports. Articles reporting effects of dance in recreational settings, in age groups other than children and adolescents, in disabilities due to conditions other than neuro-motor origin, or children with severe intellectual disability were excluded. High-quality evidence demonstrated positive effects of dance therapy on body function domain in children with neuro-motor impairments. Review presented limited and low-to-moderate quality literature reporting effect of dance therapy on functions related to activity domain; whereas there is low quality inconclusive evidence on effect of dance therapy on participation of children with neuro-motor impairment. Thus, the review concludes that dance therapy is an effective adjunct tool to improve body function domain of children with neuro-motor disorders.
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