Background: Respiratory involvement is a common consequence of COVID-19; changes in cardiorespiratory parameters of these patients during respiratory rehabilitation program are very important. Previous studies showed that myofascial release therapy (MFRT) could affect the respiratory muscle and adjunct fascia.
Purpose: The aim of this study was to evaluate the effects of MFRT techniques and respiratory physiotherapy, in comparison with respiratory physiotherapy alone, on improving cardiorespiratory parameter in patients with COVID-19.
Setting: A hospital affiliated to Tehran University of Medical Sciences in Tehran, Iran, from February to July 2021.
Participants: Fifty patients with COVID-19 participated in this study.
Research Design: A single-blind, ran-domized control design.
Intervention: The patients with COVID-19 randomly assigned to an intervention group who received respiratory physiotherapy combined with MFRT or a control group receiving respiratory physiotherapy alone.
Main Outcome Measure(s): Heart rate, systolic and diastolic blood pressure, respiration rate, oxygen saturation, chest expansion, and ease of breathing were assessed at baseline and after the first and third session of treatment. Dyspnea and fatigue perception and 6-minute walking were assessed at baseline and at the end of treatment. Patient’s thoughts about the treatment were examined through the 4-point Likert scale.
Results: The ANOVAs found significant time effect for ease of breathing, dyspnea perception (F = 32.33, p < .01 and F = 11.72, p < .01, respectively). Also significant time by group interaction was found for chest expansion at xiphoid level (F = 4.02, p = .02).
Conclusions: The present study provided evidence that both programs could result in improving ease of breathing and dyspnea perception, although the inclusion of MFR techniques into a respiratory physiotherapy program did not result in better outcomes in cardiorespiratory function of patients with COVID-19.
Purpose
The purpose of the study is to compare the effectiveness of the tibialis posterior Kinesio taping and fibularis longus Kinesio taping on the foot posture, physical performance, and dynamic balance in young women with flexible flatfoot.
Methods
Twenty-four subjects were recruited for the study. They were randomly divided into groups (A = 12, B = 12). In group A, Kinesio taping was applied on the tibialis posterior, and in group B, Kinesio taping was applied on the fibularis longus and remained for 30 min. Outcome measures were the navicular drop test (NDT), foot posture index (FPI), timed up and go (TUG) test, and Y-balance test. The pre- and post-treatment results were compared for each group; between-group differences were determined as well.
Results
For group A, NDT, FPI, and TUG test changed significantly (
P
= 0.01,
P
= 0.001,
P
= 0.006, respectively). For group B, the FPI score decreased (
P
= 0.03), and the Y-balance test in the anterior direction improved significantly (
P
= 0.01). Any variables have not shown a significant difference between groups (
P
> 0.05).
Conclusion
Kinesio taping of the tibialis posterior and fibularis longus can improve foot posture in young women with flexible flatfoot. Also, physical performance and dynamic balance improved by Kinesio taping of the tibialis posterior and the fibularis longus, respectively. In addition to the tibialis posterior, we found that the fibularis longus muscle can be considered a therapeutic target for managing flexible flatfoot in healthy young women.
Introduction: The present study aimed to investigate the effects of Myofascial Release Therapy (MRT) on cardiorespiratory functions in patients with COVID-19.
Materials and Methods: A total of 36 patients with COVID-19 (intervention group=20, controls=16) were included in the present study. The patients in the intervention group participated in a single session of suboccipital, anterior thoracic and sternal, anterior cervical, and diaphragm myofascial release techniques, plus respiratory physiotherapy. The controls just received respiratory physiotherapy. Before-after assessments included recording heart rate, systolic and diastolic blood pressure, respiratory rate, blood oxygen saturation, chest expansion, and breathing comfort.
Results: There was a significant reduction in the heart rate and ease of breathing in the intervention group (P=0.04, P=0.02; respectively); also, the diastolic blood pressure increased significantly in the control group (P=0.02). Compared to the controls, the ease of breathing decreased significantly in the intervention group (P=0.03).
Conclusion: Myofascial release techniques of the neck, thoracic, and diaphragm, along with respiratory physiotherapy, could immediately affect heart rate and ease of breathing and prevent increasing diastolic blood pressure. If a patient with COVID-19 is stable, pulmonary physiotherapists may consider using these techniques while monitoring cardiopulmonary function.
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