Chest physiotherapy techniques administered by certified specialists to hospitalized patients with COVID-19 in Brazil: A look towards future practice

Volpe, Márcia Souza; Dias, Letícia Marcelino Sotelo; Leite, Camila Ferreira; Annoni, Raquel; Paro, Flávia Marini; Oliveira, Ana Carolina Otoni; Accioly, Marilita Falângola; Guimarães, Fernando Silva

doi:10.1016/j.hrtlng.2023.06.005

Cited by 3 publications

(3 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite being extensively used during the COVID-19 pandemic [11,14], data about the clinical efficacy of CP techniques are scarce. In fact, CP has mainly demonstrated its efficacy in post-COVID patients [18][19][20], especially interventions directed towards inspiratory muscle training [21].…”

Section: Discussionmentioning

confidence: 99%

“…Chest physiotherapy (CP) could be considered as an adjuvant treatment modality like those mentioned above, although there is much less evidence of its usefulness in patients with COVID and ARF. In a recent survey conducted in Brazil, the most used techniques by certified chest physiotherapists in the COVID-19 acute phase were an active cycle of breathing technique, autogenic drainage, and manual chest compression-decompression [11].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Feasibility and Short-Term SpO2/FiO2 Changes in Hospitalized Adults with COVID-19 Pneumonia after Chest Physiotherapy with Threshold PEP Valve: A Cross-Sectional Study

Estela,

Sánchez,

Mateu

et al. 2023

JCM

View full text Add to dashboard Cite

Background: One of the main features of COVID-19 pneumonia is hypoxemic acute respiratory failure (ARF), often requiring ventilatory support. The influence of chest physiotherapy in patients with ARF is not extensively studied. The aim of the study was to analyze the short-time effects of chest physiotherapy using a 10 cm H2O threshold valve in patients with COVID-19 and ARF. Methods; Quasi-experimental cross-sectional study, in hospitalized patients from March to May 2020. The fractions of inspired oxygen, oxygen saturation, heart rate, respiratory rate and dyspnea were collected before and after the starting session (day 1) and after the 5th day of therapy. Results: The final sample size included 125 patients. Significant differences (p < 0.01) were found in the pre-post intervention SpO2/FiO2 ratio (250 ± 88.4 vs. 275.6 ± 97.5, p < 0.001), reaching 354.4 ± 110.2 after 5 days of therapy (p < 0.001 with respect to the baseline). The respiratory and heart rate dyspnea level did not change during the intervention. In patients needing FiO2 > 0.4, the SpO2/FiO2 ratio improvement was higher than in patients with milder severity (46.85 ± 77.69, p < 0.01). Conclusions: Chest physiotherapy with a 10 cm H2O threshold valve seems to be a safe and tolerated intervention with short-term improvement in oxygenation in patients with COVID-19 pneumonia.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Feasibility and Short-Term SpO2/FiO2 Changes in Hospitalized Adults with COVID-19 Pneumonia after Chest Physiotherapy with Threshold PEP Valve: A Cross-Sectional Study

Estela,

Sánchez,

Mateu

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“…rehabilitation after hospital discharge [10][11][12][13][14][15] . However, some publications have assessed the levels of stress among PTs during this pandemic 2,13,16 and to the best of our knowledge, no study was published focusing specifically on female PTs.…”

Section: Introductionmentioning

confidence: 99%

Self-perceived stress by women during the COVID-19 pandemic: an online survey with brazilian physiotherapists

Rocon,

Marini Paro,

Vieira

et al. 2024

jhgd

View full text Add to dashboard Cite

Introduction: the COVID-19 pandemic highlighted the need to investigate the factors related to stress in female health professionals since women and men are exposed differently to pandemic consequences. Objective: to analyze which psychosocial demands, sociodemographic, and clinical factors were associated with high levels of perceived stress among Brazilian female physiotherapists during the COVID-19 pandemic. Methods: this is a cross-sectional study. The data were collected using the Perceived Stress Scale and an online questionnaire sent by e-mail. Unadjusted and adjusted odds ratios (ORs), with their respective 95% CI, were estimated by logistic regression. Results: the sample was compounded by 339 physiotherapists. Participants who reported a lot/extreme concern with household workers (OR = 2.76; 95% CI: 1.40; 5.46), or relationship with a partner (OR = 4.06; 95% CI: 1.79; 9.21) or financial questions (OR = 2.24; 95% CI: 1.15; 4.35) were more likely to report high levels of perceived stress. In conclusion, the psychosocial demands associated with high levels of perceived stress are high or extreme concern with household chores, or with the relationship with a partner, or financial issues. Conclusion: the factors associated with high levels of perceived stress in this sample of Brazilian physiotherapists were the following psychosocial demands: high or extreme concern with household chores, high or extreme with a relationship with a partner, or high or extreme with financial issues.

show abstract

Effect of Chest Physiotherapy with Threshold Valve in Hospitalized Adults with COVID-19 Pneumonia

Estela¹,

Sánchez²,

Mateu³

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: COVID-19 pneumonia caused by SARS-Cov-2 virus induces alveolar collapse and hypoxia that may become severe. The aim of the study is to analyze the effects of chest physiotherapy using a threshold valve in patients with acute respiratory failure due to COVID-19 pneumonia. Methods; Retrospective observational study, in hospitalized patients from March to May 2020. Breathing exercises were performed with a threshold valve of 10 cmH2O. Fraction of inspired oxygen, oxygen saturation, heart rate, respiratory rate and dyspnea were collected before and after the first session and at the end of the 5th day of chest physiotherapy treatment. Results: The final sample included 125 patients. Significant differences (p&lt;0.01) were found in the pre-post intervention SpO2/FiO2 ratio (250±88.4 vs 275.6±97.5, p&lt;0.001), reaching 354.4±110.2 after 5 days of therapy (p&lt;0.001 with respect to baseline). Mean baseline respiratory, heart rate and level of dyspnea measure by the Borg scale did not change during the technique performance. In patient maneuvers with FiO2&gt;0.4, the SaO2/FiO2 ratio increase was higher than in patients with milder severity (46.85 ± 77.69, p&lt;0.01). Conclusions: Chest physiotherapy with a 10 cmH2O threshold valve is a safe and tolerated intervention with short-term improvement in oxygenation in patients with COVID-19 pneumonia.

show abstract

Chest physiotherapy techniques administered by certified specialists to hospitalized patients with COVID-19 in Brazil: A look towards future practice

Cited by 3 publications

References 24 publications

Feasibility and Short-Term SpO2/FiO2 Changes in Hospitalized Adults with COVID-19 Pneumonia after Chest Physiotherapy with Threshold PEP Valve: A Cross-Sectional Study

Feasibility and Short-Term SpO2/FiO2 Changes in Hospitalized Adults with COVID-19 Pneumonia after Chest Physiotherapy with Threshold PEP Valve: A Cross-Sectional Study

Self-perceived stress by women during the COVID-19 pandemic: an online survey with brazilian physiotherapists

Effect of Chest Physiotherapy with Threshold Valve in Hospitalized Adults with COVID-19 Pneumonia

Contact Info

Product

Resources

About