Respiratory rehabilitation in patients recovering from severe acute respiratory syndrome: A systematic review and meta-analysis

Barman, Apurba; Sinha, Mithilesh Kumar; Sahoo, Jagannatha; Jena, Debasish; Patel, Vikas

doi:10.1016/j.hrtlng.2022.01.005

Cited by 12 publications

(13 citation statements)

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“…The need for rehabilitation during and after the Covid-19 pandemic has been noted by many authors (Gutenbrunner et al, 2020;Agostini et al, 2021;Barman et al, 2022;Ceravolo et al, 2020;Halpin et al, 2021).…”

Section: Discussionmentioning

confidence: 96%

“…The examiner should be trained in cardio-pulmonary resuscitation, and the room should be equipped with oxygen and an emergency kit. Typically, during the test, maximum loads and a variety of scales and tools are used (Mancini et al, 2021;Barman et al, 2022). The patient determines dyspnea and fatigue himself, so it is a subjective assessment.…”

Section: Introductionmentioning

confidence: 99%

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The Results of Post-Covid Rehabilitation in Pulmonary Care Patients

Witana-Hebda¹,

Pietrzykowska²

2022

Regional Formation and Development Studies

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Post-Covid rehabilitation deals with properly selected exercises for the respiratory muscles, respiratory rehabilitation, learning to relax, and exercise. The aim of the study was to evaluate the results of post-Covid rehabilitation in pulmonary care patients. The study was performed on a group of 50 patients (15 women, 35 men; the mean age was 59.4 years) undergoing pulmonary rehabilitation in January 2022 in the rehabilitation department of a pulmonary hospital in southern Poland. Patients’ physical activity tolerance was assessed before and after rehabilitation using the walk test, mMRC test, Barthel’s scale, CAT questionnaire and Borg’s scale. The research results show a statistically significant improvement in all patients and in each of the methods for assessing physical activity tolerance. There is an urgent need for a rehabilitation programme aimed specifically at post-Covid patients.

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

The Results of Post-Covid Rehabilitation in Pulmonary Care Patients

Witana-Hebda¹,

Pietrzykowska²

2022

Regional Formation and Development Studies

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“…Rapid recovery and improvement reflects the effect of regular physical therapy. Barman et al showed improvement of lung function in COVID patients receiving respiratory rehabilitation [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Persistence of Dyspnea and Change in Health-Related Quality of Life in Patients With COVID-19 After Discharge

Biswas¹,

Pandey²,

Ghosh³

et al. 2022

Cureus

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IntroductionCoronavirus disease 2019 (COVID-19) is a deadly virus affecting multiple organ systems, predominantly the respiratory system. Dyspnea along with the deterioration of health-related quality of life (HRQoL) is common in COVID-19 patients discharged from a dedicated Coronavirus disease (COVID) hospital. Very few studies in India used HRQoL for the assessment of COVID-19 patients after discharge. Our article aims to assess the factors associated with the persistence of dyspnea and HRQoL in discharged patients of COVID-19. MethodsA total of 48 patients were included in this prospective observational study. Ethical approval from Institutional Ethics Committee was obtained before the enrolment of patients. Patients having dyspnea at exertion and during discharge were selected for this study. Modified Medical Research Council (mMRC) scale and modified Borg scale were used for assessing dyspnea on activity, and Saint George's Respiratory Questionnaire (SGRQ) was used to assess HRQoL. Data were collected on the day of discharge (D0) and after 60 days (D60) post-discharge. The significance of changes in parameters from D0 to D60 was evaluated by paired t-test. ResultsThe mean mMRC, modified Borg, and SGRQ scores at D0 were 2.38±0.98, 3.15±2.12, and 45.36±27.32, respectively, which were improved to 0.94±0.86, 0.94±1.27, and 19.22±18.96 at D60. Age showed significant positive correlations with initial modified Borg (r=0.292, p=0.044) and SGRQ (r=0.332, p=0.021) scores. Body mass index showed significant positive correlations with initial mMRC (r=0.352, p=0.014) and SGRQ (r=0.419, p=0.003) scores. ConclusionOur study showed that on discharge, many COVID patients have impaired HRQoL. Many of them also have dyspnea on exertion. With the early institution of standard pulmonary rehabilitation protocol, symptoms and HRQoL improves rapidly in a month. Different influencing factors were identified. Long-term follow-up with a bigger sample size is needed to formulate a management strategy for these patients.

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“…Respiratory rehabilitation improves symptoms of dyspnoea, relieves anxiety, reduces complications, minimises disability, preserves function, and improves the quality of life both in the acute phase and after discharge. [2][3][4] Telerehabilitation is the provision of rehabilitation services through telecommunication networks or the internet offering remote treatments to the people in their homes or from a distance. 5 6 Since COVID-19 emerged and caused a huge burden on the health system, many patients are not able to receive their face-to-face treatments and also people with chronic or longstanding health conditions are unable to continue their follow-up as usual and professionals cannot attend all of the consultations.…”

Section: Introductionmentioning

confidence: 99%

“…COVID-19 has clinical manifestations of cough, shortness of breath, chest pain, fatigue and severe viral pneumonia with respiratory failure and/or death. Respiratory rehabilitation improves symptoms of dyspnoea, relieves anxiety, reduces complications, minimises disability, preserves function, and improves the quality of life both in the acute phase and after discharge 2–4. Telerehabilitation is the provision of rehabilitation services through telecommunication networks or the internet offering remote treatments to the people in their homes or from a distance 5 6.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and feasibility of telerehabilitation in patients with COVID-19: a systematic review and meta-analysis

2022

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ObjectivesTo determine the pooled effectiveness and feasibility of telerehabilitation in patients with COVID-19.DesignSystematic review and meta-analysis of randomised controlled trials (RCTs).Data sourcesPubMed, CINAHL, Science Direct, PEDro, Google Scholar and Cochrane Library databases were systematically searched to the end of March 2022.Eligibility criteria and outcomesRCTs investigating the effects of telerehabilitation in the management of patients with COVID-19 were included. The outcomes of interest were functional capacity, cardiopulmonary exercise tests, quality of life and other variables where data are available.Data extraction and synthesisTwo reviewers screened, extracted data and performed methodological quality assessment independently. The revised Cochrane Risk of Bias tool was used to assess the risk of bias. Review Manager V.5.4 and Stata V.14.0 software were used for statistical analysis. Mean difference (MD) with 95% CI and the corresponding p value were used to determine the treatment effect between groups. A fixed-effect model was used for all variables as no significant heterogeneity was observed.ResultsFour studies with 334 patients with COVID-19 were included. The pooled result of telerehabilitation showed statistically significant improvement on 6-minute walking test (MD 75.50; 95% CI 54.69 to 96.30; p=0.48), 30-second sit-to-stand test (MD 1.76; 95% CI 1.47 to 2.04; p=0.30), Borg Scale (MD 2.49; 95% CI 2.16 to 2.83; p=0.28) and level of dyspnoea (MD 6.26; 95% CI 5.42 to 7.10; p=0.66). The overall treatment completion rate was 88.46%, and the most common reason for withdrawal after randomisation was lost to follow-up or uncooperativeness.ConclusionsThe findings showed that telerehabilitation interventions could improve functional capacity and exercise perception among patients affected by COVID-19 and can be implemented with a high completion rate and minimal adverse events. However, more studies are required to investigate the effects on cardiopulmonary function, quality of life, anxiety, depression and other variables.PROSPERO registration numberCRD42021287975.

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Respiratory rehabilitation in patients recovering from severe acute respiratory syndrome: A systematic review and meta-analysis

Cited by 12 publications

References 60 publications

The Results of Post-Covid Rehabilitation in Pulmonary Care Patients

The Results of Post-Covid Rehabilitation in Pulmonary Care Patients

Factors Associated With Persistence of Dyspnea and Change in Health-Related Quality of Life in Patients With COVID-19 After Discharge

Effectiveness and feasibility of telerehabilitation in patients with COVID-19: a systematic review and meta-analysis

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