THE ROLE OF PULMONARY REHABILITATION IN RECOVERY AFTER COVID-19

  • Valentyna V. Voitenko Department of Physical Therapy, Occupational Therapy and Sports Medicine, Sumy State University, Sumy, Ukraine
  • Valentyna P. Shevets Department of Physical Therapy, Occupational Therapy and Sports Medicine, Sumy State University, Sumy, Ukraine
  • Iryna A. Brizhata Department of Physical Therapy, Occupational Therapy and Sports Medicine, Sumy State University, Sumy, Ukraine
Keywords: COVID-19, pulmonary rehabilitation, post-COVID syndrome, telerehabilitation, physical therapy

Abstract

Introduction. The outbreak of coronavirus infection (COVID-19) continues to be one of the most serious problems of the mankind. Patients who develop pneumonia as a result of coronavirus infection require rehabilitation measures to restore the functional capacity of the body and to prevent the negative consequences of the disease. For patients with COVID‑19, rehabilitation should be aimed at alleviating symptoms (shortness of breath), improving psychological condition, physical form and quality of life. This can be achieved by improving the organization and methodology of pulmonary rehabilitation of patients with COVID-19.

Purpose is to justify the use of pulmonary rehabilitation in patients with COVID-19.

Materials and methods: analysis and systematization of data from modern scientific and methodological literature and Internet sources.

Results. The emergence and spread of coronavirus (SARS-CoV-2) is a major public health issue. Post-COVID syndrome has already become a massive phenomenon and part of our lives. Recovery from coronavirus infection is necessary for all, regardless of the severity of the disease. Physical therapy can be used at various stages of treatment for COVID-19 patients. However, the decision to use it, the nature, scope and purpose of the interventions should be based on clinical evidence, the safety of patients and staff. Pulmonary rehabilitation, the main component of which is physical exercise (aerobic and/or resistance training), can play a vital role in the recovery of patients, improving physical fitness, muscle strength and quality of life of those infected with severe acute respiratory coronavirus syndrome. Moreover, under quarantine conditions, it was important for many patients to have access to home-based rehabilitation, which was provided by tele-rehabilitation facilities using telecommunications technology.

Conclusions. Thus, pulmonary rehabilitation is an important part of recovery from COVID-19. The development of complications and the increase in the number of pulmonological patients who have suffered a severe or moderate coronary infection are updating the issues of adaptation of traditional rehabilitation programs to new conditions.

References

1. Zhao HM, Xie YX, Wang C, & 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 in adults with coronavirus disease 2019. Chinese medical journal. 2020; 133(13): 1595–1602.
2. Polastri M, Nava S, Clini E, Vitacca M, Gosselink R. COVID-19 and pulmonary rehabilitation: preparing for phase three. The European respiratory journal. 2020; 55(6): 2001822.
3. Christy B, Keeffe J. Telerehabilitation during COVID-19: Experiences in service delivery from South India. Indian journal of ophthalmology. 2020;68(7): 1489–1490.
4. Jimeno-Almazán A, Pallarés JG, Buendía-Romero Á, et al. Post-COVID-19 Syndrome and the Potential Benefits of Exercise. Int J Environ Res Public Health. 2021;18(10):5329. Published 2021 May 17. doi:10.3390/ijerph18105329
5. Gautam AP, Arena R, Dixit S, Borghi-Silva A. Pulmonary rehabilitation in COVID-19 pandemic era: The need for a revised approach. Respirology (Carlton, Vic.). 2020;25(12): 1320–1322.
6. Smetanyuk O. [Rehabilitation of postcovid patients]. Internet resurs. Rezhym dostupu: https://www.bsmu.edu.ua/blog/reabilitacziya-postkovidnih-hvorih/
7. [Order of the Ministry of Health of Ukraine dated 20.04.2021 № 771 "On approval of the Protocol for the provision of rehabilitation care to patients with coronavirus disease (COVID-19) and convalescents]. Internet resurs. Rezhym dostupu: https://moz.gov.ua/article/ministry-mandates/nakaz-moz-ukraini-vid-20042021--771-pro-zatverdzhennja-protokolu-nadannja-reabilitacijnoi-dopomogi-pacientam-z-koronavirusnoju-hvoroboju--covid-19-ta-rekonvalescentam.
8. Santana AV, Fontana AD, Pitta F. Pulmonary rehabilitation after COVID-19. Jornal brasileiro de pneumologia: publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia. 2021;47(1): e20210034.
9. Razumov AN, Ponomarenko GN, Badtyeva VA. [Medical rehabilitation of patients with pneumonia associated with the new coronavirus infection COVID-19]. Voprosy kurortologyy, fyzyoterapyy y lechebnoy fyzycheskoy kultury. 2020;97 (3): 5-13.
10. Bourbeau J, Julien M, Maltais F, et al. Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: a disease-specific self-management intervention. Arch Intern Med. 2003;163(5):585–591. doi: 10.1001/archinte.163.5.585
11. D Leochico CF. Adoption of telerehabilitation in a developing country before and during the COVID-19 pandemic. Annals of physical and rehabilitation medicine. 2020;63(6): 563–564.
12. Wang TJ, Chau B, Lui M, Lam GT, Lin N, Humbert S. Physical Medicine and Rehabilitation and Pulmonary Rehabilitation for COVID-19. Am J Phys Med Rehabil. 2020;99(9):769-774. doi:10.1097/PHM.0000000000001505
13. Casciari RJ, Fairshter RD, Harrison A, Morrison JT, Blackburn C, Wilson AF. Effects of breathing retraining in patients with chronic obstructive pulmonary disease. Chest. 1981;79:393–398. doi: 10.1378/chest.79.4.393
14. Effing TW, Vercoulen JH, Bourbeau J, et al. Definition of a COPD self-management intervention: international Expert Group consensus. Eur Respir J. 2016;48(1):46–54. doi: 10.1183/13993003.00025-2016
15. Benzo R, Vickers K, Novotny PJ, et al. Health coaching and chronic obstructive pulmonary disease rehospitalization. A Randomized Study. Am J Respir Crit Care Med. 2016;194(6):672–680. doi: 10.1164/rccm.201512-2503OC
16. Bourbeau J, Julien M, Maltais F, et al. Reduction of hospital utilization in patients with chronic obstructive pulmonary disease: a disease-specific self-management intervention. Arch Intern Med. 2003;163(5):585–591. doi: 10.1001/archinte.163.5.585
17. Tsutsui M, Gerayeli F, Sin DD. Pulmonary Rehabilitation in a Post-COVID-19 World: Telerehabilitation as a New Standard in Patients with COPD. International journal of chronic obstructive pulmonary disease. 2021;16: 379–391.
18. Yang LL, Yang T. Pulmonary rehabilitation for patients with coronavirus disease 2019 (COVID-19). Chronic diseases and translational medicine. 2020;6(2): 79–86.
19. Hamzelou J. Can breathing exercises help protect you from covid-19?. New scientist (1971). 2020;246(3279): 10–11.
20. Tymruk-Skoropad K. [The role of rehabilitation in light of the spread of coronavirus infection]. Pravo na reabilitatsiyu: informatsiynyy byuleten. 2020;4 (7).
21. Faghy MA, Arena R, Stoner L, Haraf RH, Josephson R, Hills AP, Dixit S, Popovic D, Smith A, Myers J, et al. The need for exercise sciences and an integrated response to COVID-19: A position statement from the international HL-PIVOT network. Prog. Cardiovasc. Dis. 2021 doi: 10.1016/j.pcad.2021.01.004.
22. Siddiq M, Rathore FA, Clegg D, Rasker JJ. Pulmonary Rehabilitation in COVID-19 patients: A scoping review of current practice and its application during the pandemic. Turkish journal of physical medicine and rehabilitation. 2020;66(4): 480–494.
23. Tymruk-Skoropad K. [The relevance of pulmonary rehabilitation]. Pravo na reabilitatsiyu: informatsiynyy byuleten. 2020;4 (7): 6-7.
24. Wang TJ, Chau B, Lui M, Lam GT, Lin N, Humbert S. Physical Medicine and Rehabilitation and Pulmonary Rehabilitation for COVID-19. American journal of physical medicine & rehabilitation. 2020;99(9): 769–774.
Published
2022-06-30
How to Cite
Valentyna V. Voitenko, Valentyna P. Shevets, & Iryna A. Brizhata. (2022). THE ROLE OF PULMONARY REHABILITATION IN RECOVERY AFTER COVID-19. Eastern Ukrainian Medical Journal, 10(2), 196-204. https://doi.org/10.21272/eumj.2022;10(2):196-204