Pulmonary rehabilitation and exercise therapy in a patient with COVID-19: A Case report

ABSTRAKLatar Belakang : Sindrom Obstruksi Paska Tuberkulosis merupakan suatu gejala sisa yangberupa gangguan faal paru dengan kelainan obstruksif yang memiliki gambaran klinis miripdengan Penyakit Paru Obstruktif Kronik (PPOK). Tujuan : Untuk mengetahui efektivitas terapilatihan untuk mendukung kondisi pasien SOPT. Hasil : Setelah dilakukan terapi sebanyak 6 kalididapatkan hasil penilaian sesak napas T0: 3 menjadi T6: 1, peningkatan ekspansi sangkar torakspada axilla T0: 3 cm menjadi T6: 4 cm, pada ICS 4 T0: 2 cm menjadi T6: 3 cm, pada proccesusxyphoideus T0: 2 cm menjadi T6: 3 cm dan peningkatan toleransi aktivitas T0: 18 menjadi T6:15. Kesimpulan : Terapi latihan mendukung optimalisasi kondisi fisik penderita sindromobstruksi paska tuberkulosis. ABSTRACTBackground : Obstruction syndrome post tuberculosis is a residual symptom in the form of lungphysiology disorder with obstructive disorder that have similar clinical picture of ChronicObstructive Pulmonary Disease (COPD) Objective : To determine efectivity of exercise therapyto improve physical condition of person who afffected by Obstruction syndrome post tuberculosisResults : After 6 times of therapy the results of the assessment of shortness of breath T0: 3 to T6:3, increased thoracic expansion in axilla T0: 3 cm to T6: 4 cm, in ICS4 T0: 2 cm to T6: 3 cm, inproccessus xyphoideus T0: 2 cm to T6: 3 cm and increased activity tolerance T0: 18 to T6: 15Conclusion : Exercise therapy can improve physical condition for person affected by Obstructionsyndrome post tuberculosis

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The Effects of Exercise Therapy Moderated by Sex in Rehabilitation of COVID-19

10.21203/rs.3.rs-1192916/v2 ◽

2022 ◽

Author(s):

Linda Katharina Rausch ◽

Bernhard Puchner ◽

Jürgen Fuchshuber ◽

Barbara Seebacher ◽

Judith Löffler-Ragg ◽

...

Keyword(s):

Lung Function ◽

Exercise Therapy ◽

Reference Values ◽

Pulmonary Rehabilitation ◽

Rehabilitation Program ◽

Forced Expiratory Volume ◽

Performance Improvements ◽

Positive Effects ◽

Significant Difference ◽

Pulmonary Rehabilitation Program

Abstract BackgroundPulmonary rehabilitation serves as a key component in the recovery of COVID-19 and standardized exercise therapy programs in pulmonary rehabilitation have been shown to significantly improve physical performance and lung function parameters in post-acute COVID-19 patients. However, it has not been investigated if these positive effects are equally beneficial for both sexes, especially considering a more severe physical impact of COVID-19 in men when compared to women. Therefore, the purpose of this study was to analyze outcomes of a pulmonary rehabilitation program with respect to sex differences, in order to identify sex-specific pulmonary rehabilitation requirements.MethodsData of 233 patients (40.4% females) were analyzed before and after a three-week standardized pulmonary rehabilitation program. Patients were admitted to rehabilitation due to post-acute COVID-19 illness and staged using the COVID-19 Severity Scale by Huang et al. (2021). Lung function parameters were assessed as part of the clinical routine using spirometry (ICmax, maximal inspiratory capacity) and body plethysmography (FVC, forced vital capacity; FEV1, forced expiratory volume in the first second) and functional exercise capacity was measured by the Six-Minute Walk Test (6MWT). For the comparison of lung function and walking parameters by sex, Welch-ANOVA was used, as results of Levene's test suggested significant heteroscedasticity regarding the investigated parameters (p > 0.05). When comparing post-treatment 6MWT, FEV1 and FCV to corresponding reference values, paired t-tests were used.ResultsAt post-rehabilitation, ICmax, FVC, FEV1 and 6MWT has been improved in both sexes. Females showed a significantly smaller improvement in FEV1 and ICmax (F = 5.86, ω2 = .02; p < 0.05) than males. There was no statistically significant difference in FVC and 6MWT performance improvements between men and women. After the rehabilitation stay, females made greater progress towards reference values of 6MWT (T(231) = -3.04; p < 0.01) and FEV1 (T(231) = 2.83; p < 0.01) than males.ConclusionsSex differences in the improvement of lung function parameters seem to exist when completing a three-week pulmonary rehabilitation program and should be considered when personalizing standardized exercise therapies in pulmonary rehabilitation.Trial registrationthis study was registered in the German Clinical Trials Register (DRKS00026936) on 2021/10/19.

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