Tele-rehabilitation of a middle-aged female with bronchiectasis as post COVID-19 sequelae: a case report

Authors

  • Chhaya V. Verma Physiotherapy School and Centre T.N. Medical College and B.Y.L Charitable Hospital, Maharashtra, India
  • Rutuja Kamble Physiotherapy School and Centre T.N. Medical College and B.Y.L Charitable Hospital, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20220995

Keywords:

Pulmonary rehabilitation, COVID-19, Tele-rehabilitation, Post COVID-19 sequelae

Abstract

COVID-19 pneumonia causes dilatation of lung parenchyma which leads to destruction of segmental bronchi that can further progress into bronchiectasis. COVID-19 causes many sequels in the respiratory system and frequently presents with dyspnoea, fatigue, loss of strength, reduced functional capacity and sometimes severe multi-organ affection. Physiotherapy interventions through tele-rehabilitation have acquired a fundamental role in the recovery of the functions and quality of life. Pulmonary tele-rehabilitation which is done in this case report study includes patient education, respiratory care, exercise training, ambulatory program with supplementary oxygen, strengthening, endurance training and energy conservation. All these interventions play an important role in patent’s treatment protocol from hospital discharge to resuming work by assisting in weaning of supplementary oxygen, improving functional capacity of lungs and thus facilitating recovery. Rehabilitation of COVID-19 causing bronchiectasis in healthy individual has not been reported in literature yet. So, here we present a case report of tele-rehabilitation of a middle- aged female who developed progressive bronchiectasis as a sequela of COVID-19 pneumonia evident on serial chest CT scans.

Author Biography

Rutuja Kamble, Physiotherapy School and Centre T.N. Medical College and B.Y.L Charitable Hospital, Maharashtra, India

Mysleft Dr. Rutuja kamble has done masters in Cardio and respiratatory Physiotherapy and I am working as a Clinical Physiotherapist at TNMC & BYL Ch. Nair Hospital, Mumbai central, India

References

Epidemiological update on COVID-19 - 17 August 2021, edition 53, world health organization. Available at: https://www.who.int/publications/m/item/weekly-epidemiological-update-on-COVID-19---17-august-2021. Accessed on 10 Feb, 2021.

Gao Y, Guan W, Liu S. Aetiology of bronchiectasis in adults: A systematic literature review. Respirology. 2016; 21(8):1376-83.

Zhang P, Li J, Liu H. Long-term bone and lung consequences associated with hospital-acquired severe acute respiratory syndrome: A 15-year follow-up from a prospective cohort study. National library of medicine, Bone Res. 2020;8:8.

Frown felter D, Dean E. Principles and Practice of cardiopulmonary Physical Therapy. 3RD Edition, Chapter 18. 1996;299-320.

José J, Manuel A. Post COVID-19 bronchiectasis: a potential epidemic within a pandemic. Expert Rev Respiratory Med. 2020;14:12:1183-4.

Malik Z, Razaq Z. COVID causing sever bronchiectasis: Case report. HSOA J surg curr tren inno. 2020;4:040.

Han X, Fan Y, Alwaid O, Li N, Jia X, Yuan M et al. Six-month follow-up chest CT findings after severe COVID-19 pneumonia. Radiology. 2021;299:E177-86.

Jiandani M. COVID-19 and role of physiotherapy. J Asso Physician India. 2021;69.

Zhu Y, Wang Z. Summary of respiratory rehabilitation and physical therapy guidelines for patients with COVID-19 based on recommendations of World Confederation for Physical Therapy and National Association of Physical Therapy. National library Med. 2020;32(8):545-9.

Telias I, Bhushan H, Brochard L, Is the Prone Position Helpful During Spontaneous Breathing in Patients with COVID-19. National library of medicine, 2020.

Verma CV, Arora RD, Jaimala VS, Karnik ND, Patil PC. Guidelines of physiotherapy management in acute care of COVID-19 at dedicated COVID center in Mumbai. J Indian Asso Physiotherapist. 2020;14:55-60.

Derrick W. Rehabilitation after COVID-19: an evidence-based approach. Clin Med. 2020;20(4);359-64.

Guidelines for Chest Physiotherapy management of COVID-19 in Indian Setup-MS OTPT Council. 2020.

ACSM’s Guidelines For Exercise Testing and Prescription, 9th edition, chapter 10. 2014;331-6.

Thomas P, Baldwin C, Bissett B, Boden J, Gosselink R et al. Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. J Physiotherapy. 2020;66:73-82.

Da Silveira MP, Da Silva Fagundes KK. Physical exercise as a tool to help the immune system against COVID-19: an integrative review of the current literature. Clin Exp Med. 2020;1-14.

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Published

2022-03-28

How to Cite

V. Verma, C., & Kamble, R. (2022). Tele-rehabilitation of a middle-aged female with bronchiectasis as post COVID-19 sequelae: a case report. International Journal of Research in Medical Sciences, 10(4), 964–968. https://doi.org/10.18203/2320-6012.ijrms20220995

Issue

Section

Case Reports