Combined effect of positioning and conventional respiratory physical therapy in complicated case of COVID-19: a case report

Karuna G. Kamble; Saumi R. Sinha; Nimmi A. Ansari

doi:10.18203/2320-6012.ijrms20232810

Authors

Karuna G. Kamble Department of Cardiorespiratory Physiotherapy, Dr. D. Y. Patil College of Physiotherapy, DPU, Pimpri, Maharashtra, India
Saumi R. Sinha Department Cardiorespiratory Physiotherapy, Dr. A. P. J. Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, Maharashtra, India
Nimmi A. Ansari Department Cardiorespiratory Physiotherapy, Dr. A. P. J. Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20232810

Keywords:

COVID-19, Positioning, Chest physiotherapy, Respiratory complications

Abstract

Many neurological and cardiovascular complications have been discovered post-COVID 19 infections. Long-term pulmonary complications like pneumonia, respiratory failure, ARDS, and lung abscess are described in different studies. To overcome these complications respiratory chest physiotherapy plays an important role for an individual. Respiratory chest physiotherapy has been shown to improve gas exchange, reverse pathological progression, and reduce or avoid the need for artificial ventilation when it is provided very early in other respiratory conditions. This case study highlights the combined effects of positioning with conventional Respiratory chest physiotherapy in post-COVID 19 respiratory complications in a 26-year-old young individual, presenting with complaints like dyspnoea. Changes in modified medical research council (MMRC) score and chest X-ray were seen by end of discharge of the patient.

Metrics

Metrics Loading ...

References

Da Silva Costa WN, Miguel JP, Dos Santos Prado F, De Mello Lula LH, Amarante GA, Righetti RF et al. Noninvasive ventilation and high-flow nasal cannula in patients with acute hypoxemic respiratory failure by COVID-19: a retrospective study of the feasibility, safety and outcomes. Respiratory Physiol Neurobiol. 2022;103842.

India Situation. Available at: https://covid19.who.int/region/searo/country/in. Accessed on 12 Jan, 2023.

World Health Organization. COVID-19 clinical management: living guidance, 2021. World Health Organization, 2021.

Javaherian M, Shadmehr A, Keshtkar A, Beigmohammadi MT, Dabbaghipour N, Syed A et al. Safety and efficacy of Pulmonary physiotherapy in hospitalized patients with severe COVID-19 pneumonia (PPTCOVID): A prospective, randomised, single-blind, controlled trial. medRxiv. 2021;1.

The Australian and New Zealand Intensive Care Society. The Australian and New Zealand Intensive Care Society (ANZICS) COVID-19 Guidelines Version 1. 2020;3. Available at: https://www.health.nsw.gov. au/Infectious/diseases/Documents/anzics-covid-19-guidelines.pdf. Accessed on 12 Jan, 2023.

Thomas P, Baldwin C, Bissett B, Boden I, Gosselink R, Granger CL et al. Physiotherapy management for COVID19 in the acute hospital setting: clinical practice recommendations. J Physiother. 2020;66(2):73-82.

Shakerian N, Mofateh R, Saghazadeh A, Rezaei N, Rezaei N. Potential Prophylactic and Therapeutic Effects of Respiratory Physiotherapy for COVID-19. Acta Biomed. 2020;92(1):e2021020.

Scholten EL, Beitler JR, Prisk GK, Malhotra A. Treatment of ARDS with prone positioning. Chest. 2017;151(1):215-24.

Bryan AC, Conference on the scientific basis of respiratory therapy. Pulmonary physiotherapy in the pediatric age group. Comments of a devil’s advocate. Am Rev Respir Dis. 1974;110(62):143-4.

Petrone P, Brathwaite CEM, Joseph DK. Prone ventilation as treatment of acute respiratory distress syndrome related to COVID-19. Eur J Trauma Emerg Surg. 2021;47:1017-22.