Potential Prophylactic and Therapeutic Effects of Respiratory Physiotherapy for COVID-19
Respiratory Physiotherapy for COVID-19
Keywords:
COVID-19; physiotherapy; prophylactic; recurrence; respiratory physiotherapy; respiratory therapy; therapeuticAbstract
New coronavirus disease 2019 (COVID-19) has succeeded in surprising the world with infecting more than 12 million people and claiming 560,000 lives in only six months. COVID-19 is associated with a spectrum of respiratory symptoms, especially dyspnea. Patients who progress to severe or critical condition display peripheral and posterior lung lesions bilaterally. These patients require admission to the intensive care unit (ICU); therefore, they are prone to ICU-related complications during disease and after recovery. Respiratory physiotherapy techniques, in particular, active techniques, might help the improvement of airway clearance and lung capacity in addition to the reduction of breathing effort during the active disease. In parallel, it might lead to the prevention of disabilities, resulting from infection and extended hospitalization in patients who recovered from COVID-19. This supports physiotherapy both as a prophylactic and therapeutic strategy for COVID-19.
References
Holshue ML, DeBolt C, Lindquist S, Lofy KH, Wiesman J, Bruce H, et al. First case of 2019 novel coronavirus in the United States. N Engl J Med. 2020;382(10):929–36.
Fahmi I. #Covid19 Coronavirus Disease 2019. DroneEmprit [Internet]. 2020;2019(March):1–19. Available from: https://pers.droneemprit.id/covid19/
Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020;
Tse GMK, To KF, Chan PKS, Lo AWI, Ng KC, Wu A, et al. Pulmonary pathological features in coronavirus associated severe acute respiratory syndrome (SARS). J Clin Pathol. 2004;57(3):260–5.
Luo W, Yu H, Gou J, Li X, Sun Y, Li J, et al. Clinical pathology of critical patient with novel coronavirus pneumonia (COVID-19). Preprints. 2020;(February):2020020407.
Shi H, Han X, Jiang N, Cao Y, Alwalid O, Gu J, et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. Lancet Infect Dis [Internet]. 2020;20(4):425–34. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32105637
Yoon SH, Lee KH, Kim JY, Lee YK, Ko H, Kim KH, et al. Chest Radiographic and CT Findings of the 2019 Novel Coronavirus Disease (COVID-19): Analysis of Nine Patients Treated in Korea. Korean J Radiol. 2020;21(4):494–500.
The Australian and New Zealand Intensive Care Society. The Australian and New Zealand Intensive Care Society (ANZICS) COVID-19 Guidelines Version 1. 2020;(March). Available from: https://www.health.nsw.gov.au/Infectious/diseases/Documents/anzics-covid-19-guidelines.pdf
Thomas P, Baldwin C, Bissett B, Boden I, Gosselink R, Granger CL, et al. Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. J Physiother [Internet]. 2020;66(2):73–82. Available from: https://doi.org/10.1016/j.jphys.2020.03.011
Pryor JA, Prasad SA. Physiotherapy techniques. Physiother Respir Card Probl Adults Paediatr 4th ed Churchill Livingstone/Elsevier, Edinburgh. 2008;134–217.
McDermott A. Pulmonary rehabilitation for patients with COPD. Prof Nurse [Internet]. 2002;17(9):553–6. Available from: https://doi.org/10.1016/j.cdtm.2020.05.002
Postiaux G, Louis J, Labasse HC, Gerroldt J, Kotik AC, Lemuhot A, et al. Evaluation of an alternative chest physiotherapy method in infants with respiratory syncytial virus bronchiolitis. Respir Care. 2011;56(7):989–94.
Hsieh MJ, Lee WC, Cho HY, Wu MF, Hu HC, Kao KC, et al. Recovery of pulmonary functions, exercise capacity, and quality of life after pulmonary rehabilitation in survivors of ARDS due to severe influenza A (H1N1) pneumonitis. Influenza Other Respi Viruses. 2018;12(5):643–8.
Kao KC, Chang KW, Chan MC, Liang SJ, Chien YC, Hu HC, et al. Predictors of survival in patients with influenza pneumonia-related severe acute respiratory distress syndrome treated with prone positioning. Ann Intensive Care [Internet]. 2018;8(1). Available from: https://doi.org/10.1186/s13613-018-0440-4
Gomes GR, Donadio MVF. Effects of the use of respiratory physiotherapy in children admitted with acute viral bronchiolitis. Arch Pediatr [Internet]. 2018;25(6):394–8. Available from: https://doi.org/10.1016/j.arcped.2018.06.004
Postiaux G, Medeiros DRL, Monteiro KKDS, Sampaio LMM, Costa D. Chest physical therapy is effective in reducing the clinical score in bronchiolitis : randomized controlled trial. 2012;16(June):241–7.
Nicholas KJ, Dhouieb MO, Marshall TG, Edmunds AT, Grant MB. An Evaluation of Chest Physiotherapy in the Management of Acute Bronchiolitis: Changing clinical practice. Physiotherapy [Internet]. 1999;85(12):669–74. Available from: http://www.sciencedirect.com/science/article/pii/S0031940605612308
Lee N, Hui D, Wu A, Chan P, Cameron P, Joynt GM, et al. A Major Outbreak of Severe Acute Respiratory Syndrome in Hong Kong. 2003;1986–94.
Kress JP, Hall JB. ICU-acquired weakness and recovery from critical illness. N Engl J Med. 2014 Apr;370(17):1626–35.
Herridge MS, Tansey CM, Matte A, Tomlinson G, Diaz-Granados N, Cooper A, et al. Functional disability 5 years after acute respiratory distress syndrome. N Engl J Med. 2011 Apr;364(14):1293–304.
Lau HMC, Ng GYF, Jones AYM, Lee EWC, Siu EHK, Hui DSC. A randomised controlled trial of the effectiveness of an exercise training program in patients recovering from severe acute respiratory syndrome. Aust J Physiother [Internet]. 2005;51(4):213–9. Available from: http://dx.doi.org/10.1016/S0004-9514(05)70002-7
Marques A, Pinho C, De Francesco S, Martins P, Neves J, Oliveira A. A randomized controlled trial of respiratory physiotherapy in lower respiratory tract infections. Respir Med. 2020;162(December 2019).
Zhou L, Liu K, Liu HG. [Cause analysis and treatment strategies of “recurrence” with novel coronavirus pneumonia (covid-19) patients after discharge from hospital]. Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese J Tuberc Respir Dis. 2020 Mar;43(0):E028.
Chen D, Xu W, Lei Z, Huang Z, Liu J, Gao Z, et al. l P re of. Int J Infect Dis [Internet]. 2020; Available from: https://doi.org/10.1016/j.ijid.2020.03.003
Lan L, Xu D, Ye G, Xia C, Wang S, Li Y, et al. Positive RT-PCR Test Results in Patients Recovered From COVID-19. Jama [Internet]. 2020;2–3. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32105304
Wu J, Cao S, Wu A, Li J, Li Y, Xia M. Recurrent recurrence of positive SARS-CoV-2 RNA in a COVID-19 patient. Res Sq [Internet]. :1–8. Available from: https://www.researchsquare.com/article/rs-23197/latest?utm_source=researcher_app&utm_medium=referral&utm_campaign=RESR_MRKT_Researcher_inbound
Spapen HD, Regt J De, Honoré PM. Chest physiotherapy in mechanically ventilated patients without pneumonia-a narrative review. J Thorac Dis. 2017;9(1):E44–9.
Fagevik Olsén M, Hahn I, Nordgren S, Lönroth H, Lundholm K. Randomized controlled trial of prophylactic chest physiotherapy in major abdominal surgery. Br J Surg. 1997;84(11):1535–8.
Lohiya ML, Malviya A, Sharma DD, Ram S, Chauhan MK, Chauhan LS. Prophylactic Chest Physiotherapy in Major Abdominal Surgery among Elderly Patients. J Indian Acad Geriatr. 2018;14(2).
Selsby D, Jones JG. SOME PHYSIOLOGICAL AND CLINICAL ASPECTS OF CHEST PHYSIOTHERAPY. 1990;621–31.
Antonio GE, Wong KT, Hui DSC, Wu A, Lee N, Yuen EHY, et al. Thin-Section CT in Patients with Severe Acute Respiratory Syndrome Following Hospital Discharge : Preliminary. 2003;(5).
Eaton TAM, Young PAM, Fergusson WE, Moodie LISA, Zeng IR, Kane FIO, et al. Does early pulmonary rehabilitation reduce acute health-care utilization in COPD patients admitted with an exacerbation ? A randomized controlled study. 2009;2008(April 2008).
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