Outpatients Pulmonary Rehabilitation in patients with post COVD-19 Sequelaes
Case series
Abstract
Objective: to describe the evolution of patients with sequelae of COVID-19 who carry out a pulmonary rehabilitation (PR) program on an outpatient basis.
Materials and Method: Observational, descriptive and retrospective study. Data from 17 patients who completed 4 weeks of PR were analyzed.
Results: The median number of repetitions in Sit To Stand 1 was 14 (IQR 11 - 16.5) at the beginning of rehabilitation and 26 (IQR 20.5 - 29) at 4 weeks, in Time Up Go, the median time to complete the test was 8.8 (IQR 6.9 - 10) seconds at the start of rehabilitation and 5.3 (IQR 4.3 - 7.4) seconds at 4 weeks and the median The difficulty score in the main daily activities was 5 (IQR 3.1 - 6.2) points at the beginning of rehabilitation and 8.8 (IQR 8 - 9.4) points at 4 weeks. The greatest difference in the RAND-36 was observed in the domains related to limitations due to physical and emotional problems.
Conclusion: The role of PR could be important to reduce the late consequences of this disease.
References
Iqbal A, Iqbal K, Arshad Ali S, Azim D, Farid E, Baig M, et al. The COVID-19 Sequelae: A Cross-Sectional Evaluation of Post-recovery Symptoms and the Need for Rehabilitation of COVID-19 Survivors. Cureus. 2021 Feb; 13(2):e13080.
Ng CK, Chan JW, Kwan TL, To TS, Chan YH, Ng FY, Mok TY. Six month radiological and physiological outcomes in severe acute respiratory syndrome (SARS) survivors. Thorax. 2004 Oct;59(10):889-91.
Yang LL, Yang T. Pulmonary rehabilitation for patients with coronavirus disease 2019 (COVID-19). Chronic Dis Transl Med. 2020 May 14;6(2):79-86.
Wostyn P. COVID-19 and chronic fatigue syndrome: Is the worst yet to come? Med Hypotheses. 2021 Jan;146:110469.
Reychler G, Boucard E, Peran L, Pichon R, Le Ber-Moy C, Ouksel H, et al. One minute sit-to-stand test is an alternative to 6MWT to measure functional exercise performance in COPD patients. Clin Respir J. 2018 Mar;12(3):1247-1256.
Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991 Feb;39(2):142-8.
Perrone M, Depine J, Melia M, Paredes L, Errico L, Giangarrá A, et al. Traducción y adaptación transcultural de la escala “Patient Specific Functional Scale”. AJRPT. 2019;1(1):21-27.
Hays RD, Sherbourne CD, Mazel RM. The RAND 36-Item Health Survey 1.0. Health Econ. 1993 Oct;2(3):217-27.
Huang C, Huang L, Wang Y, Li X, Ren L, Gu X, et al. 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet. 2021 Jan 16;397(10270):220-232.
Holland AE, Malaguti C, Hoffman M, Lahham A, Burge AT, Dowman L, et al. Home-based or remote exercise testing in chronic respiratory disease, during the COVID-19 pandemic and beyond: A rapid review. Chron Respir Dis. 2020 Jan-Dec;17:1479973120952418.
Belli S, Balbi B, Prince I, Cattaneo D, Masocco F, Zaccaria S, et al. Low physical functioning and impaired performance of activities of daily life in COVID-19 patients who survived hospitalisation. Eur Respir J. 2020 Oct 15;56(4):2002096.
Paneroni M, Simonelli C, Saleri M, Bertacchini L, Venturelli M, Troosters T, et al. Muscle Strength and Physical Performance in Patients Without Previous Disabilities Recovering From COVID-19 Pneumonia. Am J Phys Med Rehabil. 2021 Feb 1;100(2):105-109.
Garratt AM, Ghanima W, Einvik G, Stavem K. Quality of life after COVID-19 without hospitalisation: Good overall, but reduced in some dimensions. J Infect. 2021 May;82(5):186-230.
Andreu MF, Policastro PO. ¿Por qué son importantes los factores contextuales en el abordaje kinésico?. AJRPT. 2020;2(3):1-3.
Kiekens C, Boldrini P, Andreoli A, Avesani R, Gamna F, Grandi M, et al. Rehabilitation and respiratory management in the acute and early post-acute phase. "Instant paper from the field" on rehabilitation answers to the COVID-19 emergency. Eur J Phys Rehabil Med. 2020 Jun;56(3):323-326.
Simpson R, Robinson L. Rehabilitation After Critical Illness in People With COVID-19 Infection. Am J Phys Med Rehabil. 2020 Jun;99(6):470-474.
Yang F, Liu N, Hu JY, Wu LL, Su GS, Zhong NS, Zheng ZG. [Pulmonary rehabilitation guidelines in the principle of 4S for patients infected with 2019 novel coronavirus (2019-nCoV)]. Zhonghua Jie He He Hu Xi Za Zhi. 2020 Mar 12;43(3):180-182. Chinese.
Liu K, Zhang W, Yang Y, Zhang J, Li Y, Chen Y. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complement Ther Clin Pract. 2020 May;39:101166.
