Short-term cardiopulmonary rehabilitation program in a post-COVID-19 patient: a case report
DOI:
https://doi.org/10.12820/rbafs.27e0247Palabras clave:
COVID-19, Pulmonary rehabilitation, Exercise therapyResumen
We aimed to report a successful clinical case of a short-term cardiopulmonary rehabilitation after hospital discharge due to COVID-19. Exploratory descriptive case study with a 58-year-old male, former smoker, and in need of supplemental oxygen after COVID-19 infection, admitted to a cardiopulmonary rehabilitation program of six weeks in a school clinic in the Federal District, Brasília, Brazil. Chest expansion, aerobic capacity, physical function, and quality of life were evaluated before and after the program using, respectively, thoracic cirtometry, 6-Minute Walk Test, 1-Minute Sit-To-Stand Test, and Short Form Health Survey. At the end of the cardiopulmonary rehabilitation, the patient presented increased chest expansion, increased walked distance with decreased perception of exertion, increased repetitions in the 1-minute sit-to-stand-test, and increased quality of life. Moreover, he was completely weaned from supplemental oxygen. A short-term duration cardiopulmonary rehabilitation protocol can contribute to improvement in aerobic and functional capacity, and in quality of life after COVID-19.
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Curci C, Pisano F, Bonacci E, Camozzi DM, Ceravolo C, Bergonzi R, et al. Early rehabilitation in post-acute COVID-19 patients: data from an Italian COVID-19 Rehabilitation Unit and proposal of a treatment protocol. Eur J Phys Rehabil Med. 2020;56(5):633-41.
Rahman S, Montero MTV, Rowe K, Kirton R, Kunik F, Jr. Epidemiology, pathogenesis, clinical presentations, diagnosis and treatment of COVID-19: a review of current evidence. Expert Rev Clin Pharmacol. 2021;14(5):601-21.
Souza MO, Silva ACS, Almeida JR, Santos JFM, Santana LF, Nascimento MBC, Souza EC. Impactos da COVID-19 na aptidão cardiorrespiratória: exercícios funcionais e atividade física. Rev Bras Ativ Fís Saúde. 2020;25:e0171.
Barker-Davies RM, O'Sullivan O, Senaratne KPP, Baker P, Cranley M, Dharm-Datta S, et al. The Stanford Hall consensus statement for post-COVID-19 rehabilitation. Br J Sports Med. 2020;54(16):949-59.
Halpin SJ, McIvor C, Whyatt G, Adams A, Harvey O, McLean L, et al. Postdischarge symptoms and rehabilitation needs in survivors of COVID-19 infection: A cross-sectional evaluation. J Med Virol. 2021;93(2):1013-22.
Carvalho T, Milani M, Ferraz AS, Silveira ADD, Herdy AH, Hossri CAC, et al. Brazilian Cardiovascular Rehabilitation Guideline - 2020. Arq Bras Cardiol. 2020;114(5):943-87.
Bolton CE, Bevan-Smith EF, Blakey JD, Crowe P, Elkin SL, Garrod R, et al. British Thoracic Society guideline on pulmonary rehabilitation in adults. Thorax. 2013;68 Suppl 2:ii1-30.
Debouche S, Pitance L, Robert A, Liistro G, Reychler G. Reliability and Reproducibility of Chest Wall Expansion Measurement in Young Healthy Adults. J Manipulative Physiol Ther. 2016;39(6):443-9.
Laboratories. ATSCoPSfCPF. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166(1):111-7.
Iwama AM, Andrade GN, Shima P, Tanni SE, Godoy I, Dourado VZ. The six-minute walk test and body weight-walk distance product in healthy Brazilian subjects. Braz J Med Biol Res. 2009;42(11):1080-5.
Ozalevli S, Ozden A, Itil O, Akkoclu A. Comparison of the Sit-to-Stand Test with 6 min walk test in patients with chronic obstructive pulmonary disease. Respir Med. 2007;101(2):286-93.
Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian version of 12-item Short Form Health Survey (SF-12): factor structure, internal consistency and construct validity. BMC Public Health. 2009;9:341.
Bott J, Blumenthal S, Buxton M, Ellum S, Falconer C, Garrod R, et al. Guidelines for the physiotherapy management of the adult, medical, spontaneously breathing patient. Thorax. 2009;64 Suppl 1:i1-51.
Sugiura H, Sako S, Oshida Y. Effect of Expiratory Muscle Fatigue on the Respiratory Response during Exercise. J Phys Ther Sci. 2013;25(11):1491-5.
Jensen D, Schaeffer MR, Guenette JA. Pathophysiological mechanisms of exertional breathlessness in chronic obstructive pulmonary disease and interstitial lung disease. Curr Opin Support Palliat Care. 2018;12(3):237-45.
Kortianou EA, Papafilippou EK, Karagkounis A. Respiratory, cardiac and metabolic responses during electrical muscle stimulation in quadriceps muscle versus comparable voluntary muscle contractions. Scand J Clin Lab Invest. 2021;81(1):12-7.
Hoffman M. Inspiratory muscle training in interstitial lung disease: a systematic scoping review. J Bras Pneumol. 2021;47(4):e20210089.
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;397(10270):220-32.
Dziuda L, Zielinski P, Baran P, Krej M, Kopka L. A study of the relationship between the level of anxiety declared by MRI patients in the STAI questionnaire and their respiratory rate acquired by a fibre-optic sensor system. Sci Rep. 2019;9(1):4341.
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;100(2):105-9.
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Derechos de autor 2023 Brazilian Journal of Physical Activity & Health
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