Rehabilitation Management to Improve Respiratory Function in Severe and Critical COVID-19 Survivors: A Literature Review

Sergio Aldira Wijaya, Arnengsih Nazir, Rama Nusjirwan

Abstract


Post-acute COVID-19 symptoms impact the quality of life, and pulmonary rehabilitation is recommended. This study explored the implementation, outcomes, and barriers of such programs for severe and critical COVID-19 survivors, focusing on improving respiratory function. Articles search was conducted from October to November 2021 through Google Scholar and PubMed databases. Pulmonary rehabilitation programs in severe and critical cases of COVID-19 survivors have a similar purpose in other respiratory cases. Pulmonary rehabilitation programs, including breathing, resistance, stretching, cardiorespiratory endurance exercises, respiratory physiotherapy, relaxation techniques, and education, significantly improved lung function and reduced symptoms. No studies exploring barriers to pulmonary rehabilitation were found. In conclusion, pulmonary rehabilitation programs for COVID-19 survivors with severe and critical cases have improved respiratory functions.

Keywords


breathing; exercise; physiotherapy; pulmonary rehabilitation; quality of life

Full Text:

PDF

References


 1. Wu D, Wu T, Liu Q, et al. The SARS-CoV-2 outbreak: What we

know. Int J Infect Dis. 2020; 94: 44–8.

DOI: 10.1016/j.ijid.2020.03.004

 2. Guan W, Liang W, He J, et al. Cardiovascular comorbidity and its impact on patients with COVID-19. Eur Respir J. 2020; 55 (6):

DOI: 10.1183/13993003.01227-2020

 3. World Health Organization. COVID-19 weekly epidemiological

update. Geneva: World Health Organization; 2021.

 4. Nalbandian A, Sehgal K, Gupta A, et al. Post-acute COVID-19

syndrome. Nat Med. 2021; 27 (4): 601–615.

DOI: 10.1038/s41591-021-01283-z

 5. Proal AD, VanElzakker MB. Long COVID or Post-acute Sequelae of COVID-19 (PASC): An Overview of Biological Factors That May

Contribute to Persistent Symptoms. Front Microbiol. 2021; 12: 1–24.

DOI: 10.3389/fmicb.2021.698169

 6. Rabi FA, Zoubi MS Al, Kasasbeh GA, et al. SARS-CoV-2 and

Coronavirus Disease 2019: What We Know So Far. 2020; 1–15.

DOI: 10.3390/pathogens9030231

 7. Shrestha GS, Khanal S, Sharma S, et al. COVID-19: Current

Understanding of Pathophysiology. J Nepal Health Res Counc. 2020;

(3): 351–359. DOI: 10.33314/jnhrc.v18i3.3028

 8. Shi Z, de Vries HJ, Vlaar APJ, et al. Diaphragm Pathology in Critically Ill Patients With COVID-19 and Postmortem Findings From 3 Medical Centers. JAMA Intern Med. 2021; 181 (1): 122.

DOI: 10.1001/jamainternmed.2020.6278

 9. Shi Y, Wang Y, Shao C, et al. COVID-19 infection: The perspectives on immune responses. Cell Death Differ. 2020; 27 (5): 1451–1454. DOI: 10.1038/s41418-020-0530-3

 10. Hill NS. Pulmonary Rehabilitation. Proc Am Thorac Soc. 2006; 3 (1): 66–74. DOI:10.1513/pats.200511-121JH

 11. Liu K, Zhang W, Yang Y, et al. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complement Ther Clin Pract. 2020; 39: 101166.

DOI:10.1016/j.ctcp.2020.101166

 12. Gloeckl R, Leitl D, Jarosch I, et al. Benefits of pulmonary

rehabilitation in COVID-19: a prospective observational cohort study. ERJ Open Res. 2021; 7 (2): 00108–2021. DOI: 10.1183/23120541.00108-2021

 13. Sun J, Liu J, Li H, et al. Pulmonary rehabilitation focusing on the regulation of respiratory movement can improve the prognosis of

severe patients with COVID-19. Ann Palliat Med. 2021; 10 (4): 4262–

DOI: 10.21037/apm-20-2014

 14. Shan MX, Tran YM, Vu KT, et al. Postacute inpatient rehabilitation for COVID-19. BMJ Case Rep. 2020; 13 (8): e237406.

DOI: 10.1136/bcr-2020-237406

 15. Spielmanns M, Pekacka-Egli A-M, Schoendorf S, et al. Effects of a Comprehensive Pulmonary Rehabilitation in Severe Post-COVID-19

Patients. Int J Environ Res Public Health. 2021; 18 (5): 2695.

DOI: 10.3390/ijerph18052695

 16. Büsching G, Zhang Z, Schmid J-P, et al. Effectiveness of Pulmonary Rehabilitation in Severe and Critically Ill COVID-19 Patients: A Controlled Study. Int J Environ Res Public Health. 2021; 18 (17): 8956. DOI: 10.3390/ijerph18178956

 17. Hayden MC, Limbach M, Schuler M, et al. Effectiveness of a Three-Week Inpatient Pulmonary Rehabilitation Program for Patients after COVID-19: A Prospective Observational Study. Int J Environ Res Public Health. 2021; 18 (17): 9001. DOI: 10.3390/ijerph18179001

 18. Puchner B, Sahanic S, Kirchmair R, et al. Beneficial effects of multi-disciplinary rehabilitation in postacute COVID-19: An observational cohort study. Eur J Phys Rehabil Med. 2021; 57 (2): 189–98.

DOI: 10.23736/S1973-9087.21.06549-7

 19. Zhao H-M, Xie Y-X, Wang C, et al. Recommendations for respiratory rehabilitation in adults with coronavirus disease 2019. Chin Med J (Engl). 2020; 133 (13): 1595-1602. DOI: 10.1097/CM9.0000000000000848

 20. Sheehy LM. Considerations for postacute rehabilitation for survivors of COVID-19. JMIR Public Health Surveill. 2020; 6 (2): e19462.

DOI: 10.2196/19462

 21. Korupolu R, Francisco GE, Levin H, Needham DM. Rehabilitation of critically ill COVID-19 survivors. JISPRM. 2020; 3 (2): 45-52. DOI: 10.4103/jisprm.jisprm_8_20

 22. Mihalick VL, Canada JM, Arena R, et al. Cardiopulmonary exercise testing during the COVID-19 pandemic. Prog Cardiovasc Dis. 2021; 67: 35–9. DOI: 10.1016/j.pcad.2021.04.005

 23. Mazza MG, De Lorenzo R, Conte C, et al. Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors. Brain Behav Immun. 2020; 89 (July): 594–600. DOI: 10.1016/j.bbi.2020.07.037

 24. Ozamiz-Etxebarria N, Santamaría MD, Munitis AE, et al. Reduction of COVID-19 Anxiety Levels Through Relaxation Techniques: A Study Carried Out in Northern Spain on a Sample of Young University Students. Front Psychol. 2020; 11: 1–6. DOI: 10.3389/fpsyg.2020.02038

 25. Wasilewski MB, Cimino SR, Kokorelias KM, et al. Providing

rehabilitation to patients recovering from COVID‐19: A scoping

review. PM R. 2022; 14 (2): 239-58. DOI: 10.1002/pmrj.12669

 26. Rivera Lillo G, Torres Castro R, Fregonezi GA, Vilaró J, Puppo

Gallardo H. Challenge for rehabilitation after hospitalization for COVID-19. Arch Phys Med Rehabil. 2020;101(8):1470-1.

DOI:10.1016/j.apmr.2020.04.013




DOI: http://dx.doi.org/10.21109/kesmas.v18isp1.7028

Refbacks

  • There are currently no refbacks.