EFFICIENCY OF IN-HOSPITAL PHYSICAL REHABILITATION OF PNEUMONIA PATIENTS WITH CORONAVIRUS DISEASE
DOI:
https://doi.org/10.32782/2522-1795.2023.14.6Keywords:
physical therapy, coronavirus disease, pneumonia, rehabilitation, disability.Abstract
The aim. To improve the effectiveness of physical therapy for pneumonia patients with coronavirus disease at the inpatient rehabilitation stage. Material. 42 patients (average age was 60.4±10.6 years) who were in the post-acute period of rehabilitation of pneumonia with coronavirus disease took part in the study. Patients were randomly devied to 2 groups of 21 people each: the main and the control. In the main group, the patients were prescribed a physical therapy program, which included, in addition to the recommended program, daily exercises for stretching the muscles of the trunk, chest and girdle of the upper limbs, in addition, exercises aimed at normalizing breathing were prescribed to all patients of the main group regardless of the presence of a productive cough and/or wet wheezing. All patients underwent a questionnaire, anthropometry, the functional abilities of the respiratory system, the level of severity of weakness, the level of anxiety and depression, the strength of the muscles of the upper limbs, balance, cardiorespiratory endurance, and the level of productivity in everyday activities were evaluated. The results. The greater effectiveness of the developed physical therapy program compared to the standard one was proven according to the indicators obtained at the time of discharge: severity of weakness according to VAS 2.6±1.2 points vs 4.3±2.5 points, samples with breath hold on inhalation 23.1 ±6.1 s vs 19.2±3.7 s, 6MWT value 315.6±43.7 m vs 285.1±35.3 m, productivity in everyday activities according to the Barthel index 95.2±5.6 points vs 97.1±3.7 points, the level of anxiety, according to both the HADS test and the GAD-7 test 3.0±1.7 and 4.0±2.3 vs 4.5±2.4 and 6 ,1±3.6, respectively (p<0.05). Conclusions. The application of the developed physical therapy program, taking into account additional exercises for stretching the muscles of the trunk, chest and girdle of the upper limbs and exercises aimed at normalizing breathing, showed greater effectiveness in terms of the functional state of the respiratory system, the severity of weakness, the level of anxiety, productivity in everyday life activity and cardiorespiratory endurance compared to the use of a standard program of physical therapy.
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