Physiotherapy interventions have been evidenced to assist early liberation from ICU in COVID-19 patients. This case series of three COVID patients admitted to the COVID ICU, explains the physiologic rationale of physiotherapy intervention in acute care of COVID patients. Early mobilization is seen to help early recovery. KEY WORDS: Physiologic rationale, COVID, physiotherapy, crocodile breathing.

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Coronavirus disease 2019 (COVID-19) caused by SARS-CoV-2 predominantly causes respiratory disease in the form of viral pneumonia. Susceptibility to SARS-CoV-2, its progression and severity increases with presence of latent or active pulmonary tuberculosis (PTB). PTB is a highly prevalent respiratory disease in India. This case series explains the rehabilitation and course of recovery in ICU of two COVID-19 patients with post PTB sequelae. Both the cases showed safe and timely recovery due to appropriate and early physiotherapy intervention which needed modification in accordance with the medical management. However, their reduced functional capacity on pre-discharge assessment highlights the need for continuing pulmonary rehabilitation.