IntroductionCOVID-19 is an infectious illness that first appeared in Wuhan, China in December 2019, and subsequently spread over the entire world. Those who were affected suffered from fever, cough, weakness, and breathlessness, along with the probability of developing pneumonia which sometimes leads to respiratory failure. The older population with co-morbidities was at higher risk. MethodsIn this experimental study, 59 subjects with COVID-19 were included according to pre-decided inclusion and exclusion criteria. Pre-vitals before the treatment were noted such as heart rate, respiratory rate, and oxygen saturation (SPO 2 ), and then the chest proprioceptive neuromuscular facilitation (PNF) technique was given as a treatment regime, and its immediate effect was calculated. Post-vitals were noted immediately after the treatment session. The statistical analysis was made using the student's paired t-test. ResultsWe found a mean difference of 9.45±5.27 in heart rate before and after the intervention provided which is suggestive of a statistically significant increase within normal limits. Also, the mean value of respiratory rate immediately after the intervention was shown as 22.91 and pre-intervention was 19.18 with a mean difference of 2.93±3.95, showing a statistically significant increase in respiratory rate. Additionally, the mean value of SPO2 immediately after the intervention was shown as 92.76 and pre-intervention was 94.64 and had a mean difference of 1.88±1.67 suggestive of high improvement in oxygen saturation immediately after the intervention. ConclusionThe present study concludes from the available statistical analysis that chest PNF techniques such as intercostal stretch and anterior basal stretch lift have an immediate impact on improvement in oxygen saturation in COVID-19 patients and can be incorporated as an inpatient treatment regime in the rehabilitation protocol.
A 52-year-old known case of pleural effusion caused by tuberculosis presented with complaints of breathlessness, right-sided chest pain, and weakness. History revealed that this was her second episode as a post tuberculosis sequel. She was treated with a multidisciplinary approach i.e. pharmacological as well as physiotherapeutic management. Necessary radiological imaging included chest x-ray and HRCT thorax which gave a better understanding of the lung condition of the patient. Pharmacological treatment included oxygen therapy and Inj. Augmentin, Inj. Aminophylline, Inj. Hydrocort, Tab. Mucinac 600mg and Tab. Montair; whereas physiotherapeutic management included airway clearance techniques, chest expansion techniques, early graded mobilization, strengthening, and stretching through telerehabilitation. The progression of the patient was recorded on outcome measures taken such as Dyspnea (MMRC score), 6minute walk test, and HADS (Hospital Anxiety and Depression Scale).
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