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A bstract Background With the Wuhan pandemic spread to India, more than lakhs of population were affected with COVID-19 with varying severities. Physiotherapists participated as frontline workers to contribute to management of patients in COVID-19 in reducing morbidity of these patients and aiding them to road to recovery. With infrastructure and patient characteristics different from the West and lack of adequate evidence to existing practices, there was a need to formulate a national consensus. Materials and methods Recommendations were formulated with a systematic literature search and feedback of physiotherapist experiences. Expert consensus was obtained using a modified Delphi method. Results The intraclass coefficient of agreement between the experts was 0.994, significant at p < 0.001. Conclusion This document offers physiotherapy evidence-based consensus and recommendation to planning physiotherapy workforce, assessment, chest physiotherapy, early mobilization, preparation for discharge planning, and safety for patients and therapist in acutec are COVID 19 setup of India. The recommendations have been integrated in the algorithm and are intended to use by all physiotherapists and other stakeholders in management of patients with COVID-19 in acute care settings. How to cite this article Jiandani MP, Agarwal B, Baxi G, Kale S, Pol T, Bhise A, et al. Evidence-based National Consensus: Recommendations for Physiotherapy Management in COVID-19 in Acute Care Indian Setup. Indian J Crit Care Med 2020;24(10):905–913.

Background: Six minute walk test (6MWT) is a sub-maximal exercise test, used as a clinical indicator of the functional capacity, in patients with cardiopulmonary diseases. It is simple, objective and reproducible test. The present study was designed to assess correlation of six minute walk test with spirometry parameters, in patients with chronic obstructive pulmonary disease.Methods: In this cross sectional study, fifty patients diagnosed with chronic obstructive pulmonary disease (GOLD criteria) coming to tertiary center were recruited according to inclusion and exclusion criteria. All patients underwent spirometric measurement. Spirometric indices including FEV1, FVC, FEV1/FVC and MVV were tested using computerized spirometer. 6MWT was performed following American Thoracic Society (ATS) guidelines. Percent (%) predicted 6MWD was calculated. Correlation between spirometry and 6MWT was assessed.Results: It was found that correlation between 6MWT and spirometry is statistically significant. There is significant strong positive correlation between percent predicted 6MWD and FEV1 (r=0.850 and p= <0.001), whereas there is significant moderate correlation between percent predicted 6MWD and FVC (r=0.554 and p= <0.001), FEV1/FVC (r=0.509 and p= <0.001) and MVV (r=0.615 and p= <0.001).Conclusions: In chronic obstructive pulmonary disease, percent predicted 6mwd significantly correlated with the spirometry parameters (FEV1, FVC, FEV1/FVC, and MVV). 6MWD decreases as there is decline in the pulmonary function. 6MWT can be a useful replacement of spirometry in assessment of severity of COPD.

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Objectives: 1. To study the effect of tai chi on lung function 2. To study effect of pranayama on lung function 3. To compare the effects of tai chi chuan and pranayama on lung function. Methods: 60 healthy volunteers, males and females, aged 18-22 years were recruited for the study. Individuals were categorized into two groups by random allocation. Subjects who were doing any physical activity, practicing tai chi or pranayama, having preexisting history of musculoskeletal, neurological, cardiorespiratory disorders were excluded from the study. Pre assessment included-Chest expansion, Lung volumes-Forced Expiratory Volume1 (FEV1), Forced Vital Capacity (FVC), Forced Expiratory Volume1/Forced Vital Capacity (FEV1/FVC), Peak Expiratory Flow Rate (PEFR) and Maximal Voluntary Ventilation (MVV), HR and RR. Groups were trained to perform tai chi and pranayama for 6 weeks each. Post assessment was done after 6 weeks. Results: On statistical analysis, a significant change was seen in Forced Expiratory Volume1(FEV1), Forced Expiratory Vol-ume1/Forced Vital Capacity (FEV1/FVC), Peak Expiratory Flow Rate (PEFR), and Maximal Voluntary Ventilation (MVV), chest expansion at all 3 levels in both groups after 6 weeks of intervention. No significant change was seen in FVC in both groups. There was no statistical significance seen between the two groups for lung function. Conclusion: Thus, it can be concluded that tai chi and pranayama can help in improving the lung function. As there is no statistical significance found between the two groups, both tai chi and pranayama seems to increase lung function effectively in young healthy individuals.