The impact of the COVID-19 pandemic on the social, economic, and health levels is unprecedented. In Chile alone until July 2020, more than 340,000 people have tested positive and around 9,000 have died because of it. This health crisis has led to different adaptations in the health system and extraordinary measures have been taken to meet these needs. The physiotherapist as a health professional constitutes a fundamental piece in the care of these patients. Its role has been reflected in all disease's stages, from the emergency room to the intensive care unit and after hospital discharge. In addition to his clinical-attendance role, the physiotherapist may contribute in different areas such as education, health promotion, health management, and scientific research, aspects that could be essential in managing the pandemic. As physiotherapist responsibility, we should consider this opportunity and assume the multiple challenges derived from the pandemic to commit and provide answers to current health needs.
Treadmill training in children with chronic respiratory diseases: Clinical series Introduction: Chronic respiratory diseases (CRD) in children have increased in recent years. Respiratory Rehabilitation is one of the treatments used in this population. Objective: To evaluate the impact of a treadmill training program over pediatric patients with CRD in the Josefina Martínez Children's Hospital at Santiago de Chile. Methods: Retrospective cases series with prospective record of 9 patients 7.1 ± 3.9 years-old with CRD and treadmill training. The patients performed 24 sessions. The Pre-post records of the 6-minute walk test (6MW) and the maximum speed obtained in the Incremental Load Test (ILT) were analyzed. Results: Averages of the distance traveled pre and post-training were 383 ± 142.4 meters and 451.7 ± 142.4 meters respectively (p < 0.0001). The average maximum speed obtained in the ILT was 4.1 ± 1.1 km/h and 5.4 ± 1.27 km/h (p = 0.001). Conclusion: The distance walked in the 6-minute walk test and the maximum work capacity improve significantly with treadmill training in these patients with CRD.
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