TY  - BOOK
AU  - Austria,Ginger Anne D.
AU  - Bada, Jeffrey Ian M., 
AU  - Bagay, Celine J
AU  - Deciembre, Antonette B
AU  - Guntan, Aine Armaigne C., 
AU  - Salazar, Samantha S.
TI  - A Continental approach for chest physiotheraphy intervention protocol for moderate to severe COVID-19 patients: scoping review / : [author]: Austria, Ginger Anne D., Bada, Jeffrey Ian M., Bagay, Celine J., Deciembre, Antonette B., Guntan, Aine Armaigne C., Salazar, Samantha S
AV  - PT 2022 0008 
PY  - 2022///
CY  - Quezon City, Philippines
PB  - FEU- Dr. Nicanor Reyes Medical Foundation Institute of Medicine
N1  - Includes Appendix; Koakh
N2  - ABSTRACT:

Background: Patients with COVID-19 require therapy in order to regain normal function. According to research by Abdullahi (2020), chest physiotherapy may improve respiratory functions and quality of life in patients with COVID-19, especially after discharge. Thus, it is important to be updated on the most effective treatments used that may be useful in terms of rehabilitation and to be informed of haw it can be incorporated in protocols to provide the best care possible. Such information elucidated from the pre-existing journals. However, the studies involving rehabilitation of COVIC-19 patients are limited given how it has only emerged last 2019.

Objectives: the purpose of this study was to map the most commonly used Chest Physiotherapy Interventions per continent. These included studies investigated the effectiveness of Chest Physiotherapy in combination with other non-physical therapy interventions in patients with moderate and sever COVID-19 patients.
Methods: A search strategy was employed along with the process of data collection and data charting. Studies published from 2019 to 2022 were searched using different credible electronic databases such as EBSCOHost, Proquest, Conhrane Library, PEDro Scale, PubMed, NCBI, Google Scholar, and Clinical trials. Gov.

Outcomes: The study was able to identify the following interventions for specific goals to address decreased muscle strength, reduced efficiency of expectation, intolerance to physical activity, and mental problems treatment strategies included are positional drainage, breathing exercise, passive joint motion, muscle stretching, neuromuscular electrical stimulation, bedside standing training, walking exercises, and maintaining physical strength and exercise endurance. Treatment strategies for discharged and suspected COVID-19 patients under home isolation, low exercise endurance, and weakness or fatigue resulting from lack of exercise due to prolonged admission or isolation include aerobic exercise, resistance training, cross obstacles balance training, breathing training, and ALD training.

Results: The search resulted in 20 studies included as the final number of valid studies following the inclusion criteria. The majority od the studies included are 6 case series and 4 RCTS. A protocol emerged that Pulmonary exercises such as Breathing Exercises such as Breathing Exercise and Airway clearance remain to be the primary treatment to be used both for moderate and severe Covid19 patients. Secondary treatments include Energy Conservation Techniques, Interval Training, Aerobic Training, LE strengthening Exercises, Yoga, Tachi, Mobilization, and Mental Activation Technique. Other tertiary treatments include connective tissue massage, oxygen cylinder, and Whole-Body Vibration.

Conclusion: Chest Physiotherapy is effective in improving the prognosis of both moderate and severe covid patients. Evidence suggests that the use of Breathing Exercise and Airway Clearance Technique are the most effective interventions to treat covid patients. It is best combined with Energy Conservation Techniques, Interval Training, Aerobic Training, LE strengthening, Stretching Exercises, Yoga, Tacihi, Mobilization, and Mental Activation Technique. Other tertiary include connective tissue massage, oxygen cylinder, and Whole Body Vibration.




ER  -