Repercussions of respiratory physiotherapy techniques in patients with a history of Covid-19 in the interior of the Amazon
DOI:
https://doi.org/10.33448/rsd-v11i17.38713Keywords:
Covid-19; Physiotherapy; Rehabilitation.Abstract
Introduction: Covid-19 is a multisystemic infection, where late manifestations such as fatigue, dyspnea, loss of aerobic conditioning and muscle mass are common even in patients who have not developed the severe form of the disease, and therefore therapeutic resources are needed to treat these remaining symptoms. Objective: Investigate the immediate repercussions of respiratory physiotherapy techniques performed through a session on patients with a history of Covid-19 in the interior of the Amazon. Methodology: This is a randomized experimental study, with a quantitative-qualitative approach, carried out at the University of the State of Pará. 76 volunteers with a history of Covid-19 participated who were randomized into four groups, one control group and three experimental groups. The three experimental groups were submitted to respiratory physiotherapy techniques and the variables used were the inspiratory pressure (Pimax) and maximum expiratory pressure (Pemax) and the Six-minute walk test (6MWT). Results and Discussion: The results demonstrated the significance of non-invasive ventilation (NIV) on the PiMAX variable in improving inspiratory muscle strength. NIV associated with cycle ergometer and breathing exercises showed significant results in the 6MWT, showing improvement in exercise tolerance. There was no significant result in the comparison between groups. Final considerations: Techniques in respiratory physiotherapy can be beneficial in acquiring exercise tolerance and improving inspiratory muscle strength, but further studies should be encouraged with better methodological designs.
References
Aksoyalp, Z. Ş., & Nemutlu-Samur, D. (2021). Sex-related susceptibility in coronavirus disease 2019 (COVID-19): Proposed mechanisms. European journal of pharmacology, 912, 174548. https://doi.org/10.1016/j.ejphar.2021.174548.
Alves, V. L. D. S., & Avanzi, O. (2016). Respiratory muscle strength in idiopathic scoliosis after training program. Acta ortopedica brasileira, 24(6), 296–299. https://doi.org/10.1590/1413-785220162406120752
Aquim, E. E., Bernardo, W. M., Buzzini, R. F., Azeredo, N. S. G. D., Cunha, L. S. D., Damasceno, M. C. P., ... & Verona, C. (2020). Diretrizes brasileiras de mobilização precoce em unidade de terapia intensiva. Revista Brasileira de Terapia Intensiva, 31, 434-443.
Attaway, A. H., Scheraga, R. G., Bhimraj, A., Biehl, M., & Hatipoğlu, U. (2021). Severe covid-19 pneumonia: pathogenesis and clinical management. BMJ (Clinical research ed.), 372, n436. https://doi.org/10.1136/bmj.n436.
Avelino, J. K. A., Pinto, A. C. M., de Lima, C. B. V., de Sousa Roberto, S. V., & de Moura, M. D. F. L (2022). Manifestações orais e COVID-19: uma revisão de literatura. Pesquisa, Sociedade e Desenvolvimento, 11 (13), e42111334976-e42111334976.
Bai, F., Tomasoni, D., Falcinella, C., Barbanotti, D., Castoldi, R., Mulè, G., Augello, M., Mondatore, D., Allegrini, M., Cona, A., Tesoro, D., Tagliaferri, G., Viganò, O., Suardi, E., Tincati, C., Beringheli, T., Varisco, B., Battistini, C. L., Piscopo, K., Vegni, E., … Monforte, A. D. (2022). Female gender is associated with long COVID syndrome: a prospective cohort study. Clinical microbiology and infection: the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 28(4), 611.e9–611.e16. https://doi.org/10.1016/j.cmi.2021.11.002
Batah, SS, & Fabro, AT (2021). Patologia pulmonar da SDRA em COVID-19: Uma revisão patológica para médicos. Medicina respiratória, 176, 106239. https://doi.org/10.1016/j.rmed.2020.106239.
Batista, A. R., Mendes, D. S., de Lima, F. A., da Silva, G. G., Marcate, T. B., & Boaretto, F. R. F. (2022). Protocolo de reabilitação da síndrome pós-COVID-19 na atenção primária. Pesquisa, Sociedade e Desenvolvimento, 11 (13), e342111335400-e342111335400.
Cacau, L. D. A. P., Mesquita, R., Furlanetto, K. C., Borges, D. L. S., Forgiarini Junior, L. A., Maldaner, V., Souza, Y. D., Cipriano Júnior, G., Carvalho, C., Nogueira, I. C., Tomazi, L., & Karsten, M. (2020). Avaliação e intervenção para a reabilitação cardiopulmonar de pacientes recuperados da COVID-19. ASSOBRAFIR Ciência, 11(Supl1), 183. https://doi.org/10.47066/2177-9333.ac20.covid19.018.
Çelik, Z., Güzel, N. A., Kafa, N., & Köktürk, N. (2022). Respiratory muscle strength in volleyball players suffered from COVID-19. Irish journal of medical science, 191(5), 1959–1965. https://doi.org/10.1007/s11845-021-02849-z.
da Costa, CAJ, Ferreira, WX, Veríssimo, ADOL, da Costa Torres, D., Ribeiro, BC, & de Figueiredo, TS (2021). Efeitos da Reabilitação Cardiopulmonar em Paciente com Artrite Reumatóide e Pós Co-infecção por Tuberculose Pulmonar e COVID-19: Um estudo de caso. Pesquisa, Sociedade e Desenvolvimento, 10 (8), e38510816860-e38510816860.
Cunha, V. C. F. A Utilização do CPAP (Pressão Positiva Contínua nas Vias Aéreas) em Neonatos Pela Fisioterapia Como Manobra Respiratória e suas Complicações.
Del Corral, T., Garrido, R. F., Plaza-Manzano, G., Fernández-de-Las-Peñas, C., Navarro-Santana, M., & López-de-Uralde-Villanueva, I. (2022). Home-based respiratory muscle training on quality of life and exercise tolerance in long-term post-COVID-19: Randomized controlled trial. Annals of physical and rehabilitation medicine, 101709. Advance online publication. https://doi.org/10.1016/j.rehab.2022.101709.
Gao, M., Piernas, C., Astbury, N. M., Hippisley-Cox, J., O'Rahilly, S., Aveyard, P., & Jebb, S. A. (2021). Associations between body-mass index and COVID-19 severity in 6·9 million people in England: a prospective, community-based, cohort study. The lancet. Diabetes & endocrinology, 9(6), 350–359. https://doi.org/10.1016/S2213-8587(21)00089-9.
Geraldo, A., & Martinello, F. (2020). A relação entre o sistema sanguíneo ABO e a COVID-19: uma revisão sistemática. RBAC, 52(2), 143-8.
Guimarães, R. M., Portela, M. C., Villela, D. A. M., Correa Matta, G., & de Freitas, C. M. (2021). Younger Brazilians hit by COVID-19 - What are the implications? Lancet Regional Health. Americas, 1, 100014. https://doi.org/10.1016/j.lana.2021.100014.
Hockele, L. F., Sachet Affonso, J. V., Rossi, D., & Eibel, B. (2022). Pulmonary and Functional Rehabilitation Improves Functional Capacity, Pulmonary Function and Respiratory Muscle Strength in Post COVID-19 Patients: Pilot Clinical Trial. International journal of environmental research and public health, 19(22), 14899. https://doi.org/10.3390/ijerph192214899.
Jimeno-Almazán, A., Franco-López, F., Buendía-Romero, Á., Martínez-Cava, A., Sánchez-Agar, J. A., Sánchez-Alcaraz Martínez, B. J., Courel-Ibáñez, J., & Pallarés, J. G. (2022). Rehabilitation for post-COVID-19 condition through a supervised exercise intervention: A randomized controlled trial. Scandinavian journal of medicine & science in sports, 32(12), 1791–1801. https://doi.org/10.1111/sms.14240.
Lima, B. C. M., Santos, A. A., Rosa, V. O., Junior, I. J. X., de Lima, C. R., Cardoso, R. S., & da Silva, G.B. (2021). COVID-19. Brazilian Journal of Development, 7(11), 107710-107722.
Megiorni, F., Pontecorvi, P., Gerini, G., Anastasiadou, E., Marchese, C., & Ceccarelli, S. (2021). Sex-Related Factors in Cardiovascular Complications Associated to COVID-19. Biomolecules, 12(1), 21. https://doi.org/10.3390/biom12010021.
Nedel, W. L., & Silveira, F. D. (2016). Os diferentes delineamentos de pesquisa e suas particularidades na terapia intensiva. Revista Brasileira de Terapia Intensiva, 28, 256-260.
Nogueira, T. L., da Silva, S. D. A., da Silva, L. H., Leite, M. V. S., da Rocha, J. F. A., & Andreza, R. S. (2021). Pós covid-19: as sequelas deixadas pelo Sars-Cov-2 e o impacto na vida das pessoas acometidas. Archives of Health, 2(3), 457-471.
Nopp, S., Moik, F., Klok, F. A., Gattinger, D., Petrovic, M., Vonbank, K., Koczulla, A. R., Ay, C., & Zwick, R. H. (2022). Outpatient Pulmonary Rehabilitation in Patients with Long COVID Improves Exercise Capacity, Functional Status, Dyspnea, Fatigue, and Quality of Life. Respiration; international review of thoracic diseases, 101(6), 593–601. https://doi.org/10.1159/000522118.
Nunes, M. C., Alves, O. N., de Santana, L. C., & Nunes, L. T. D (2022). Síndrome da COVID longa: uma revisão integrativa. Pesquisa, Sociedade e Desenvolvimento, 11 (13), e572111335990-e572111335990.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica.
Quixaba, V. M. S, da Silva, K. C. C., & Gardenghi, G. (2022). O Fisioterapeuta conhecendo o momento ideal de iniciar a VNI e quando saber se fracassou a intervenção no Covid-19?. Pesquisa, Sociedade e Desenvolvimento, 11 (4), e2411426809-e2411426809.
Raposo, P., & Sousa, L. M. M. (2020). Intervenção do enfermeiro especialista em reabilitação na dispneia da pessoa com COVID-19: Relato de Caso. Revista Portuguesa de Enfermagem de Reabilitação, 3(Sup 2), 5-15.
Ricotta, ACG, Nunes, GB, de Almeida, AF, Gonzaga, FMG, Licurci, MDGB, & Nogueira, DV (2022). Efeitos pós-Covid na mecânica respiratória, função pulmonar, resposta ao exercício físico e qualidade de vida. Pesquisa, Sociedade e Desenvolvimento, 11 (15), e324111537053-e324111537053.
Silva, B. S., Sousa, F. V. V., Leite, L. A. R., Marinho, D. F., Ribeiro, A. P. L., de Sousa, E. S., Reis, J. M. F., Silva, L. M. S., Vinhote, P. A. C., & Paiva, C. E. A. (2022). A importância da atuação da fisioterapia na reabilitação de pacientes pós-infecção por COVID-19 em um ambulatório no interior da Amazônia: um relato de experiência. Pesquisa, Sociedade e Desenvolvimento, 11 (12), e371111234545-e371111234545.
Silva, H. B. de M. M. e, Santos, D. M. de O., Soares, L. O., Cacau, L. de A. P., & Costa, A. C. S. de M. (2022). Análise do perfil de pacientes pós-COVID-19: um estudo de correlação entre força muscular respiratória e força muscular periférica. ASSOBRAFIR Ciência, 13, e44656. https://doi.org/10.47066/2177-9333.ac.2020.0038.
Tozato, C., Ferreira, B. F. C., Dalavina, J. P., Molinari, C. V., & Alves, V. L. D. S. (2021). Reabilitação cardiopulmonar em pacientes pós-COVID-19: série de casos. Revista Brasileira de Terapia Intensiva, 33(1), 167-171.
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Copyright (c) 2022 Ana Paula Lemos Ribeiro; Elmmer Santos de Sousa; Byanca Soares da Silva; Juarez Rebelo de Araujo ; Carlos Eduardo Amaral Paiva; Luis Afonso Ramos Leite; Milena de Sousa Vasconcelos
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