Outcome of survivors of COVID-19 in the intermediate phase of recovery: A case report

Marelee Fourie, H. van Aswegen
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引用次数: 1

Abstract

Introduction Coronavirus disease 2019 (COVID-19) is a viral respiratory disease and is associated with significant morbidity in the intermediate and chronic phases of recovery from the disease. The health benefits of respiratory and extremity muscle strengthening exercise therapy are well-described for those with cardiac failure and interstitial lung disease and are suggested to improve functional ability for patients recovering from COVID-19. The aim of this case report is to share the effects of standard physiotherapy management on exercise endurance, respiratory function and return to work, implemented for patients with COVID-19 in the intermediate phase of their recovery. Patient presentation Two cases of COVID-19 were admitted to a private healthcare facility in Johannesburg. They presented with shortness of breath and decreased endurance. One had COVID-19 myocarditis and the other chronic post-COVID-19 organising pneumonia with pulmonary fibrosis. Management and outcome Both patients were admitted to ICU, provided oxygen therapy and supportive care as well as physiotherapy management in hospital and after hospital discharge. Physiotherapy management included inspiratory muscle training therapy, and cardiovascular and resistance exercise therapy. Improvements in peak expiratory flow rate and six-minute walk distance were observed for both cases at 6- and 7-months follow-up, respectively. Conclusion Our case report illustrates the value of ongoing physiotherapy management, utilising progressive exercise therapy prescription, to aid the return to optimal functioning for survivors of COVID-19 in the intermediate phase of their recovery.
COVID-19幸存者在康复中期的结局:1例报告
2019冠状病毒病(COVID-19)是一种病毒性呼吸道疾病,在疾病恢复的中期和慢性阶段具有显著的发病率。呼吸和四肢肌肉强化运动疗法对心力衰竭和间质性肺病患者的健康益处已得到很好的描述,并被建议用于改善COVID-19康复患者的功能能力。本病例报告的目的是分享标准物理治疗管理对COVID-19患者康复中期运动耐力、呼吸功能和重返工作的影响。约翰内斯堡一家私人医疗机构收治了两例COVID-19病例。他们表现为呼吸短促,耐力下降。1例为COVID-19心肌炎,另1例为慢性COVID-19后组织性肺炎伴肺纤维化。两例患者均入住ICU,在住院和出院后给予氧疗和支持性护理以及物理治疗管理。物理治疗管理包括吸气肌训练疗法、心血管和阻力运动疗法。在6个月和7个月的随访中,两例患者分别观察到呼气峰流速和6分钟步行距离的改善。我们的病例报告说明了持续物理治疗管理的价值,利用渐进式运动治疗处方,帮助COVID-19幸存者在康复的中期恢复到最佳功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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