Effectiveness of pulmonary rehabilitation in post-COVID-19 patients: A pre- and post-interventional study

Effectiveness of pulmonary rehabilitation in post-COVID-19 patients: A pre- and post-interventional study

The need of pulmonary rehabilitation (PR) for COVID-19 patients with long-term effects was desperately felt. The study's objective was to measure the effect of PR on functional capacity and health-related quality of life (HRQOL) in patients with post COVID conditions. Pulmonary medicine departm...

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Published in:Lung India Vol. 41; no. 6; pp. 435 - 441
Main Authors: Bargaje, Medha Deepak, Sharma, Priyasha, Londhe, Jyoti Deepak, Patil, Sanjeevani Vishwanath, Anokar, Anita Tulsiramji, Doke, Purwa Prakash, Oswal, Jitendra Shankarlal, Doke, Prakash Prabhakarrao, Rayamane, Kranti Laxman, Sule, Nachiket Sandeep, Deshpande, Aruna Bhimsen
Format: Journal Article
Language:English
Published: India Medknow Publications and Media Pvt. Ltd 01-11-2024
Medknow Publications & Media Pvt. Ltd
Wolters Kluwer Medknow Publications
Subjects:
6mwt
COVID-19
distance
Exercise
long covid
Medical research
Medicine, Experimental
Methods
Patient education
Patient outcomes
Physiological aspects
pulmonary rehabilitation
pulse rate
Quality of life
Rehabilitation
spo2
Weight training
India
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Summary:The need of pulmonary rehabilitation (PR) for COVID-19 patients with long-term effects was desperately felt. The study's objective was to measure the effect of PR on functional capacity and health-related quality of life (HRQOL) in patients with post COVID conditions. Pulmonary medicine department of a teaching hospital conducted this pre-experimental study. The patient underwent a pre and post-assessment, including a six-minute walk test (6MWT) measuring distance, oxygen desaturation, pulse rate, and HRQOL. The intervention had six components; education to patients and caregivers, breathlessness relieving exercises, postural correction, aerobic training, strength training, and stretching exercises. These activities were carried out twice a week for eight weeks, supervised, unsupervised in homes, and a combination. The study enrolled 155 post-COVID patients (Males, 102 and female, 53), out of which 28 (18.1%) had mild, 55 (35.5%) had moderate and 72 (46.5%) had severe COVID. Paired t-test showed improvement in resting pulse rate (P = 0.001) and resting oxygen saturation (P < 0.0001). Distance walking for six minutes increased after rehabilitation (P < 0.0001). After eight weeks of pulmonary rehabilitation, there was an improvement (P < 0.001) in all domains of quality of life, that is, mobility, self-care, pain and discomfort, usual activity, sleep, anxiety and depression. Pulmonary rehabilitation is beneficial for post-COVID patients in improving their quality of life and six-minute walk test parameters, resulting in improved functional capacity and overall quality of life.
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content type line 23
ISSN:0970-2113
0974-598X
DOI:10.4103/lungindia.lungindia_368_23