New Approaches in Exercise Physiology

Current Issue

By Issue

By Author

By Subject

Author Index

Keyword Index

About Journal

Aims and Scope

Editorial Policies

Peer Review Process

Publication Ethics

Journal Metrics

Related Links

FAQ

News

Manuscript Style

References Guideline

Ethics and Principles

Forms

Reviewers in 2019

Reviewers in 2020

Reviewers in 2021

The effect of a pulmonary rehabilitation exercise program on patients after COVID-19: A report of three cases

Document Type : Research Paper

Authors

1 Master student, Physiol Faculty of Sports Sciences, Hakim Sabzevari University, Sabzevar, Iran.

2 1. Department of Exercise Physiology, Faculty of Sport Sciences, Hakim Sabzevari University, Sabzevar, Iran

Abstract

Purpose: This study aimed to investigate the effect of a pulmonary rehabilitation exercise program on post-COVID-19 patients. Method: Three patients (two women and one man) with different severities, from moderate to severe, were selected. Blood pressure, heart rate, blood oxygen, and body function were measured at the beginning and end of the exercises, which included 12 sessions of arm and leg cycle ergometer and treadmill with adjustable resistance levels. Patients’ functionality was assessed using the Barthel index, and their quality of life was assessed using the SF-36 questionnaire. Results: Regarding the first patient, oxygen saturation increased from 85 to 95, the 6-minute walk test (6MWT) result increased from 0 to 420 meters, and the Barthel index increased from 35 to 85. For the second patient, arterial oxygen saturation increased from 82 to 92, the 6-minute walk test (6MWT) result increased from 0 to 390 meters, and the Barthel index increased from 30 to 90. For the third patient, arterial oxygen saturation increased from 87 to 96, the 6-minute walk test (6MWT) result increased from 320 to 510 meters, and the Barthel index increased from 60 to 85. All the patients showed improvements in their physical functions, such as walking, personal affairs, and quality of life. This functional improvement was higher in more severe levels of the disease. Conclusion: Based on the results, it seems that pulmonary rehabilitation exercises for post-COVID-19 patients can contribute to the improvement of their status, arterial oxygen level, quality of life, and pulmonary functionality.

Keywords

Main Subjects

References
Alizadeh, Z., Keyhanian, N., Ghaderkhani, S., Dashti-Khavidaki, S., Shokouhi Shoormasti, R., & Pourpak, Z. (2021). A Pilot Study on Controlling Coronavirus Disease 2019 (COVID-19) Inflammation Using Melatonin Supplement. In Iranian Journal of Allergy, Asthma and Immunology.
Knowledge E. https://doi.org/10.18502/ijaai.v20i4.6959 
 
Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. In Psychiatry Research (Vol. 287, p. 112934). Elsevier BV.
https://doi.org/10.1016/j.psychres.2020.112934
 
Ghazanfari, T., Salehi, M. R., Namaki, S., Arabkheradmand, J., Rostamian, A., Rajabnia Chenary, M.,… & Faghihzadeh, S. (2021). Interpretation of Hematological, Biochemical, and Immunological Findings of COVID-19
Disease: Biomarkers Associated with Severity and Mortality. In Iranian Journal of Allergy, Asthma and Immunology. Knowledge E.
https://doi.org/10.18502/ijaai.v20i1.5412
 
Gigliotti, F., Castellana, G., Banfi, P., Guffanti, E., Santus, P., & Ambrosino, N. (2020). Joint Statement on the Role of Respiratory Rehabilitation in the COVID-19 Crisis: The Italian Position Paper. In Respiration (Vol. 99,
Issue 6, pp. 493–499). S. Karger AG. https://doi.org/10.1159/000508399
 
Gloeckl, R., Leitl, D., Jarosch, I., Schneeberger, T., Nell, C., Stenzel, N., Vogelmeier, C. F., Kenn, K., & Koczulla, A. R. (2021). Benefits of pulmonary rehabilitation in COVID-19: a prospective observational cohort study. In ERJ Open Research (Vol. 7, Issue 2, pp. 00108–02021).
           European                   Respiratory                   Society                     (ERS).
https://doi.org/10.1183/23120541.00108-2021
 
Kumar, D. (2020). Corona Virus: A Review of COVID-19. In Eurasian Journal of Medicine and Oncology. Kare Publishing.
https://doi.org/10.14744/ejmo.2020.51418
 
Lee, M., Lee, J. J., Ko, J. young, Kim, Y. K., & Lee, S. (2022). Clinical impact and benefits of a simultaneous cardio‐pulmonary rehabilitation in a COVID‐19‐infected patient following cardiac arrest: A case report. In Clinical Case Reports (Vol. 10, Issue 2). Wiley. https://doi.org/10.1002/ccr3.5345.
 
Liu, K., Zhang, W., Yang, Y., Zhang, J., Li, Y., & Chen, Y. (2020). Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. In Complementary Therapies in Clinical Practice (Vol.
39, p. 101166). Elsevier BV. https://doi.org/10.1016/j.ctcp.2020.101166
 
Mostafaei, A., Ghojazadeh, M., Hajebrahimi, S., Abolhasanpour, N., & SalehiPourmehr, H. (2021). Clinical Presentation of Iranian Patients Affected
with COVID-19: A Thousand Faces Disease. In Iranian Journal of Allergy,
           Asthma             and             Immunology.             Knowledge                E.
https://doi.org/10.18502/ijaai.v20i2.6047
 
Pancera, S., Galeri, S., Porta, R., Pietta, I., Bianchi, L. N. C., Carrozza, M. C., & Villafañe, J. H. (2020). Feasibility and Efficacy of the Pulmonary Rehabilitation Program in a Rehabilitation Center. In Journal of Cardiopulmonary Rehabilitation and Prevention (Vol. 40, Issue 4, pp. 205–208). Ovid Technologies (Wolters Kluwer Health).
https://doi.org/10.1097/hcr.0000000000000529
 
Piquet, V., Luczak, C., Seiler, F., Monaury, J., Martini, A., Ward, A. B., … & Motavasseli, D. (2021). Do Patients With COVID-19 Benefit from Rehabilitation? Functional Outcomes of the First 100 Patients in a COVID-19 Rehabilitation Unit. In Archives of Physical Medicine and Rehabilitation (Vol. 102, Issue 6, pp. 1067–1074). Elsevier BV.
https://doi.org/10.1016/j.apmr.2021.01.069
 
Saeki, T., Ogawa, F., Chiba, R., Nonogaki, M., Uesugi, J., Takeuchi, I., & Nakamura, T. (2020). Rehabilitation Therapy for a COVID-19 Patient Who Received Mechanical Ventilation in Japan. In American Journal of
Physical Medicine & Rehabilitation (Vol. 99, Issue 10, pp. 873–875). Ovid Technologies (Wolters Kluwer Health). https://doi.org/10.1097/phm.0000000000001545.
 
Torres-Castro, R., Vasconcello-Castillo, L., Alsina-Restoy, X., Solis-Navarro, L., Burgos, F., Puppo, H., & Vilaró, J. (2020). Respiratory function in
patients post-infection by COVID-19: a systematic review and metaanalysis. In Pulmonology. Elsevier BV. https://doi.org/10.1016/j.pulmoe.2020.10.013.
 
Tozato, C., Ferreira BFC., Dalavina JP., Molinari CV., Alves V.(2021).
Cardiopulmonary rehabilitation in post-COVID-19 patients: case series.
Rev Bras Ter Intensiva.(VOL 33, Issue 1, pp. 167-71)
 
Vitacca, M., Carone, M., Clini, E. M., Paneroni, M., Lazzeri, M., Lanza, A., Privitera, E., Pasqua, F., Gigliotti, F., Castellana, G., Banfi, P., Guffanti, E., Santus, P., & Ambrosino, N. (2020). Joint Statement on the Role of
Respiratory Rehabilitation in the COVID-19 Crisis: The Italian Position Paper. In Respiration (Vol. 99, Issue 6, pp. 493–499). S. Karger AG.
https://doi.org/10.1159/000508399
 
Zampogna, E., Paneroni, M., Belli, S., Aliani, M., Gandolfo, A., Visca, D., Bellanti, M. T., Ambrosino, N., & Vitacca, M. (2021). Pulmonary
Rehabilitation in Patients Recovering from COVID-19. In Respiration
           (Vol.      100,      Issue      5,      pp.      416–422).      S.      Karger        AG.
https://doi.org/10.1159/000514387
 
Zhu, P., Wang, Z., Guo, X., Feng, Z., Chen, C., Zheng, A., Gu, H., & Cai, Y. (2021). Pulmonary Rehabilitation Accelerates the Recovery of Pulmonary Function in Patients With COVID-19. In Frontiers in Cardiovascular
           Medicine           (Vol.           8).           Frontiers           Media              SA.
https://doi.org/10.3389/fcvm.2021.691609
New Approaches in Exercise Physiology
Volume 5, Issue 9
June 2023
Pages 17-31
Files
Share
How to cite
Statistics