Early pulmonary rehabilitation of COVID-19 patients in an isolation ward and intensive care unit
When patient with coronavirus disease 2019 (COVID-19) are hospitalized, the limited space for activity, disease itself causes fever, muscle aches, fatigue, respiratory failure with mechanical ventilation, or medications such as steroids or neuromuscular blocking can cause muscle dysfunction. Pulmona...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Tzu Chi Medical Journal |
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| Online Access: | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2023;volume=35;issue=2;spage=137;epage=142;aulast=Lan |
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| author | Chou-Chin Lan Po-Chun Hsieh Mei-Chen Yang Wen-Lin Su Chih-Wei Wu Hsiang-Yu Huang Yao-Kuang Wu |
| author_facet | Chou-Chin Lan Po-Chun Hsieh Mei-Chen Yang Wen-Lin Su Chih-Wei Wu Hsiang-Yu Huang Yao-Kuang Wu |
| author_sort | Chou-Chin Lan |
| collection | DOAJ |
| description | When patient with coronavirus disease 2019 (COVID-19) are hospitalized, the limited space for activity, disease itself causes fever, muscle aches, fatigue, respiratory failure with mechanical ventilation, or medications such as steroids or neuromuscular blocking can cause muscle dysfunction. Pulmonary rehabilitation (PR) should be arranged for these patients with COVID-19. However, the literature on early PR within 1 week of admission on patients with COVID-19 are limited. This review focuses on early PR in COVID-19 patients admitted to isolation wards or intensive care units. The essential components of early PR programs include education, breathing exercise, airway clearance, and physical activity training. Breathing exercises, including diaphragmatic and pursed-lip breathing, are known to improve lung function in chronic obstructive pulmonary disease and are also recommended for COVID-19 patients. Poor airway clearance can further aggravate pneumonia. Airway clearance techniques help patients to clear sputum and prevent the aggravation of pneumonia. Early physical activity training allows patients to maintain limb muscle function during hospitalization. It is recommended to design appropriate indoor exercise training for patients with frequency 1–2 times a day, and intensity should not be too high (dyspnea Borg Scale ≤3) in the acute stage. In order to achieve safe training, criteria for selecting stable patients and training termination are important. Early PR may help reduce the length of hospital stay, maintain functional status, improve symptoms of dyspnea, relieve anxiety, and maintain health-related quality of life in these patients after discharge. |
| format | Article |
| id | doaj-art-2b77411f4e06426cabb81e811b436d70 |
| institution | OA Journals |
| issn | 1016-3190 2223-8956 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Tzu Chi Medical Journal |
| spelling | doaj-art-2b77411f4e06426cabb81e811b436d702025-08-20T02:13:35ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562023-01-0135213714210.4103/tcmj.tcmj_136_22Early pulmonary rehabilitation of COVID-19 patients in an isolation ward and intensive care unitChou-Chin LanPo-Chun HsiehMei-Chen YangWen-Lin SuChih-Wei WuHsiang-Yu HuangYao-Kuang WuWhen patient with coronavirus disease 2019 (COVID-19) are hospitalized, the limited space for activity, disease itself causes fever, muscle aches, fatigue, respiratory failure with mechanical ventilation, or medications such as steroids or neuromuscular blocking can cause muscle dysfunction. Pulmonary rehabilitation (PR) should be arranged for these patients with COVID-19. However, the literature on early PR within 1 week of admission on patients with COVID-19 are limited. This review focuses on early PR in COVID-19 patients admitted to isolation wards or intensive care units. The essential components of early PR programs include education, breathing exercise, airway clearance, and physical activity training. Breathing exercises, including diaphragmatic and pursed-lip breathing, are known to improve lung function in chronic obstructive pulmonary disease and are also recommended for COVID-19 patients. Poor airway clearance can further aggravate pneumonia. Airway clearance techniques help patients to clear sputum and prevent the aggravation of pneumonia. Early physical activity training allows patients to maintain limb muscle function during hospitalization. It is recommended to design appropriate indoor exercise training for patients with frequency 1–2 times a day, and intensity should not be too high (dyspnea Borg Scale ≤3) in the acute stage. In order to achieve safe training, criteria for selecting stable patients and training termination are important. Early PR may help reduce the length of hospital stay, maintain functional status, improve symptoms of dyspnea, relieve anxiety, and maintain health-related quality of life in these patients after discharge.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2023;volume=35;issue=2;spage=137;epage=142;aulast=Lancoronavirus disease 2019hospitalizationpulmonary rehabilitation |
| spellingShingle | Chou-Chin Lan Po-Chun Hsieh Mei-Chen Yang Wen-Lin Su Chih-Wei Wu Hsiang-Yu Huang Yao-Kuang Wu Early pulmonary rehabilitation of COVID-19 patients in an isolation ward and intensive care unit Tzu Chi Medical Journal coronavirus disease 2019 hospitalization pulmonary rehabilitation |
| title | Early pulmonary rehabilitation of COVID-19 patients in an isolation ward and intensive care unit |
| title_full | Early pulmonary rehabilitation of COVID-19 patients in an isolation ward and intensive care unit |
| title_fullStr | Early pulmonary rehabilitation of COVID-19 patients in an isolation ward and intensive care unit |
| title_full_unstemmed | Early pulmonary rehabilitation of COVID-19 patients in an isolation ward and intensive care unit |
| title_short | Early pulmonary rehabilitation of COVID-19 patients in an isolation ward and intensive care unit |
| title_sort | early pulmonary rehabilitation of covid 19 patients in an isolation ward and intensive care unit |
| topic | coronavirus disease 2019 hospitalization pulmonary rehabilitation |
| url | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2023;volume=35;issue=2;spage=137;epage=142;aulast=Lan |
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