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ORIGINAL ARTICLE
Year : 2022  |  Volume : 66  |  Issue : 5  |  Page : 51-55

Impact of early pulmonary rehabilitation in postacute COVID Disease: A single-center experience from India – A quasi-experimental study


1 Professor, Department of Respiratory Medicine, Coordinator Amrita Pulmonary Rehabilitation Program, Amrita Institute of Medical Sciences, Amrita Viswa Vidyapeetham, Kochi, Kerala, India
2 MD Resident, Department of Respiratory Medicine, Amrita Institute of Medical Sciences, Amrita Viswa Vidyapeetham, Kochi, Kerala, India
3 Biostatistician, Department of Clinical Epidemiology, Rajagiri Hospital, Aluva, Kerala, India
4 Physiotherapist, Department of Respiratory Medicine, Amrita Pulmonary Rehabilitation Program, Amrita Institute of Medical Sciences, Kochi, Kerala, India
5 Associate Practitioner, Pulmonary Rehabilitation, Provide Community, Cambridgeshire, United Kingdom
6 Professor and Head, Department of Respiratory Medicine, Amrita Institute of Medical Sciences, Amrita Viswa Vidyapeetham, Kochi, Kerala, India

Correspondence Address:
Akhilesh Kunoor
Kunoor House, Mekkad P.O, Manakkapady, Ernakulam - 683 589, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijph.ijph_1087_22

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Background: It was observed that post-COVID patients reported persistent exertional dyspnea, cough, fatigue, or chest pain. About 10%–20% of patients may progress to pulmonary fibrosis. Pulmonary rehabilitation has been proven to be useful in improving effort tolerance and quality of life in chronic respiratory diseases. Objectives: The objective of this study was to assess the effectiveness of pulmonary rehabilitation in improving 6-min walk distance (6 MWD), peak flow, fatigue, anxiety, and depression in early postacute COVID disease. Materials and Methods: This quasi-experimental study was conducted during January 2021 to March 2021. The patients who recovered from COVID-19 and having persistent exertional dyspnea and fatigue after 3 weeks of recovery were included in the study. Baseline and postintervention assessment of 6 MWD, Visual Analog Scale for Fatigue (VAS-F), peak flow, and Hamilton rating scales (HAM) scales after 4 weeks were done. Compliance was ensured with weakly telemonitoring. Results: Significant improvement in peak flow, 6 MWD, Hamilton Anxiety Rating Scale (HAM-A), Hamilton Depression Rating Scale (HAM-D), and VAS-F (P < 0.01) after 4 weeks of pulmonary rehabilitation. Conclusion: Early pulmonary rehabilitation in post-COVID syndrome can contribute to statistically significant improvement in functional and psychological parameters as well as post-COVID fatigue.


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