Tag: pulmonary rehabilitation

A national survey of physiotherapists’ assessment and management practices for patients with COVID-19 in acute and rehabilitation care in the United Arab Emirates

Neda Mohammad Ali, Gopala Krishna Alaparthi, Arthur de Sá Ferreira, Ashokan Arumugam, Kalyana Chakravarthy Bairapareddy

Neda Mohammad Ali, Gopala Krishna Alaparthi, Arthur de Sá Ferreira, Ashokan Arumugam, Kalyana Chakravarthy Bairapareddy – A national survey of physiotherapists’ assessment and management practices for patients with COVID-19 in acute and rehabilitation care in the United Arab Emirates – Fizjoterapia Polska 2024; 24(2); 309-317

DOI: https://doi.org/10.56984/8ZG5608SR5

Abstract
Background. Physiotherapists have a significant role in the treatment and care of individuals with COVID-19, who suffer from a range of symptoms and complications. Treatment for these patients requires a multidisciplinary approach. The study aims to explore the practice patterns of assessment and management adopted by physiotherapists for patients with COVID-19 in critical care and rehabilitation settings in the United Arab Emirates (UAE). Methods. A survey questionnaire was shared with physiotherapists working in the UAE’s private and public hospitals. The questionnaire consisted of 60 questions that were divided into 5 sections: assessment in ICU and wards, treatment in ICU and wards, and patient education. Results. The physiotherapy evaluation of patients was primarily focused on specific impairment measures. Respiratory rate was the highest reported assessment tool in the ICU, with 68% of physiotherapists always using it. More than 78% of ward assessments use physical examination and respiratory rate. Treatment in the ICU was primarily done with chest percussion and suction therapy; over 85% reported using them always or frequently. A total of 89% of respondents used positioning and postural drainage as part of their treatment in wards, and 100% chose walking as their method of mobilization. Conclusion. Both ICU and acute care physiotherapists used similar assessment techniques focused on impairments and dyspnea-quantifying measures, with less emphasis on functional exercise capacity. They, however, used similar approaches to treatment in the ICU and wards, with slight variations in airway clearance and equipment use.
Keywords
COVID-19, pulmonary rehabilitation, chest physiotherapy, physiotherapy in critical care, survey
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A structured pulmonary rehabilitation protocol for bi-lobectomy: A case report

Manjiri Suhas Kulkarni, Gopala Krishna Alaparthi, Shyam Krishnan, Kalyana Chakravarthy Bairapareddy

Manjiri Suhas Kulkarni, Gopala Krishna Alaparthi, Shyam Krishnan, Kalyana Chakravarthy Bairapareddy – A structured pulmonary rehabilitation protocol for bi-lobectomy: A case report. Fizjoterapia Polska 2022; 22(1); 62-68

Abstract
Clinical Case. An exclusively tailored exercise program which included chest physiotherapy and graded mobilization was given to a 34-year-old patient after bi-lobectomy for seven days as a part of an in-patient rehabilitation program. The cardiovascular and respiratory response, rate of perceived exertion and six-minute walk distance were recorded before and after the intervention. Range of motion and postural correction were also given equal attention. Descriptive statistics used in order to present the data.
Discussion. A pulmonary rehabilitation protocol after surgical interventions in bronchiectasis patients is beneficial, however, the short-term effects are not well documented. Bi-lobectomy being the less common resections performed, requires a structured rehabilitation protocol in order to overcome the complications faced in the post-surgical recovery period.
Summary. The number of bronchiectasis cases are increasing rapidly, with surgical repairs gaining priority and importance as management of this condition. Pulmonary rehabilitation is encouraged in order to maximise the benefits of the surgeries by reducing the post-operative complication. Pulmonary rehabilitation protocols structured for each individual depending on their difficulties will help in reducing complications, dependency and duration of the hospital stay.
Key words:
bronchiectasis, bi-lobectomy, pulmonary rehabilitation
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Selected aspects of pulmonary rehabilitation

Ryszard Rutkowski, Joanna Rutkowska, Krzysztof Rutkowski, Zenon Siergiejko

Ryszard Rutkowski, Joanna Rutkowska, Krzysztof Rutkowski, Zenon Siergiejko – Selected aspects of pulmonary rehabilitation. Fizjoterapia Polska 2009; 9(1); 21-30

Abstract
Our review article summarizes current knowledge on medical rehabilitation with special emphasis on rehabilitation in respiratory conditions. Medical rehabilitation entails a multidisciplinary approach to chronically ill and disabled patients sen/ing to restore the highest possible physical, mental and professional capacity allowing patients to function actively and independently within the limitations placed upon them by their disorder The beneficial effects of rehabilitation depend considerably on careful planning of action to be taken in the course of treatment of chronic functional disorders and the feasibility of its continuation in the community The American Thoracic Society (ATS) and the European Respiratory Society (ERS) recommend pulmonary rehabilitation in the therapy of chronic respiratory conditions. It has been defined as a multidisciplinary approach providing an indMdually designed multi-speciality programme incorporating the diagnosis, treatment, education and psychological techniąues to stabilise and/or re-vert the physiological and psychopathological symptoms of chronic respiratory conditions. A well designed pulmonary rehabilitation programme encompasses educating patients and their relatives, healthy life style and nutritional (weight correction) advice as well as appropriate psychological intentions. Patient education is the cornerstone of comprehensive pulmonary rehabilitation and remains the shared duty of patients, their families, GPs and all other members of the therapeutic team. Counselling and nutritional advice are important components of the educational programme as they influence patients’ general well-being and fitness.
Key words:
pulmonary rehabilitation, education, asthma, COPD, cystis fibrosis
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Assessment of effectiveness of short-lived physiotherapy procedure on selected functional parameters of the respiratory system in patients with COPD Chronic Obstructive Lung Disease (COLD)

Krystyna Rożek, Jan Szczegielniak, Marta Majewska-Pulsakowska, Anna Dor, Monika Bartczyszyn

Krystyna Rożek, Jan Szczegielniak, Marta Majewska-Pulsakowska, Anna Dor, Monika Bartczyszyn – Assessment of effectiveness of short-lived physiotherapy procedure on selected functional parameters of the respiratory system in patients with COPD Chronic Obstructive Lung Disease (COLD). Fizjoterapia Polska 2012; 12(2); 119-128

Abstract
Background. The objective of the study of short-lived physiotherapy procedure on selected functional parameters of lungs, parameters of arterial blood gas (ABG) and of physical capacity patients with advanced COPD was to assess its effectiveness. Material and methods. examinations were carried out on 40 of the hospitalized men with COPD. Patients were divided in two research groups. Group I -23 men observed a week rehabilitation program based on physiotherapy aimed at raising physical fitness of the patients, group II-control was made of 17 patients in which only pharmacological curing was employed. Functional examinations of the lungs were made with the help of apparatus of German Erich Jaeger FLOWSCREEN equipment. All patients underwent the following examinations: ABG, 6MWT (Six Minutes Walking Test), measurement of BMI (Mass Index Body) and a range of chest mobility. Results. Subjects from Group I, after completion of improvement process, were able to overcome a longer walking distance in a 6-minute walking test, this distance became, however, even shorter, compared to exit results, in the control group patients. However, the average walking speed as well as MET values calculated from the formulae increased in both groups. Parameter FVC significantly increased in group I patients. A significant improvement was also observed amongst studied ABG parameters: pO2 and SaO2 in the experimental group, and a decrease, after the same number of days, in the control group.Conclusions. 1. As a result of the weekly special physiotherapy program the walking distance covered during a 6-minute walking test increased. 2. Among lung function parameters only forced vital capacity increased significantly. 3. After a week of exer­cise pO2 and SaO2 significantly increased in the experimental group.
Key words:
COPD, pulmonary rehabilitation, respiratory function, Exercise Tolerance, POChP
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