Influence of physiotherapy on exercise tolerance in patients after COVID-19

Klaudia Pompka, Katarzyna Bogacz, Jacek Łuniewski, Krystyna Rasławska, Ewa Jach, Igor Świerkowski, Jan Szczegielniak

Klaudia Pompka, Katarzyna Bogacz, Jacek Łuniewski, Krystyna Rasławska, Ewa Jach, Igor Świerkowski, Jan Szczegielniak – Influence of physiotherapy on exercise tolerance in patients after COVID-19. Fizjoterapia Polska 2021; 21(5); 182-189

Abstract
Patients after severe COVID-19 need effective treatment and full medical care. An important aspect of a successful recovery is the implementation of comprehensive rehabilitation. Rehabilitation for convalescents is primarily aimed at restoring or improving the proper functioning of the respiratory system, reducing the severity of the symptoms of the disease and disorders related to comorbidities, as well as increasing the physical efficiency of the body. Objective. The objective of the study was to assess the effect of endurance training on exercise tolerance using the 6-minute walk test in patients with a history of COVID-19.
Material and methods. Thirty patients after COVID-19 were examined, including 12 women (40%) and 18 men (60%) aged 35 to 75 years. The mean age in the study group was 55 years, SD = 10.9.
Before rehabilitation, all patients underwent a 6-minute walk test (6MWT) in order to qualify for the appropriate rehabilitation model. The following parameters were analysed: test time, distance travelled, systolic pressure, diastolic pressure, heart rate, and the reasons for the termination of the test. All COVID-19 patients are covered by the rehabilitation program for patients after COVID-19, which came into force on the basis of the Regulation of the Minister of Health of July 13, 2020 (Journal of Laws, item 1246) on a pilot program in the field of therapeutic rehabilitation for patients after COVID-19.
The distance in the 6-minute walk test in the entire group after rehabilitation increased by an average of 11.8% (from 531.7 ± 97 m to 601.2 ± 86.4 m). Analysing the presented results of studies describing the effect of endurance training on exercise tolerance in patients after COVID-19, no statistically significant differences were found between the age group <55 and the age group ≥ 55.
Conclusions. 1. A 3-week rehabilitation program after COVID-19, the basis of which was endurance training based on exercise on a cycle ergometer, has a positive effect on exercise tolerance in patients measured on the basis of the distance walked during the 6-minute walk (6MWT). 2. In the analysed study, a significant improvement was observed in patients aged ≥ 55 who achieved the shortest distance during the initial 6MWT test.
Key words:
COVID-19, physiotherapy, exercise tolerance
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Vibrotherapy in respiratory disorders, including COVID-19

Rafał Aleksander Guzik, Alicja Pasterczyk-Szczurek

R. A. Guzik, A. Pasterczyk-Szczurek – Vibrotherapy in respiratory disorders, including COVID-19. Fizjoterapia Polska 2021; 21(4); 174-182

Abstract
Successfully used for years in the rehabilitation of various diseases, the techniques of manual vibration massage and therapeutic vibrations generated by medical devices distinguish a new type of physical therapy – vibrotherapy. Therapeutic vibration stimulates blood and lymph circulation, the neuromuscular system, and, in the form of respiratory vibration therapy, helps clear airways of secretions and strengthens respiratory muscles, improving tissue oxygenation in patients with cystic fibrosis and, more recently, in patients with chronic obstructive pulmonary disease or coronavirus 2019 disease (COVID-19). Although the use of respiratory vibration therapy is well established in cystic fibrosis, it has yet to be sufficiently studied in other pulmonary disorders, and since the clinical potential of respiratory vibration therapy is broad, the authors of this literature review wish to point out that it should not be neglected. Particularly in automated form during pandemic times, as in the case of the COVID-19 pandemic – hindering rehabilitation services, quarantine isolations – respiratory vibration therapy can be crucial in rehabilitation, enriching both hospital and home physiotherapy offers.
Key words:
vibrotherapy, whole body vibration, COVID-19, rehabilitation, respiratory disorders
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Evaluation of the effects of Super Inductive Stimulation in physiotherapy after SARS-CoV-2 infection

Piotr Kęsicki, Igor Świerkowski, Ewa Jach, Krystyna Rasławska, Jacek Łuniewski, Katarzyna Bogacz, Jan Szczegielniak

P. Kęsicki, I. Świerkowski, E. Jach, K. Rasławska, J. Łuniewski, K. Bogacz, J. Szczegielniak – Evaluation of the effects of Super Inductive Stimulation in physiotherapy after SARS-CoV-2 infection. Fizjoterapia Polska 2021; 21(4); 6-17

Abstract
Objective. The objective of the study was to assess the effectiveness of Super Inductive Stimulation in respiratory therapy in patients after SARS-CoV2 infection.
Material and methods. The study was carried out in the specialist hospital of the Ministry of the Interior and Administration in Głuchołazy, in the pulmonary department. Fifteen men aged 35 to 63 and fifteen women aged 32 to 69 participated in the study. Each patient underwent ten sessions of Super Inductive Stimulation.
Results. The use of Super Inductive Stimulation resulted in the reduction of moderate cough, chest pain, shortness of breath, severe cough with phlegm/sputum, sweating, headache, nausea, diarrhoea, muscle pain, lack of appetite, problems with concentration, problems with thinking and sleeping, and fatigue.
Conclusions. Analysis of the results showed a positive effect of the applied therapy. Taking into account the answers given before and after rehabilitation, the condition of the respondents improved by 20.18%. The largest differences in the results were observed in the case of headache, diarrhoea, and sleeping problems, being 39.85%, 30.91% and 28.57%, respectively. The comparison of the study results showed that the patients’ quality of life improved.
Key words:
pulmonology, super inductive stimulation, COVID-19, physiotherapy
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Professional situation of physiotherapists during the COVID-19 pandemic

Damian Durlak

Damian Durlak – Professional situation of physiotherapists during the COVID-19 pandemic. Fizjoterapia Polska 2021; 21(3); 164-169

Abstract
Introduction. COVID-19 epidemy impacted the economic situation in Poland and most of the world’s countries. It caused vast changes in citizens’ professional situation and leaded to employees fears about the future. Significant professional changes were also prepared for physiotherapists.
Aim This research was focused on assessing physiotherapists’ opinions about their current professional situation. Existence of statistically significant correlation between respondents’ answers and sociodemographic characteristics was determined.
Methods Author’s custom survey form was used, consisting of questions about professional situation of respondents. The survey was conducted on a group of 101 physiotherapists.
Results The majority of physiotherapists questioned had not suffered from changes implemented during COVID-19 pandemic, but they would like to receive additional benefits like other medical professions. There was a statistically significant correlation between respondents’ answers and sociodemographic characteristics.
Summary Medical facilities should continue to care about their employees, by offering physiotherapists similar benefits like those available to other medical employees. Despite the epidemiology situation, physiotherapists’ salary and working hours should not be cut.
Key words:
physiotherapists, COVID-19, coronavirus pandemic, professional situation
Only Polish version

Knowledge, skills and perceptions of COVID-19 among physiotherapy students in the United Arab Emirates: A Qualitative Study

Abeer Farghaly, Fahad Alanazi, Sunitha Mysore

Abeer Farghaly, Fahad Alanazi, Sunitha Mysore – Knowledge, skills and perceptions of COVID-19 among physiotherapy students in the United Arab Emirates: A Qualitative Study. Fizjoterapia Polska 2021; 21(1); 64-72

Abstract
Aims. The aims of this qualitative study were to explore how physiotherapy students in the United Arab Emirates employed their knowledge and skills to stay safe during COVID-19, and utilized their critical appraisal skills in verifying public information on COVID-19. Material and methods. Forty-four undergraduate physiotherapy students were recruited for the study from health science educational institute in the Emirate of Abu Dhabi. One to one semi-structured interviews were conducted and, the data was analyzed using thematic analysis.
Result & Conclusion. The study found that during COVID-19, the students of physiotherapy were updated with the necessary information to understand the newly emerged virus. The participants played an active role in educating themselves and their families about infection control measures and maintained proper hygiene to stay safe during the pandemic. Additionally, participants were able to critically analyse information using the knowledge and skills learnt in their program. Moreover, hands on experiences incorporated with respiratory modules were particularly found to be useful for students, as they seemed to have acceptable and updated knowledge on symptoms of COVID-19, the mechanism of infection transmission and physiotherapy interventions. The study also highlighted the need to integrate more hands-on approaches to the current curriculum in order to meet the growing need for health care professional to combat the COVID-19.
Key words:
COVID-19, Physiotherapy students, physiotherapy education, physiotherapy knowledge and skills, critical appraisal skills, family health
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