Research Article

The Effects of Physiotherapy Management in Hospitalized Patients with Coronavirus Disease Based on Gender Differences

Abstract

Introduction: COVID-19 which is an infectious disease caused by the SARS-CoV-2 virus hurts patients’ respiratory health by necessitating oxygen therapy. The affected patients with COVID-19 experience anxiety and stress with quality of life (QoL) impacted due to frequent medication, hospitalizations, fear of dying, and isolation. In individuals with respiratory problems, physiotherapy is useful in improving oxygenation, stress reduction, and QoL. Therefore, our goal was to assess how physiotherapy management affected the oxygenation rates and QoL of hospitalized COVID-19 patients.
Materials and Methods: The study included 60 hospitalized cases of COVID-19 pneumonia (25–65 years) admitted to the RCU/Al-Hussein teaching hospital. The oxygenation rate was recorded by hospital monitoring. A physiotherapy management prepared according to the pulmonary rehabilitation recommendations for COVID-19 patients. QoL was assessed by the Arabian version of the short-form health survey questionnaire (SF-36) at baseline, at discharge, and 1 month after discharge.
Results: The mean baseline oxygenation percent was 86.10±12.93. The baseline QoL score was 29.14±18.52. A significant increase (P<0.0001) in oxygenation (by 10.22%) was observed at discharge as compared to the baseline values. The QoL was significantly higher (P<0.0001) at 1-month post-discharge as compared to the baseline and the values at discharge (by 157.76%). Similar effects were observed in males and females.
Conclusion: A short-term course of physiotherapy management was effective in increasing the oxygenation rates and QoL in hospitalized male and female COVID-19 patients. A combination of breathing exercises, early mobilization, and positioning can act as an adjuvant in the clinical management of COVID-19 patients.

Weston S, Frieman MB. COVID-19: Knowns, unknowns, and questions. mSphere. 2020; 5(2):e00203-20. [DOI:10.1128/mSphere.00203-20] [PMID] [PMCID]

World Health Organization. Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. Interim guidance. Pediatria i Medycyna Rodzinna 2020; 16(1):9–26. [DOI:10.15557/PiMR.2020.0003]

Wu YC, Chen CS, Chan YJ. The outbreak of COVID-19: An overview. Journal of the Chinese Medical Association. 2020; 83(3):217-20. [DOI:10.1097/JCMA.0000000000000270] [PMID] [PMCID]

Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical characteristics of coronavirus disease 2019 in China. The New England Journal of Medicine. 2020; 382(18):1708-20. [DOI:10.1056/NEJMoa2002032] [PMID] [PMCID]

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395(10223):497-506. [DOI:10.1016/S0140-6736(20)30183-5] [PMID] [PMCID]

Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: A single-centered, retrospective, observational study. The Lancet. Respiratory Medicine. 2020; 8(5):475-81. [DOI:10.1016/S2213-2600(20)30079-5] [PMID] [PMCID]

Grasselli G, Pesenti A, Cecconi M. Critical care utilization for the COVID-19 outbreak in lombardy, Italy: Early experience and forecast during an emergency response. JAMA. 2020; 323(16):1545-6. [DOI:10.1001/ jama.2020.4031] [PMID]

Ahmed I, Mustafaoglu R, Yeldan I, Yasaci Z, Erhan B. Effect of pulmonary rehabilitation approaches on dyspnea, exercise capacity, fatigue, lung functions, and quality of life in patients with COVID-19: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation. 2022; 103(10):2051-62. [DOI:10.1016/j.apmr.2022.06.007] [PMID] [PMCID]

American Thoracic Society. Report of an ad- hoc international task force on early and short-term rehabilitative interventions in COVID-19 survivors [Internet]. 2020 [Updated 2020 April 9]. Available from: [Link]

Vitacca M, Carone M, Clini EM, Paneroni M, Lazzeri M, Lanza A, et al. Joint statement on the role of respiratory rehabilitation in the COVID-19 crisis: The Italian position paper. Respiration; International Review of Thoracic Diseases. 2020; 99(6):493-9. [DOI:10.1159/000508399] [PMID] [PMCID]

Thomas P, Baldwin C, Bissett B, Boden I, Gosselink R, Granger CL, et al. Physiotherapy management for COVID-19 in the acute hospital setting: Clinical practice recommendations. Journal of Physiotherapy. 2020; 66(2):73-82. [DOI:10.1016/j.jphys.2020.03.011] [PMID] [PMCID]

Qi S, Ngwa C, Morales Scheihing DA, Al Mamun A, Ahnstedt HW, Finger CE, et al. Sex differences in the immune response to acute COVID-19 respiratory tract infection. Biology of Sex Differences. 2021; 12(1):66. [DOI:10.1186/s13293-021-00410-2] [PMID] [PMCID]

Fortunato F, Martinelli D, Lo Caputo S, Santantonio T, Dattoli V, Lopalco PL, et al. Sex and gender differences in COVID-19: An Italian local register-based study. BMJ Open. 2021; 11(10):e051506. [DOI:10.1136/bmjopen-2021-051506] [PMID] [PMCID]

Goudouris ES. Laboratory diagnosis of COVID-19. Jornal de Pediatria. 2021; 97(1):7-12. [DOI:10.1016/j.jped.2020.08.001] [PMID] [PMCID]

O'Carroll O, MacCann R, O'Reilly A, Dunican EM, Feeney ER, Ryan S, et al. Remote monitoring of oxygen saturation in individuals with COVID-19 pneumonia. The European Respiratory Journal. 2020; 56(2):2001492. [DOI:10.1183/13993003.01492-2020] [PMID] [PMCID]

Guermazi M, Allouch C, Yahia M, Huissa TB, Ghorbel S, Damak J, et al. Translation in Arabic, adaptation and validation of the SF-36 health survey for use in Tunisia. Annals of Physical and Rehabilitation Medicine. 2012; 55(6):388-403. [DOI:10.1016/j.rehab.2012.05.003] [PMID]

Kurtaiş Aytür Y, Füsun Köseoglu B, Özyemişci Taşkıran Ö, Kutay Ordu Gökkaya N, Ünsal Delialioğlu S, et al. Pulmonary rehabilitation principles in SARS-COV-2 infection (COVID-19): The revised guideline for the acute, subacute, and post-COVID-19 rehabilitation. Turkish Journal of Physical Medicine and Rehabilitation. 2021; 67(2):129-45. [DOI:10.5606/tftrd.2021.8821] [PMID] [PMCID]

Del Corral T, Menor-Rodríguez N, Fernández-Vega S, Díaz-Ramos C, Aguilar-Zafra S, López-de-Uralde-Villanueva I. Longitudinal study of changes observed in quality of life, psychological state cognition and pulmonary and functional capacity after COVID-19 infection: A six- to seven-month prospective cohort. Journal of Clinical Nursing. 2024; 33(1):89-102. [DOI:10.1111/jocn.16352] [PMID] [PMCID]

Pestelli MT, D'Abrosca F, Tognetti P, Grecchi B, Nicolini A, Solidoro P. Do not forget the lungs: Preliminary feasibility study on I/E mode physiotherapy for people recovering from COVID-19. Panminerva Medica. 2022; 64(2):208-214. [DOI:10.23736/S0031-0808.21.04510-9] [PMID]

Abdullahi A. Safety and efficacy of chest physiotherapy in patients with COVID-19: A critical review. Frontiers in Medicine. 2020; 7:454. [DOI:10.3389/fmed.2020.00454] [PMID] [PMCID]

Tatlow C, Heywood S, Hodgson C, Cunningham G, Conron M, Ng HY, et al. Physiotherapy-assisted prone or modified prone positioning in ward-based patients with COVID-19: A retrospective cohort study. Physiotherapy. 2022; 114:47-53. [DOI:10.1016/j.physio.2021.09.001] [PMID] [PMCID]

Antony Leo Asser P, Soundararajan K. The vital role of physiotherapy during COVID-19: A systematic review. Work. 2021; 70(3):687-94. [DOI:10.3233/WOR-210450] [PMID]

Alhazzani W, Møller MH, Arabi YM, Loeb M, Gong MN, Fan E, et al. Surviving sepsis campaign: Guidelines on the management of critically Ill adults with coronavirus disease 2019 (COVID-19). Critical Care Medicine. 2020; 48(6):e440-69.[DOI:10.1097/CCM.0000000000004363] [PMID] [PMCID]

Cheng HY, Jian SW, Liu DP, Ng TC, Huang WT, Lin HH, et al. Contact tracing assessment of COVID-19 transmission dynamics in Taiwan and risk at different exposure periods before and after symptom onset. JAMA Internal Medicine. 2020; 180(9):1156-63. [DOI:10.1001/jamainternmed.2020.2020] [PMID] [PMCID]

Files
IssueVol 18 No 2 (2024) QRcode
SectionResearch Article(s)
DOI https://doi.org/10.18502/jmr.v18i2.15972
Keywords
Rehabilitation Quality of life COVID-19 Severe acute respiratory syndrome coronavirus 2 SARS-CoV-2 Chest Physical therapy

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Al Abbas A, Malmir K, Fereydounnia S, Saeed M, Otadi K. The Effects of Physiotherapy Management in Hospitalized Patients with Coronavirus Disease Based on Gender Differences. jmr. 2024;18(2):162-167.