Effects of Pulmonary Rehabilitation on Respiratory Function and Thickness of the Diaphragm in Patients with Post-COVID-19 Syndrome: A Randomized Clinical Trial

Rehabilitation is an effective method for improving the overall health of patients who have experienced the long-term effects of COVID-19. The double-blind, randomized prospective study assessed the effectiveness of a 6-week rehabilitation program among post-COVID-19 patients. A total of 59 patients...

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Published in:Journal of clinical medicine 2024-01, Vol.13 (2), p.425
Main Authors: Pietranis, Katarzyna Anna, Izdebska, Wiktoria Maria, Kuryliszyn-Moskal, Anna, Dakowicz, Agnieszka, Ciołkiewicz, Mariusz, Kaniewska, Katarzyna, Dzięcioł-Anikiej, Zofia, Wojciuk, Mariusz
Format: Article
Language:English
Subjects:
Cardiac stress tests
Clinical trials
Consent
COVID-19
Diaphragm (Anatomy)
Disease transmission
Dyspnea
Exercise intensity
Fitness training programs
Hospitalization
Infections
Medical research
Physical fitness
Rehabilitation
Respiratory system
Severe acute respiratory syndrome coronavirus 2
Strength training
Weightlifting
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Summary:Rehabilitation is an effective method for improving the overall health of patients who have experienced the long-term effects of COVID-19. The double-blind, randomized prospective study assessed the effectiveness of a 6-week rehabilitation program among post-COVID-19 patients. A total of 59 patients under treatment following COVID-19 were randomly divided into two groups. Both groups completed the same six-week comprehensive exercise training program supported by a respiratory muscle trainer (Threshold IMT) during out-patient sessions. The control group performed placebo IMT. Respiratory muscle strength, chest wall expansion, spirometry, and diaphragm ultrasonography measurements were taken before and after the six weeks. The applied rehabilitation program improved respiratory muscle strength in both the study and control groups ( < 0.001). There was a significant chest circumference increase in the study group ( < 0.001). Spirometric parameters improved in both groups, with the study group showing a greater improvement: 8.02% in FEV1 ( < 0.001), 13.24% in FVC EX ( < 0.001) and 9.67% in PEF ( < 0.001). Rehabilitation also increased diaphragm thickness during maximum inhalation in both groups. Based on the study findings, the specialized outpatient rehabilitation program developed for post-COVID-19 patients has proven to be effective and safe.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm13020425