https://doi.org/10.4081/monaldi.2022.2206
Efficacy of a rehabilitation protocol on pulmonary and respiratory muscle function and ultrasound evaluation of diaphragm and quadriceps femoris in patients with post-COVID-19 syndrome: a series of cases
Submitted: January 19, 2022
Accepted: June 8, 2022
Published: June 20, 2022
Accepted: June 8, 2022
Abstract Views: 2076
PDF: 712
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
This study assessed the efficacy of a pulmonary rehabilitation (PR) on pulmonary and respiratory muscle function and thickness of quadriceps femoris and diaphragm of patients with post-COVID-19 syndrome. This series of cases followed nine patients who performed PR twice a week for six weeks. Patients received the following PR program: lung expansion therapy; respiratory muscle training; upper limb strength exercises; aerobic exercises on a treadmill. After the program, we observed increased peak expiratory flow (26.03%), forced vital capacity (FVC) (7.14%), forced expiratory volume in the first second (FEV1) (9.55%), and ratio between FEV1/FVC (6.19%). All parameters of respiratory muscle strength and endurance were improved. Diaphragmatic thickening fraction and thickness of quadriceps femoris also improved, whereas echo intensity of quadriceps reduced. Thus, RP protocol improved pulmonary function, respiratory muscle strength and endurance, and thickness of diaphragm and quadriceps femoris, and reduced echo intensity of quadriceps in patients with post-COVID-19 syndrome.
Santana AV, Fontana AD, Pitta F. Pulmonary rehabilitation after COVID-19. J Bras Penumol 2021;47:e20210034.
DOI: https://doi.org/10.36416/1806-3756/e20210034
Liu K, Zhang W, Yang Y, et al. Respiratory rehabilitation in elderly patients with COVID-19: a randomized controlled study. Complement Ther Clin Pract2020; 39:101166.
DOI: https://doi.org/10.1016/j.ctcp.2020.101166
França EET, Junior UE, Schwingel PA, et al. Distinct phenotypes in COVID-19 may require distinct pulmonary rehabilitation strategies. Monaldi Arch Chest Dis 2020;90:1523.
DOI: https://doi.org/10.4081/monaldi.2020.1523
Song F, Shi N, Shan F, et al. Emerging 2019 novel coronavirus (2019-nCoV) pneumonia. Radiology 2020;295:210-7.
DOI: https://doi.org/10.1148/radiol.2020200274
Goertz YMJ, Herck MV, Delbressine JM, et al. Persistent symptoms 3 months after a SARS-CoV-2 infection: the post-COVID-19 syndrome? ERJ Open Res 2020;6:00542-2020.
DOI: https://doi.org/10.1183/23120541.00542-2020
Miller MR, Hankinson J, Brusasco V, et al. Standardisation of spirometry. Eur Respir J 2005;26:319-38.
DOI: https://doi.org/10.1183/09031936.05.00034805
Pereira CAC, Sato T, Rodrigues SC. New reference values for forced spirometry in white adults in Brazil. J Bras Pneumol 2007;33:397-406.
DOI: https://doi.org/10.1590/S1806-37132007000400008
Neder JA, Andreoni S, Lerario MC, et al. Reference values for lung function tests. II. Maximal respiratory pressures and voluntary ventilation. Braz J Med Biol Res 1999; 32:719-27.
DOI: https://doi.org/10.1590/S0100-879X1999000600007
Dias FD, Sampaio LMM, Silva GA, et al. Home-based pulmonary rehabilitation in patients with chronic obstructive pulmonary disease: a randomized clinical trial. Int J Chron Obstruct Pulmon Dis 2013;8:537-44.
DOI: https://doi.org/10.2147/COPD.S50213
Chang AT, Boots RJ, Brown MG, et al. Reduced inspiratory muscle endurance following successful weaning from prolonged mechanical ventilation. Chest 2005;128:553-9.
DOI: https://doi.org/10.1016/S0012-3692(15)50395-4
Guarracino F, Vetrugno L, Forfori F, et al. Lung, heart, vascular, and diaphragm ultrasound examination of COVID-19 patients: A comprehensive approach. J Cardiothorac Vasc Anesthesia 2021;35:1866-74.
DOI: https://doi.org/10.1053/j.jvca.2020.06.013
Lima RVSA, Fernandes JS, Sousa ASL, et al. Ultrasound analysis of the quadriceps femoris of critically ill patients on mechanical ventilation. Conscientiae Saude 2020;19:1-14, e17090.
DOI: https://doi.org/10.5585/conssaude.v19n1.17090
Annetta MG, Pittiruti M, Silvestri D, et al. Ultrasound assessment of rectus femoris and anterior tibialis muscles in young trauma patients. Ann Intensive Care 2017;7:104.
DOI: https://doi.org/10.1186/s13613-017-0326-x
Paris MT, Mourtzakis M, Day A, et al. Validation of bedside ultrasound of muscle layer thickness of the quadriceps in the critically ill patient (VALIDUM study) a prospective multicenter study. JPEN J Parenter Enteral Nutr 2017;41:171-80.
DOI: https://doi.org/10.1177/0148607116637852
Abodonya AM, Abdelbasset WK, Awad EA, et al. Inspiratory muscle training for recovered COVID-19 patients after weaning from mechanical ventilation. A pilot control clinical study. Medicine (Baltimore) 2021:100:13.
DOI: https://doi.org/10.1097/MD.0000000000025339
Silva CM, Neto MG, Saquetto MB, et al. Effects of upper limb resistance exercise on aerobic capacity, muscle strength, and quality of life in COPD patients: a randomized controlled trial. Clin Rehabil 2018;32:1636-44.
DOI: https://doi.org/10.1177/0269215518787338
Tozato C, Ferreira BFC, Dalavina JP, et al. Cardiopulmonary rehabilitation in post-COVID-19 patients: case series. Rev Bras Ter Intens 2021;33:167-71.
Lewis KL, Helgeson SA, Tatari MM, et al. COVID-19 and the effects on pulmonary function following infection: A retrospective analysis. EClinicalMedicine 2021;39:101079.
DOI: https://doi.org/10.1016/j.eclinm.2021.101079
Chikhanie YA, Veale D, Schoeffler M, et al. Effectiveness of pulmonary rehabilitation in COVID-19 respiratory failure patients post-ICU. Respir Physiol Neurobiol 2021;287:103639.
DOI: https://doi.org/10.1016/j.resp.2021.103639
Nepomuceno BRV Junior, Gomes-Neto M. [Treinamento muscular inspiratório no ambiente hospitalar: protocolo para um ensaio clínico randomizado].[Article in Portuguese]. Rev Pesquisa Fisioter 2016;6:896.
DOI: https://doi.org/10.17267/2238-2704rpf.v6i2.896
Lima EVNCL, Lima WL, Nobre A, et al. Inspiratory muscle training and respiratory exercises in children with asthma. J Bras Pneumol 2008;34:552-8.
DOI: https://doi.org/10.1590/S1806-37132008000800003
Nascimento LP, Andrade ALM, Faria TCC, et al. [Treinamento muscular respiratório em Distrofia Muscular de Duchenne: Série de casos].[Article in Portuguese]. Rev Neurocien 2015;23:9-15.
DOI: https://doi.org/10.34024/rnc.2015.v23.8047
Crimi C, Heffler E, Augelletti T, et al. Utility of ultrasound assessment of diaphragmatic function before and after pulmonary rehabilitation in COPD patients. Int J Chron Obstruct Pulmon Dis 2018;13:3131-9.
DOI: https://doi.org/10.2147/COPD.S171134
Menon MK, Houchen L, Harrison S, et al. Ultrasound assessment of lower limb muscle mass in response to resistance training in COPD. Respir Res 2012;13:119.
DOI: https://doi.org/10.1186/1465-9921-13-119
How to Cite
Vieira da Costa, Karina, Iara Tainá Cordeiro de Souza, João Victor dos Santos Felix, Celso Brendo Furtado Brandão, Vanessa Michelle de Souza Fernandes, Andressa Bomfim Lugon Favero, Maria Lucrécia de Aquino Gouveia, et al. 2022. “Efficacy of a Rehabilitation Protocol on Pulmonary and Respiratory Muscle Function and Ultrasound Evaluation of Diaphragm and Quadriceps Femoris in Patients With Post-COVID-19 Syndrome: A Series of Cases”. Monaldi Archives for Chest Disease 93 (1). https://doi.org/10.4081/monaldi.2022.2206.
Copyright (c) 2022 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Karrar Al-Buthabhak , Hussein Nafakhi, Mohammed H. Shukur , Ahmed Nafakhi, Mohammed Alareedh, Foaad Shaghee, Blood indices, in-hospital outcome and short-term prognosis in patients with COVID-19 pneumonia , Monaldi Archives for Chest Disease: Vol. 91 No. 2 (2021)
- Grazia Mazzeo, Luigi Aronne, Domenica Francesca Mariniello, Valentino Allocca, Maria Ilaria Palma, Francesco Saverio Cerqua, Carlo Iadevaia, Adriano Costigliola, Roberto Parrella, Andrea Bianco, Vanvitelli/Monaldi COVID Group, Which impact for proton pump inhibitors in SARS-CoV-2 pneumonia , Monaldi Archives for Chest Disease: Vol. 91 No. 4 (2021)
- Mohd Mustahsin, Sanjay Choubey, Garima Singh, Madhulika Dubey, Sachin Khanduri, Rachit Sharma, Amit Srivastava, COVID-19 pneumonia in kyphoscoliosis: The success stories , Monaldi Archives for Chest Disease: Vol. 92 No. 1 (2022)
- Aravind Gandhi Periyasamy, Soundappan Kathirvel, Tanveer Rehman, Amarjeet Singh, Demographic and clinical factors associated with early hospital Coronovirus disease 2019 deaths in a low middle income setting: A record-based analysis of 20,641 deaths from India , Monaldi Archives for Chest Disease: Vol. 92 No. 2 (2022)
- Shreyash Agrawal, Ravindra Nath, Pranav Ish, Neeraj Kumar Gupta, Rajni Gaind, Suniti Kale, Rani Gera, Anjali Dabral, Nitesh Gupta, *Other members of the Safdarjung Hospital COVID 2019 working group, Clinico-epidemiological profile of COVID-19 patients admitted during third wave of pandemic in a tertiary care hospital in New Delhi, India , Monaldi Archives for Chest Disease: Vol. 93 No. 2 (2023)
You may also start an advanced similarity search for this article.
