PTOtherFrontiers in rehabilitation sciences2022

A Physiotherapy Treatment Plan for Post-COVID-19 Patients That Improves the FEV1, FVC, and 6-Min Walk Values, and Reduces the Sequelae in 12 Sessions.

Silvia Denise Ponce-Campos, Juan Manuel Díaz, Daniela Moreno-Agundis and 5 others

PMID 36188947

WHAT IT FOUND

After 12 physiotherapy sessions, 42 post-COVID patients reported fewer symptoms and had higher FEV1, FVC, 6-minute walk performance, and grip strength.

The plan included many components, so no single exercise can be credited.

Key findings

01After the 12-session plan, FEV1 and FVC values were higher than before therapy.

02The 6-minute walk test performance improved by 13% after treatment.

03Grip strength improved by 2.90 kg on the left and 2.24 kg on the right.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

All patients received the same plan and were compared only with themselves, so improvement cannot be separated from natural recovery, other care, or time. The plan included many components at once, including breathing exercises, mobilizations, relaxation, strengthening, aerobic exercise, balance or coordination work, and energy-saving teaching, so the contribution of any single component cannot be separated. The paper does not report how many patients completed the 12 sessions or how dropouts were handled. The symptom results say dyspnea was reduced to 65.6%, which does not make clear whether that is the remaining symptom level or the size of reduction. The group had mixed illness severity, from mild outpatient illness to intensive care and invasive mechanical ventilation, so it is hard to know which post-COVID patients the plan would help. The psycho-emotional change was based on a self-report questionnaire, and the authors caution that answers may not be reliable. The FEV1/FVC ratio mean difference was -0.019, so not every breathing measure moved in the same direction.

Declared interests

Funded by regular and special resources from Universidad Autónoma de Aguascalientes for the Medical Didactic Unit, Health Sciences Center and Research 2021 and 2022. The authors declared no commercial or financial conflicts.

The easy way to misread this

Do not conclude that a single exercise caused the improvements. The patients received breathing, mobilization, relaxation, strengthening, aerobic, balance, coordination, and energy-saving teaching together, and the study had no comparison group.

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