Pulmonary Rehabilitation in COVID-19 patients: A scoping review of current practice and its application during the pandemic

Md Abu Bakar Siddiq, Farooq Azam Rathore, Danny Clegg, Johannes J Rasker, Md Abu Bakar Siddiq, Farooq Azam Rathore, Danny Clegg, Johannes J Rasker

Abstract

The novel coronavirus-2019 (COVID-19) pandemic primarily affects the respiratory system. Elderly individuals with comorbidity are severely affected. Survivors weaned from mechanical ventilation are at a higher risk of developing post-intensive care syndrome (PICS). This scoping review, based on 40 recent publications, highlights pulmonary rehabilitation (PR) in COVID-19. There is a paucity of high-quality research on this topic. However, rehabilitation societies including the Turkish Society of Physical Medicine and Rehabilitation have issued PR recommendations in COVID-19 pneumonia with productive cough can benefit from diaphragmatic breathing, pursed-lip breathing, and resistance-breathing training. Besides, those in mechanical ventilation and post-PICS COVID-19 cases, oxygen therapy, early mobilization, airway clearance, aerobic exercise, gradual-graded limb muscle resistance exercise, nutritional and psychological interventions should be consideration. During PR, careful evaluation of vital signs and exercise-induced symptoms is also required. When in-person PR is not possible, telerehabilitation should be explored. However, the long-term effects of PR in COVID-19 need further evaluation.

Keywords: COVID-19; coronavirus; pandemics; pulmonary rehabilitation; review.

Conflict of interest statement

Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Copyright © 2020, Turkish Society of Physical Medicine and Rehabilitation.

Figures

Figure 1. Schematic diagram of how scoping…
Figure 1. Schematic diagram of how scoping review is synthesized. PR: Pulmonary rehabilitation.

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