Physiotherapist have direct contact with patient which makes them suspectable to the transmission of the infectious disease. Physiotherapists are also often first contact precautioners, which means that they are in position to take responsibility for the early identification of inspectious disease, physiotherapy profession plays a crucial role in the health of post covid-19 patients.
Specific Physiotherapy Interventions:
Way of Early Mobilization Include:
Frequent Postural Changes
Bed Mobility
Sit to Stand
Simple Bed exercises
ADL”S
It is Important to monitor the patients respiratory and hemodynamic state during rehabilitation.
Aspect to Monitor Closely in Patients includes:
Shortness of breath
Decreased sao2 (<95%)
Blood Pressure (< 90/60 or 140/90)
Temperature (>37.2 C )
Excessive Fatigue
Chest pain
Severe cough
Blurred vision
Dizziness
Heart palpitations
Sweating
Lost balance
Headache
In the Post Acute Case the following respiratory rehabilitation may be include:
Inspiratory muscle training
Diaphragmatic breathing
Thoracic expansion exercises
Mobilization of respiratory muscle
Air way clearance technique
Positive expiratory devices may be added if needed
Respiratory rehabilitation program consisting of 2 sessions of 10 minutes per week per 6 weeks post discharge to acute care
It improves respiratory function endurance and quality of life
Respiratory Assessment:
Dyspnea
Thoracic activity
Diaphragmatic activity
Respiratory muscle strength
Cardiac status
Functional Rehabilitation aspects to asses:
Muscle and joint range of motion
Strength testing
Balance
Cardiopulmonary exercise testing
Physiotherapy and Post acute covid 19 rehabilitation phase
The consequences of covid 19 will be specific in each individual and their rehabilitation needs will be specific to this consequence such as
1 Long Term ventilation in mobilization
2 Respiratory Neurological Muscle skeletal
Comorbidities:
There is clear evidence from across the world that the leading comorbid conditions of people with covid 19 includes
1 Hypertension
2 Coronary artery disease
3 Stroke
4 Diabetic
Severe Covid 19 Complications:
acute respiratory distress syndrome
sepsis
multi organs failure
acute kidney injury
cardiac injury