Effects of Pulmonary Rehabilitation on Respiratory Function and Thickness of the Diaphragm in Patients with Post-COVID-19 Syndrome: A Randomized Clinical Trial
Background: Rehabilitation is an effective method for improving the overall health of patients who have experienced the long-term effects of COVID-19. Methods: The double-blind, randomized prospective study assessed the effectiveness of a 6-week rehabilitation program among post-COVID-19 patients. A...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/2/425 |
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| author | Katarzyna Anna Pietranis Wiktoria Maria Izdebska Anna Kuryliszyn-Moskal Agnieszka Dakowicz Mariusz Ciołkiewicz Katarzyna Kaniewska Zofia Dzięcioł-Anikiej Mariusz Wojciuk |
| author_facet | Katarzyna Anna Pietranis Wiktoria Maria Izdebska Anna Kuryliszyn-Moskal Agnieszka Dakowicz Mariusz Ciołkiewicz Katarzyna Kaniewska Zofia Dzięcioł-Anikiej Mariusz Wojciuk |
| author_sort | Katarzyna Anna Pietranis |
| collection | DOAJ |
| description | Background: Rehabilitation is an effective method for improving the overall health of patients who have experienced the long-term effects of COVID-19. Methods: 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. Results: The applied rehabilitation program improved respiratory muscle strength in both the study and control groups (<i>p</i> < 0.001). There was a significant chest circumference increase in the study group (<i>p</i> < 0.001). Spirometric parameters improved in both groups, with the study group showing a greater improvement: 8.02% in FEV1 (<i>p</i> < 0.001), 13.24% in FVC EX (<i>p</i> < 0.001) and 9.67% in PEF (<i>p</i> < 0.001). Rehabilitation also increased diaphragm thickness during maximum inhalation in both groups. Conclusions: Based on the study findings, the specialized outpatient rehabilitation program developed for post-COVID-19 patients has proven to be effective and safe. |
| first_indexed | 2024-03-08T09:51:44Z |
| format | Article |
| id | doaj.art-3a76bf61247340288b3a0526b11349a9 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T09:51:44Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-3a76bf61247340288b3a0526b11349a92024-01-29T14:01:39ZengMDPI AGJournal of Clinical Medicine2077-03832024-01-0113242510.3390/jcm13020425Effects of Pulmonary Rehabilitation on Respiratory Function and Thickness of the Diaphragm in Patients with Post-COVID-19 Syndrome: A Randomized Clinical TrialKatarzyna Anna Pietranis0Wiktoria Maria Izdebska1Anna Kuryliszyn-Moskal2Agnieszka Dakowicz3Mariusz Ciołkiewicz4Katarzyna Kaniewska5Zofia Dzięcioł-Anikiej6Mariusz Wojciuk7Department of Rehabilitation, Medical University of Bialystok, 24A M. Skłodowskiej-Curie St., 15-276 Bialystok, PolandDepartment of Gastroenterology and Internal Medicine, Medical University of Bialystok, 24A M. Skłodowskiej-Curie St., 15-276 Bialystok, PolandDepartment of Rehabilitation, Medical University of Bialystok, 24A M. Skłodowskiej-Curie St., 15-276 Bialystok, PolandDepartment of Rehabilitation, Medical University of Bialystok, 24A M. Skłodowskiej-Curie St., 15-276 Bialystok, PolandDepartment of Rehabilitation, Medical University of Bialystok, 24A M. Skłodowskiej-Curie St., 15-276 Bialystok, PolandDepartment of Rehabilitation, Medical University of Bialystok, 24A M. Skłodowskiej-Curie St., 15-276 Bialystok, PolandDepartment of Rehabilitation, Medical University of Bialystok, 24A M. Skłodowskiej-Curie St., 15-276 Bialystok, PolandDepartment of Rehabilitation, Medical University of Bialystok, 24A M. Skłodowskiej-Curie St., 15-276 Bialystok, PolandBackground: Rehabilitation is an effective method for improving the overall health of patients who have experienced the long-term effects of COVID-19. Methods: 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. Results: The applied rehabilitation program improved respiratory muscle strength in both the study and control groups (<i>p</i> < 0.001). There was a significant chest circumference increase in the study group (<i>p</i> < 0.001). Spirometric parameters improved in both groups, with the study group showing a greater improvement: 8.02% in FEV1 (<i>p</i> < 0.001), 13.24% in FVC EX (<i>p</i> < 0.001) and 9.67% in PEF (<i>p</i> < 0.001). Rehabilitation also increased diaphragm thickness during maximum inhalation in both groups. Conclusions: Based on the study findings, the specialized outpatient rehabilitation program developed for post-COVID-19 patients has proven to be effective and safe.https://www.mdpi.com/2077-0383/13/2/425COVID-19post-COVID-19long COVID-19pulmonary rehabilitationrespiratory muscles training |
| spellingShingle | Katarzyna Anna Pietranis Wiktoria Maria Izdebska Anna Kuryliszyn-Moskal Agnieszka Dakowicz Mariusz Ciołkiewicz Katarzyna Kaniewska Zofia Dzięcioł-Anikiej Mariusz Wojciuk Effects of Pulmonary Rehabilitation on Respiratory Function and Thickness of the Diaphragm in Patients with Post-COVID-19 Syndrome: A Randomized Clinical Trial Journal of Clinical Medicine COVID-19 post-COVID-19 long COVID-19 pulmonary rehabilitation respiratory muscles training |
| title | Effects of Pulmonary Rehabilitation on Respiratory Function and Thickness of the Diaphragm in Patients with Post-COVID-19 Syndrome: A Randomized Clinical Trial |
| title_full | Effects of Pulmonary Rehabilitation on Respiratory Function and Thickness of the Diaphragm in Patients with Post-COVID-19 Syndrome: A Randomized Clinical Trial |
| title_fullStr | Effects of Pulmonary Rehabilitation on Respiratory Function and Thickness of the Diaphragm in Patients with Post-COVID-19 Syndrome: A Randomized Clinical Trial |
| title_full_unstemmed | Effects of Pulmonary Rehabilitation on Respiratory Function and Thickness of the Diaphragm in Patients with Post-COVID-19 Syndrome: A Randomized Clinical Trial |
| title_short | Effects of Pulmonary Rehabilitation on Respiratory Function and Thickness of the Diaphragm in Patients with Post-COVID-19 Syndrome: A Randomized Clinical Trial |
| title_sort | effects of pulmonary rehabilitation on respiratory function and thickness of the diaphragm in patients with post covid 19 syndrome a randomized clinical trial |
| topic | COVID-19 post-COVID-19 long COVID-19 pulmonary rehabilitation respiratory muscles training |
| url | https://www.mdpi.com/2077-0383/13/2/425 |
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