Effect of Twist and Raise Walking Technique on ICU-acquired Weakness in COVID-19 Patients: A Pre-post Experimental Study


Affiliations

  • Krishna Institute of Medical Sciences Deemed to be University, Department of Sports Physiotherapy, Faculty of Physiotherapy, Karad, Maharashtra, 415539, India

Abstract

Background: Recent studies presenting first recommendations on respiratory rehabilitation management have failed to advocate a specific protocol as there is still missing data about the current specific needs due to COVID-19. This necessitates the extensive research to be carried out for investigating the efficacy of various physiotherapeutic interventional methods on these associated symptoms which often go unnoticed. In the same interest, an attempt was made to address the complications of prolonged immobilization by facilitating early ambulation along with incorporation of upper limb, lower limb as well as trunk movements. The aim was to facilitate chest expansion along with initiation of early ambulation in order to reduce the possible complications of ICU acquired weakness. Materials and Methods: 32 COVID-19 positive subjects were given the twist and raise walking technique as a rehabilitative intervention for a period of 7 days. Post intervention data for various outcome measures like inspiratory hold capacity and forced expiration were recorded. Results: Clinically significant results were seen in post-test scores of all the subjects in terms of Inspiratory Hold Capacity (p<0.0001) as well as Forced Expiration Volume (p<0.0001). Conclusion: Twist and Raise Walking Technique was proven significant in reducing the intensity of ICU-acquired weakness by improving both the inspiratory hold capacity as well as the forced expiration. This technique can be advocated as a effective rehabilitation intervention especially in COVID-19 patients to minimize the possible complications of ICU-acquired weakness.


Keywords

COVID-19, ICU Acquired Weakness, Physiotherapy, Rehabilitation

Subject Discipline

Rehabilitation

Full Text:

References

Del Rio C, Malani PN. Novel Coronavirus-important information for clinicians. JAMA. 2020; 323:1039–40.

PMid: 32022836. https://doi.org/10.1001/jama.2020.1490

World Health Organization. Coronavirus disease 2019 (COVID-19) Situation Report 46, 2020.

Kiekens C, Boldrini P, Andreoli A, Avesani R, Gamna F, Grandi M, Lombardi F, Lusuardi M, Molteni F, Perboni A, Negrini S. Rehabilitation and respiratory management in the acute and early post-acute phase. “Instant paper from the field†on rehabilitation answers to the COVID-19 emergency. Eur J Phys Rehabil Med. 2020; 56(3):323–6. https://doi.org/10.23736/S1973-9087.20.06305-4

Kress JP, Hall JB. ICU-acquired weakness and recovery from critical illness. N Engl J Med. 2014; 370(17):1626–35. PMid: 24758618. https://doi.org/10.1056/NEJMra1209390

Zhonghua Jie He He Hu Xi Za Zhi. Chinese association of rehabilitation medicine; Respiratory rehabilitation committee of Chinese Association of Rehabilitation Medicine; Cardiopulmonary rehabilitation Group of Chinese Society of Physical Medicine and Rehabilitation. Recommendations for respiratory rehabilitation of COVID-19 in adult. (Chinese Journal of Tuberculosis and Respiratory Diseases), 2020 Mar 3; 43(0):E029. doi:10.3760/cma.j.cn112147-20200228-00206.

Thomas P, Baldwin C, Bissett B, Boden I, Gosselink R, Granger CL, Hodgson C, Jones AY, Kho ME, Moses R, Ntoumenopoulos G, Parry SM, Patman S, van der Lee L. Physiotherapy management for COVID-19 in the acute hospital setting: Clinical practice recommendations. Journal of Physiotherapy. 2020; 66(2):73–82. PMid: 32312646 PMCid: PMC7165238. https://doi.org/10.1016/j. jphys.2020.03.011

Lazzeri M, Lanza A, Bellini R, Bellofiore A, Cecchetto S, Colombo A, D’Abrosca F, Del Monaco C, Gaudiello G, Paneroni M, Privitera E, Retucci M, Rossi V, Santambrogio M, Sommariva M, Frigerio P. Respiratory physiotherapy in patients with COVID-19 infection in acute setting: a position paper of the Italian Association of Respiratory Physiotherapists (ARIR). Monaldi Arch Chest Dis. 2020 Mar 26; 90(1):163–8. https://doi.org/10.4081/monaldi.2020.1285

Kalirathinam D, Guruchandran R, Subramani P. Comprehensive physiotherapy management in COVID-19 - A narrative review. Scientia Medica. 2020; 30(1):38030. https://doi.org/10.15448/1980-6108.2020.1.38030


Refbacks

  • There are currently no refbacks.