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Low Intensity Respiratory Muscle Training in COVID-19 Patients after Invasive Mechanical Ventilation: A Retrospective Case-Series Study.
Villelabeitia-Jaureguizar, Koldo; Calvo-Lobo, César; Rodríguez-Sanz, David; Vicente-Campos, Davinia; Castro-Portal, José Adrián; López-Cañadas, Marta; Becerro-de-Bengoa-Vallejo, Ricardo; Chicharro, José López.
Affiliation
  • Villelabeitia-Jaureguizar K; Infanta Elena University Hospital, Valdemoro, 28342 Madrid, Spain.
  • Calvo-Lobo C; Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain.
  • Rodríguez-Sanz D; Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain.
  • Vicente-Campos D; Faculty of Health Sciences, Universidad Francisco de Vitoria, Pozuelo de Alarcón, 28223 Madrid, Spain.
  • Castro-Portal JA; Infanta Elena University Hospital, Valdemoro, 28342 Madrid, Spain.
  • López-Cañadas M; Infanta Elena University Hospital, Valdemoro, 28342 Madrid, Spain.
  • Becerro-de-Bengoa-Vallejo R; Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain.
  • Chicharro JL; Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain.
Biomedicines ; 10(11)2022 Nov 04.
Article in En | MEDLINE | ID: mdl-36359327
ABSTRACT
Worldwide, healthcare systems had to respond to an exponential increase in COVID-19 patients with a noteworthy increment in intensive care units (ICU) admissions and invasive mechanical ventilation (IMV). The aim was to determine low intensity respiratory muscle training (RMT) effects in COVID-19 patients upon medical discharge and after an ICU stay with IMV. A retrospective case-series study was performed. Forty COVID-19 patients were enrolled and divided into twenty participants who received IMV during ICU stay (IMV group) and 20 participants who did not receive IMV nor an ICU stay (non-IMV group). Maximal expiratory pressure (PEmax), maximal inspiratory pressure (PImax), COPD assessment test (CAT) and Medical Research Council (MRC) dyspnea scale were collected at baseline and after 12 weeks of low intensity RMT. A greater MRC dyspnea score and lower PImax were shown at baseline in the IMV group versus the non-IMV group (p < 0.01). RMT effects on the total sample improved all outcome measurements (p < 0.05; d = 0.38−0.98). Intragroup comparisons after RMT improved PImax, CAT and MRC scores in the IMV group (p = 0.001; d = 0.94−1.09), but not for PImax in the non-IMV group (p > 0.05). Between-groups comparison after RMT only showed MRC dyspnea improvements (p = 0.020; d = 0.74) in the IMV group versus non-IMV group. Furthermore, PImax decrease was only predicted by the IMV presence (R2 = 0.378). Low intensity RMT may improve respiratory muscle strength, health related quality of life and dyspnea in COVID-19 patients. Especially, low intensity RMT could improve dyspnea level and maybe PImax in COVID-19 patients who received IMV in ICU.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Prognostic_studies / Risk_factors_studies Aspects: Patient_preference Language: En Journal: Biomedicines Year: 2022 Document type: Article Affiliation country:

Full text: 1 Collection: 01-internacional Database: MEDLINE Type of study: Prognostic_studies / Risk_factors_studies Aspects: Patient_preference Language: En Journal: Biomedicines Year: 2022 Document type: Article Affiliation country: