NewsRespiratory physiotherapy, a key technique in recovering from the...

Respiratory physiotherapy, a key technique in recovering from the aftermath of Covid-19

One of the strongest symptoms of Covid-19 is the lung condition, among others. In fact, some of the sequelae that remain after passing this disease is the decrease in lung capacity, a fact that is further aggravated in those patients who have chronic diseases such as asthma. Covid-19 are diverse depending on your initial health, it must be borne in mind that there are different techniques and treatments that must be reviewed by specialists in order to achieve a speedy recovery. Ultimately, it is very important that doctors assess the sequelae, as well as the capabilities and lung values of each patient.One of the pioneering techniques when treating the respiratory sequelae left by the coronavirus is respiratory physiotherapy, a project which has been promoted by the Quirónsalud San José Hospital, which consists of assessing, establishing and applying procedures and techniques that, based on the use of physical agents and knowledge of the respiratory system, cure, prevent and stabilize conditions of the thoracopulmonary system. This project, which has been led by the respiratory physiotherapist Vanesa González, physiotherapist of the aforementioned center, together with a large and solid team of multidisciplinary professionals, covers all respiratory diseases such as bronchitis, COPD, bronchiolitis, allergic diseases, asthma, cystic fibrosis or pathologies respiratory diseases related to infections of the nose, ear and throat.For her part, Verónica Velaz, physiotherapist at the Quirónsalud San José Hospital, refers to the benefits of this treatment to overcome Covid-19, since it is a joint and collaborative work between pulmonologists, internists and doctors from other disciplines to give a complete and exhaustive package. “One of the main sequelae is muscle weakness, which is essential to treat through respiratory physiotherapy. For this reason, for its recovery, the collaboration of both the family doctor and the pulmonology, allergology and intensivist services is needed because this specialty cares for bronchitis, bronchiolitis, asthma and other respiratory conditions, ”says Velaz. How Is the respiratory physiotherapy sessions worked? González, in this sense, details that the first thing that is done is the patient’s medical history, where the reason for the consultation, the family and personal history, as well as all the symptoms that he presents will be detailed At present. Along the same lines, explains González, a fundamental part of respiratory physiotherapy “is the prevention and reduction of symptoms.” For this reason, “among its objectives are the drainage of secretions and bronchial unobstruction, which will be of great benefit to the asthmatic patient, as it will optimize the effects of the medication if needed, reduce infections and evacuate secretions.” , to reduce daily symptoms, to reduce the need for rescue medication, to stabilize the patient after the crisis and, of course, it favors the cleansing of secretions that appear after the crisis, as inflammation and bronchospasm subside.Educating our respiratory muscles However, González concludes, the body can be educated to breathe better because “we are beings of habits, whether they are good or not, and, in addition, the way of breathing, like many patterns of the human being, they are acquired unconsciously, adapting to the needs of each person. ”For this reason, he explains, one of the main objectives of respiratory physiotherapy is“ the correction and conscious re-education of the ventilatory pattern together with the training of the respiratory muscles necessary for this. Therefore, effectively, respiratory physiotherapy can educate the body to breathe better. Respiratory physiotherapy interventions in patients with Covid-19 The general objectives of the Physiotherapy approach are: – Preserve and improve respiratory function. – Improve the associated symptoms (dyspnea and muscle fatigue). – Promote the drainage of secretions. – Improve functional capacity. – Prevent and reduce complications. – Improve adaptation to activities of daily life. – Improve the quality of life. There are four pillars: assessment, health education plan, therapeutic exercise program and respiratory physiotherapy. A short- and medium-term needs assessment will be carried out through simple tests and trials. In addition to an anamnesis, an assessment of dyspnea, fatigue, SpO2 and HR. Respiratory physiotherapy aims in these patients: To optimize the patient’s breathing pattern and reduce his sensation of dyspnea when present (through abdominal-diaphragmatic breaths and expiration with pursed lips and changes of position).Increase lung volumes and improve the expansion of the lung parenchyma, while promoting mobility of the rib cage: ventilation exercises and rib expansions. Promote the drainage of secretions. And finally, a therapeutic exercise program based on the needs of each patient with strength-resistance training exercises, and aerobic resistance training.

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