Skip to main content Skip to main navigation menu Skip to site footer

Chest therapy and breathing exercise in COVID-19 patient: a case report

Abstract

Background: The coronavirus disease (COVID-19) pandemic has several clinical manifestations from asymptomatic to critical condition. Shortness of breath is one of the hallmark symptoms of COVID-19 infection. The main medical management for shortness of breath in COVID-19 infection is oxygen therapy. Physiotherapy and medical rehabilitation such as breathing exercise and chest physiotherapy can be adjuvant therapy that effectively improves breathing effort in COVID-19 patients. This case report will describe breathing exercises and chest therapy done in a patient with a COVID-19 infection.

Case: In this study, we presented the case of a 53-year-old female patient with complaints of fever, cough, fatigue, anosmia, shortness of breath, and diagnosis with confirmed COVID-19 infection based on swab PCR result. On admission in the isolation ward, the patient was on non-invasive ventilation (NIV), medical medication, and physical therapy. The physical therapy done in this patient was breathing exercise and chest therapy once daily. After four series of chest therapy and breathing exercise, the shortness of breath and her breathing effort was improved. The patient was discharged after 15 days of hospitalization.

Conclusion: This case shows the utility of chest therapy and breathing exercise as a physical rehabilitation treatment for the COVID-19 patient. This physical therapy helps to maximize lung expansion and improve the patient's breathing effort.

References

  1. Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He XJ, Zhong NS. Clinical characteristics of coronavirus disease 2019 in China. New England journal of medicine. 2020; 382(18): 1708-1720. doi:10.1016/j.jemermed.2020.04.004
  2. World Health Organization. Covid-19 Pandemic Situation [internet]. Weekly operational update on COVID-19 [cited April 1st 2021]. Available from: https://www.who.int/publications/m/item/weekly-operational-update-on-covid-19---5-april-2021
  3. Tang D, Comish P, Kang R. The hallmarks of COVID-19 disease. PLoS Pathog. 2020;16(5):e1008536. doi:10.1371/journal.ppat.1008536.
  4. Allado E, Poussel M, Valentin S, et al. The Fundamentals of Respiratory Physiology to Manage the COVID-19 Pandemic: An Overview. Front Physiol. 2021;11:615690. doi:10.3389/fphys.2020.615690.
  5. Calvo-Ayala E, Khan BA, Farber MO, Ely EW, Boustani MA. Interventions to improve the physical function of ICU survivors: a systematic review. Chest. 2013;144(5):1469-1480. doi:10.1378/chest.13-0779.
  6. Battaglini D, Robba C, Caiffa S, et al. Chest physiotherapy: An important adjuvant in critically ill mechanically ventilated patients with COVID-19. Respir Physiol Neurobiol. 2020;282:103529. doi:10.1016/j.resp.2020.103529.
  7. Righetti RF, Onoue MA, Politi FVA, et al. Physiotherapy Care of Patients with Coronavirus Disease 2019 (COVID-19) - A Brazilian Experience. Clinics (Sao Paulo). 2020;75:e2017. doi:10.6061/clinics/2020/e2017.
  8. Vitacca M, Carone M, Clini EM, et al. Joint Statement on the Role of Respiratory Rehabilitation in the COVID-19 Crisis: The Italian Position Paper. Respiration. 2020;99(6):493-499. doi:10.1159/000508399.
  9. Kachpile ST, Lohakare PK, Jiandani MP, Salagre SB. Physiotherapy interventions in COVID-19 patient with multiple comorbidities: a case report. Int J Health Sci Res. 2020; 10(10): 96-101.
  10. Putri IDAJ, Wibawa A, Primayanti IDAID, Wiryanthini IAD. The deep breathing exercise more effective than diaphragmatic breathing exercise to increase lung vital capacity on elderly people in Banjar Kedaton, Tonja village, Denpasar Timur district. Majalah Ilmiah Fisioterapi Indonesia. 2017; 20 5(1): 13-15. doi:10.24843/MIFI.2017.v05.i01.p04.
  11. Thomas P, Baldwin C, Bissett B, et al. Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. J Physiother. 2020;66(2):73-82. doi:10.1016/j.jphys.2020.03.011.
  12. Kalirathinam D, Guruchandran R, Subramani P. Comprehensive physiotherapy management in covid-19–a narrative review. Scientia Medica. 2020; 30(1): e38030-e38030. doi:10.15448/1980-6108.2020.1.38030
  13. Argent AC, Morrow B. Chest physiotherapy: How does it work (if it does)? PCCM. 2012;13(2):238-239. doi:10.1097/PCC.0b013e3182257a6e.
  14. Banda N, Hara W, Cocker D, Musasa S, Burke RM, Brown C, Morton B. First case report of a successfully managed severe COVID-19 infection in Malawi. Malawi Med J. 2020. p124-127. doi:10.4314/mmj.v32i4.
  15. Abdullahi A. Safety and Efficacy of Chest Physiotherapy in Patients With COVID-19: A Critical Review. Front Med. 2020;7:454. doi:10.3389/fmed.2020.00454.
  16. Li Y, Xia L. Coronavirus Disease 2019 (COVID-19): Role of Chest CT in Diagnosis and Management. AJR Am J Roentgenol. 2020;214(6):1280-1286. doi:10.2214/AJR.20.22954.
  17. Lewis LK, Williams MT, Olds TS. The active cycle of breathing technique: a systematic review and meta-analysis. Respir Med. 2012;106(2):155-172. doi:10.1016/j.rmed.2011.10.014.
  18. Polastri M. Physiotherapy in hospitalized patients with COVID-19 disease: what we know so far. International Journal of Therapy and Rehabilitation. 2020;27(3):1-3. doi:10.12968/ijtr.2020.0035.

How to Cite

Prabawa, I. M. Y., Silakarma, D., Manuaba, I. B. A. P., Widnyana, M., & Jeviana, A. (2021). Chest therapy and breathing exercise in COVID-19 patient: a case report. Bali Medical Journal, 10(2), 495–498. https://doi.org/10.15562/bmj.v10i2.2403

HTML
0

Total
20

Share

Search Panel

I Made Yoga Prabawa
Google Scholar
Pubmed
BMJ Journal


Dedi Silakarma
Google Scholar
Pubmed
BMJ Journal


Ida Bagus Amertha Putra Manuaba
Google Scholar
Pubmed
BMJ Journal


M. Widnyana
Google Scholar
Pubmed
BMJ Journal


Ariezta Jeviana
Google Scholar
Pubmed
BMJ Journal