Efficacy of a rehabilitation protocol on pulmonary and respiratory muscle function and ultrasound evaluation of diaphragm and quadriceps femoris in patients with post-COVID-19 syndrome: a series of cases

Author:

Vieira da Costa Karina,Tainá Cordeiro de Souza IaraORCID,Felix João Victor dos Santos,Brandão Celso Brendo Furtado,Fernandes Vanessa Michelle de Souza,Favero Andressa Bomfim Lugon,Gouveia Maria Lucrécia de Aquino,Lima Dyego Tavares de,Lima José Heriston de MoraisORCID,Pedrosa RafaelaORCID,Onofre Tatiana,Brito Geraldo Eduardo Guedes deORCID,De França Eduardo Eriko Tenorio

Abstract

This study assessed the efficacy of a pulmonary rehabilitation (PR) on pulmonary and respiratory muscle function and thickness of quadriceps femoris and diaphragm of patients with post-COVID-19 syndrome. This series of cases followed nine patients who performed PR twice a week for six weeks. Patients received the following PR program: lung expansion therapy; respiratory muscle training; upper limb strength exercises; aerobic exercises on a treadmill. After the program, we observed increased peak expiratory flow (26.03%), forced vital capacity (FVC) (7.14%), forced expiratory volume in the first second (FEV1) (9.55%), and ratio between FEV1/FVC (6.19%). All parameters of respiratory muscle strength and endurance were improved. Diaphragmatic thickening fraction and thickness of quadriceps femoris also improved, whereas echo intensity of quadriceps reduced. Thus, RP protocol improved pulmonary function, respiratory muscle strength and endurance, and thickness of diaphragm and quadriceps femoris, and reduced echo intensity of quadriceps in patients with post-COVID-19 syndrome.

Publisher

PAGEPress Publications

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine

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