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Physiotherapy practice for hospitalized patients with COVID-19
Letícia Marcelino Sotelo Dias1, Fernando Silva Guimaraes2, Camila Ferreira Leite3
1. Programa de Pós-Graduação Interdisciplinar em Ciências da Saúde, Universidade Federal de São Paulo - UNIFESP - Campus Baixada Santista. Santos (SP) Brasil.
Summary
Physiotherapy in COVID-19 patients focused on oxygenation and complication prevention. Respiratory interventions showed variability, highlighting a need for standardized practices in intensive care units and wards.
Area of Science:
- Intensive Care Medicine
- Respiratory Therapy
- Rehabilitation Medicine
Background:
- COVID-19 significantly impacts respiratory and physical function in hospitalized patients.
- Physiotherapy plays a crucial role in managing critically ill patients, including those with COVID-19.
Purpose of the Study:
- To identify indications for physiotherapy in COVID-19 patients.
- To evaluate current physiotherapy practices for COVID-19 patients in intensive care units (ICU) and general wards.
Main Methods:
- An online survey was distributed to physiotherapists treating hospitalized COVID-19 patients in Brazil.
- The survey collected data on indications for and practices of physiotherapy in ICU and ward settings.
Main Results:
- Oxygenation improvement and prevention of general complications were primary physiotherapy indications.
- Significant variability in respiratory interventions was noted, with underutilization of some effective techniques.
- Commonly used techniques included positioning, alveolar recruitment, and breathing exercises.
Conclusions:
- Oxygenation improvement is the leading indication for physiotherapy in COVID-19 patients.
- There is a substantial need for standardization of respiratory physiotherapy protocols for hospitalized COVID-19 patients.
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