Covid-19 Patients Are Struggling To Cope After Leaving Hospitals. Importance of Physiotherapy for Post Covid-19 Patients.
Patients, who battle severe after-effects of the viral infection like Covid-19, are going through YouTube or to local doctors for help in the absence of post-discharge rehab protocols to assess and manage their symptoms.
Physiotherapists are trained to create up the progressive exercise protocols for such patients to counter the weakness of muscles and optimize their functional outcomes. Care and individual assessment should be done at home to avoid readmission. This includes controlling symptoms of dyspnoea, fatigue and pain. Maintaining hygiene, adequate nutrition, need of supplemental oxygen, psychological support and safe mobility.
Rehab mainly focuses on enabling people to clear their airways, improving and managing their breathing. An ideal rehab programme should incorporates a good range of exercises like
- Thoracic expansion exercises
- Diaphragmatic breathing
- Pursed lip breathing
- Tips to manage dry and productive cough
- Positioning for correct lung ventilation and
- Use of an incentive spirometer
Maintaining a healthy diet:
Recovering corona virus patients must have protein
rich home cooked food for boosting immunity. The damaged that happened to the
body while the infection lasted like damage to body tissue and muscle loss and
weakness must be repaired by improving protein-rich diet.
Include calorie-dense foods in your diet but make
sure they’re healthy carbs as to fight off the infection you need more calories
means more energy. Include 6 or 7 servings of nuts in your diet along with
fresh seasonal fruits and veggies in your diet.
1.
Diaphragmatic Breathing Technique:
Start with placing one hand on your upper chest and the other just below your rib
cage. This will allow you to feel your diaphragm move as you breathe in and out. Breathe in
slowly through your nose so that your abdomen moves out against your hand and
expand as shown in below given image. The hand on your chest should remain as
still as possible and exhale slowly through pursed lip (as if blowing off
candle slowly).
2. Pursed lip breathing: This technique is to sit comfortably on a chair with relaxed shoulders, take in a deep breath from the nose and hold it and then exhale slowly via the mouth with pursed lips. This will create a small positive pressure preventing the collapse of the airway.
3.
Thoracic expansion exercises: Inhaling a deep breath
from the nose while taking the hands outwards and upward than bringing back the
hands down while blowing the air out from the mouth. This exercise helps in
promoting the expansion of the thorax and in due course creates more space for
the air to enter.
4.
Incentive spirometer: It is handheld device with hollow
plastic tube attached with a mouthpiece. The patient mouth creates a tight seal
around the mouthpiece of the device and inhales through it deeply and slowly. While
you breathe in, the ball within the large column will move up. Try to move the ball
as elevated up as you can or to the level recommended by your doctor. Relax, take
out the mouthpiece, and then breaths out normally
After you've taken the suggested
number of breaths, try to cough a few times. This will help loosen any mucus that
has built up in your lungs and will make it easier for you to breathe.
To loosen any mucus that has built up in your lungs,
try to cough a few times slowly after you have repeated this breathing through
spirometer. It will make it easier for you to breathe.






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