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Grbovic V, Markovic N, Bogojevic P, Nikolic J, Milosevic J, Simovic S, Cekerevac I, Jurišić-Škevin A, Zdravkovic N, Mijailovic S, Zdravkovic N. The effects of respiratory exercises on partial pressures of gases and anxiety in the acute phase of COVID-19 infection. Physiother Theory Pract 2021; 38:2736-2744. [PMID: 34698591 DOI: 10.1080/09593985.2021.1996497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
INTRODUCTION Respiratory exercise in post-COVID-19 significantly improves pulmonary function, exercise capacity and quality of life. Our study aimed to investigate the effect of respiratory exercise on partial pressures of oxygen, carbon dioxide and oxygen saturation in arterial blood and anxiety assessed by the GAD-7 scale in the acute phase of COVID-19 infection. METHODS The study was conducted at the Clinical Center, Kragujevac, from June to July 2020. The study was a prospective clinical trial and included 62 patients with the acute-phase of COVID-19 infection (61.3% males, mean age 60.82 ± 11.72). The duration of the comprehensive pulmonary rehabilitation program was 14 days ± 2.28 days. Oxygen saturation and heart rate were determined by using the pulse oximeter, oxygen flow, and arterial blood gas analysis values by using the gas analyzer. The anxiety assessment was measured using the Generalized Anxiety Disorder (GAD-7). RESULTS The values of oxygen saturation significantly differed before and after the respiratory exercise sessions (95.77 vs 98.02, respectively; p < .001). After the respiratory exercise program, significantly lower values of the GAD-7 scale were observed compared to the values before the respiratory exercise program (p = .049). A significant negative correlation was observed between oxygen saturation after respiratory exercise and age and presence of chronic obstructive pulmonary disease (ρ = -0.329; p = .013; ρ = -0.334; p = .009, respectively). GAD-7 score after respiratory exercise negatively correlated with chronic obstructive pulmonary disease and malignancy (ρ = -0.285; p = .025; ρ = -0.350; p = .005, respectively). CONCLUSION The respiratory exercise program significantly improves oxygen saturation and anxiety levels in COVID-19 patients.
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Affiliation(s)
- Vesna Grbovic
- Department of Physical Medicine, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.,Center for Physical Medicine and Rehabilitation, Clinical Center Kragujevac, Kragujevac, Serbia
| | - Natasa Markovic
- Center for Physical Medicine and Rehabilitation, Clinical Center Kragujevac, Kragujevac, Serbia
| | - Predrag Bogojevic
- Center for Physical Medicine and Rehabilitation, Clinical Center Kragujevac, Kragujevac, Serbia
| | - Jovana Nikolic
- Center for Physical Medicine and Rehabilitation, Clinical Center Kragujevac, Kragujevac, Serbia
| | - Jelena Milosevic
- Department of Physical Medicine, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.,Center for Physical Medicine and Rehabilitation, Clinical Center Kragujevac, Kragujevac, Serbia
| | - Stefan Simovic
- Department of Internal Medicine, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.,Clinic for Cardiology, Clinical Center Kragujevac, Kragujevac, Serbia
| | - Ivan Cekerevac
- Department of Internal Medicine, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.,Clinic for Pulmology, Clinical Center Kragujevac, Kragujevac, Serbia
| | - Aleksandra Jurišić-Škevin
- Department of Physical Medicine, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.,Center for Physical Medicine and Rehabilitation, Clinical Center Kragujevac, Kragujevac, Serbia
| | - Nebojša Zdravkovic
- Department of Medical Statistics and Informatics, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Sara Mijailovic
- Department of Medical Statistics and Informatics, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
| | - Natasa Zdravkovic
- Department of Internal Medicine, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.,Center for Gastroenterohepatology, Clinic for Internal Medicine, Clinical Center Kragujevac, Kragujevac, Serbia
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[Evolution of pain during respiratory rehabilitation after major lung resection]. Rev Mal Respir 2016; 34:232-239. [PMID: 27743822 DOI: 10.1016/j.rmr.2016.09.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2016] [Accepted: 07/05/2016] [Indexed: 11/21/2022]
Abstract
INTRODUCTION Lung resection for cancer is the cause of significant postoperative pain. The aim of this study was to determine whether pulmonary rehabilitation could induce a resurgence of pain. METHODS In 2014 and 2015, pulmonary rehabilitation was offered to all patients referred to our institution after lung resection for cancer. Patients were assessed at entry and departure for nociceptive pain, neuropathic pain (DN4), for quality of life using questionnaire EORTC QlQ-C30 and for anxiety and depression (HAD questionnaire). Pain was studied before and after the sessions of cycloergometer, gym and massages. RESULTS During the period, 99 patients were admitted to our institution following lung resection for cancer. Medians changed during pulmonary rehabilitation from 3 to 1 for nociceptive pain (p<0.001), 3 to 3 for DN4 (NS), 50 to 67 for the quality of life score (p<0.001), 7 to 5 for the anxiety (p<0.001) and 5 to 3 for depression (p<0.0001). Pain remained stable during the sessions of cycloergometer and gym, and decreased during massage. Patients undergoing thoracotomy or video-assisted thoracic surgery evolved identically. CONCLUSION Postoperative pulmonary rehabilitation after lung resection for cancer was not harmful. It was associated with a decrease in nociceptive pain and was without effect on neuropathic pain.
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