一种开创性的物理治疗方法来治疗受COVID影响的患者-一份病例报告

Vaishnavi V Siroya, L. Fernandes, Om C. Wadhokar
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引用次数: 12

摘要

冠状病毒(SARS-CoV-19)起源于中国武汉,自2019年以来影响全球。该病毒于2020年1月传播到印度。它具有高度传染性。在严重的情况下,病毒的受害者会出现呼吸困难、发烧、虚弱、失去味觉和嗅觉等症状。患者使用机械呼吸机,因此对心肺物理治疗师的作用的要求变得越来越重要。即使在脱离呼吸机并被检测为冠状病毒阴性后,物理治疗师的作用仍然不可或缺,以改善受影响的衰弱肌肉的肌肉力量,特别是对于由于依赖呼吸机而长时间限制运动的患者;物理治疗师还需要改善肺容量和功能。对行走困难的患者进行步态训练,改善患者的协调性,使患者恢复正常,并能独立、良好地完成所有日常生活活动。他呼吸和咳嗽都很困难,全身无力,尤其是下肢。他立即住进重症监护室,并使用机械呼吸机。经过所有的物理治疗,患者能够独立进行日常生活活动,肌肉力量恢复,协调性和行走能力得到改善,步态正常。他还能够独立呼吸,呼吸肌肉力量充足;当他被检测出冠状病毒阳性时,他不像以前那样很快感到疲劳。
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A Pioneering Physiotherapeutic Approach to the Treatment of a COVID Affected Patient – A Case Report
The Coronavirus (SARS-CoV-19) originated from Wuhan, China and has affected globe since 2019. The virus spread to India in January, 2020. It is highly contagious. In its severe form, the victims of the virus suffered from symptoms such as breathing difficulties, fever, weakness, loss of taste and smell, amongst others. Patients were put on mechanical ventilators and as a result, the requirement of the role of cardio-respiratory physiotherapists became more and more essential. Even after weaning off from the ventilators and being detected Coronavirus negative, the role of the physiotherapists still remained indispensable in order to bring about improvement in the muscle strength of the affected weakened muscles, especially for patients whose movements were limited for extended periods of times due to being dependent on the ventilators;physiotherapists were also required to bring about improvement in the lung capacities and function, to teach gait training for those who find it difficult to walk, to improve in-coordination and overall allow the patients to come back to normal and carry out all the ADL independently and well. He had a severe difficulty in breathing and coughing, along with a generalized weakness all over his body, specifically both his lower limbs. He was admitted in the ICU immediately and was on mechanical ventilator. After all the physiotherapy sessions, the patient was able to carry out his activities of daily living independently;he regained his muscle strength and improved his coordination and ability to walk with a proper gait. He was also able to breathe independently with adequate respiratory muscle strength;and did not feel fatigued as quickly as he used to when he was detected positive for Coronavirus.
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