Effect of Respiratory Rehabilitation for a Patient with Severe Pneumonia and Intensive Care Unit Acquired Weakness (ICU-AW) Due to COVID-19

NAOI Shunsuke, NAKAZATO Shunsuke, KAMESAKO Junya, SEKINE Shusuke, IMAIZUMI Hitoshi

doi:10.1589/rika.36.747

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ICU-AWを呈した新型コロナウイルス重症肺炎症例に対する急性期からの呼吸リハビリテーション介入の効果
ICU-AW オテイシタシンガタコロナウイルスジュウショウハイエンショウレイニタイスルキュウセイキカラノコキュウリハビリテーションカイニュウノコウカ

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<p>[Purpose] To evaluate the effect of acute respiratory rehabilitation intervention for a patient with severe pneumonia and intensive care unit acquired weakness (ICU-AW) due to COVID-19. [Participant and Methods] The case was a male in his 50s with severe pneumonia due to COVID-19. We performed respiratory rehabilitation according to the stage of severity with the goal of ventilator withdrawal. When physical therapy was started, when sitting on the bed, when the ventilator was withdrawn, and when leaving the intensive care unit, the items of breathing, muscle strength, and movement ability were evaluated and the degrees of improvement were examined. [Results] Compared with the start of respiratory rehabilitation, improvements were observed in each evaluation item of breathing, muscular strength, and movement ability when leaving the intensive care unit. [Conclusion] The results suggest that the intervention of respiratory rehabilitation was effective at improving each evaluation item of breathing, muscular strength, and movement ability.</p>

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Rigakuryoho Kagaku

Rigakuryoho Kagaku 36 (5), 747-752, 2021

The Society of Physical Therapy Science

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