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Vol. 28. Issue S1.
1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)
(01 April 2024)
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Vol. 28. Issue S1.
1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)
(01 April 2024)
23
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FUNCTIONALITY AND RESPIRATORY MUSCLE STRENGTH POST-COVID 19 IN A CARDIOPULMONARY REHABILITATION SERVICE OF THE UNITED HEALTH SYSTEM (SUS)
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Lucas Lemonie Zunino1, Josie Bugad Matsuda1, Luis Otávio Matsuda1, Ana Inês Gonzáles1
1 Department of Physiotherapy, University Center for the Development of Alto Vale do Itajaí (UNIDAVI), Rio do Sul, Santa Catarina, Brazil
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Vol. 28. Issue S1

1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)

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Background

Infection with SARS-CoV-2 (coronavirus) led to the involvement and complications of different organs, which may lead to signs and symptoms that can last for months after infection, functionally compromising these individuals. Faced with this, the physiotherapist has a fundamental role.

Objective

Describe the Functional Status and Respiratory Muscle Strength of post-covid patients, referred to start an outpatient cardiopulmonary rehabilitation (CPR) program of the Unified Health System (SUS), with complaints of dyspnea and fatigue.

Methods

Individuals with medical referral for rehabilitation due to cardiorespiratory and/or musculoskeletal complications due to COVID-19 infection were included, regardless of gender and age, and regardless of the type of clinical treatment performed during the infection phase of the disease. As estimates, the pre-intervention was linked to a research and extension project in cardiopulmonary rehabilitation aimed at patients with post-covid complications. The assessment was structured and performed with the application of the following tests and tests: Post-COVID-19 Functional Status Scale (PCFS), Modified Medical Research Council, Degree of Dyspnea (MRC), Test 1-minute Sit- and Stand-Up Test (TST1), 2-minute Stationary Walking Test (SWT2), 6-minute Walk Test (6MWT) and Manovacuometry (MIP - Maximum Positive Inspiratory Pressure / MEP - Maximum Positive Expiratory Pressure).

Results

At this time, six (6) were evaluated, 4 males and 2 females, with a mean age of 52 years (± 18). As results obtained are: PCFS: Grade 0 (1 person), grade 1 (2 people), grade 2 (2 people), grade 3 (1 person); MRC 1 (± 1); TST1 17 repetitions ± 6, SWT2 53 lifts (± 25), 6MWT 413 m (± 112) with mean predicted value of 595; PiMax -82cmH2O (± 31) with a mean predicted value of -100cmH2O; PeMax +83cmH2O (± 31) with a predicted average of +104cmH2O.

Conclusion

For these patients, it was possible to observe PiMax and PeMax values below the predicted values, showing impairment of the respiratory muscles. In addition, a single individual did not present functional dysfunction, and the functional performance tests justified the lower-than-expected results.

Implications

Individuals with symptoms of dyspnea and fatigue after infection with COVID-19 have a functional and respiratory disability and should be referred to outpatient public services specialized in rehabilitation.

Keywords:
COVID-19
Respiratory Muscle Strength
Physiotherapy
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Conflict of interest: The authors declare no conflict of interest.

Acknowledgment: Apoio Financeiro FAPESC – Fundação de Amparo à Pesquisa e Inovação do Estado de Santa Catarina

Ethics committee approval: Centro Universitário para o Desenvolvimento do Alto Vale do Itajaí: Process n. 93720218.6.0000.5676

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Brazilian Journal of Physical Therapy
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