The Effects of Multi-modality Physiotherapy in Delaying or Preventing COVID-19 Patient From Admitting to ICU
Covid19, Severe Systemic Illness Respiratory Muscle Fatigue
About this trial
This is an interventional prevention trial for Covid19 focused on measuring Respiratory muscle strength, Inspiratory muscle training, Respiratory physical therapy, Patient exercise training, Maximal inspiratory pressure
Eligibility Criteria
Inclusion Criteria:
Non- intubated patient diagnosed with moderate to severe pneumonia (confirmed by chest x-ray and officially reported) as secondary to COVID-19 with one more symptom such as:
- Respiratory rate at ≥ 20 breath.min-1.
- Oxygen saturation (SatO2) ≤ 90% at rest on room air.
- Arterial partial pressure of oxygen (PaO2) ≤ 80 mmHg at resting.
- PaO2/FiO2 ratio or P/F (is the ratio between the arterial partial pressure of oxygen and the percentage of oxygen supplied) < 300mmHg.
Exclusion Criteria:
- Patient that has received upper abdominal or thoracic surgery recently (≤ 3 months).
- Cancer patients.
- Pregnant patients.
- Patient mentally unstable.
- Patient with unstable cardiovascular or neurological functions.
- Patients refusing to participate in this clinical trial.
- Patient less the 21 years old (According to Kuwaiti Law).
- Patients who have a language barrier who cannot understand Arabic or English.
Sites / Locations
- Jaber Al-Ahmed Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Conventional physical therapy treatment and IMT
Conventional physical therapy
The conventional physical therapy treatment for COVID-19 patient will be based on patient medical and physical status. In addition, the patient will receive inspiratory muscle training (IMT) by using a threshold IMT device. Patient will ask to use the device twice daily. In each time, patient will perform 3 sets of 10 breaths with 1-minute rest between sets. Exercise intensity will start with 10 % of pre-measured maximal inspiratory pressure. Once the patient successfully completed 30 breath twice a day, the exercise load will increase 5% more in the subsequent training session. This treatment protocol will perform daily for 2 weeks.
The conventional physical therapy treatment for COVID-19 patient will be based on patient medical and physical status.