Pathway to discharge following COVID-19 in an obese female with multiple comorbidities: Does physiotherapy play a pivotal role? (original) (raw)

Physiotherapy - The Journal of Indian Association of Physiotherapists, 2021

Abstract

From Wuhan to India, the severe acute respiratory syndrome coronavirus-2 or COVID-19 presentations ranged from completely asymptomatic to severe respiratory failure requiring intensive care. Patients with associated morbidities such as obesity, hypertension, and diabetes were known to have high mortality. We present the case of a 28-year-old obese female with type-II diabetes, hypertension, and pulmonary Koch admitted for moderate pulmonary impairment with hypoxia and altered metabolic dysfunctions in COVID-intensive care unit, facilitated to discharge with support of physiotherapy (PT). In spite of maximal standard medical management as per the COVID guidelines and oxygen support on nonrebreather bag at 15 L/min, she failed to show improvement in symptoms. PT interventions in the form of education and counseling, positioning, breathing exercises, and gradual peripheral conditioning were carried out to prevent complications and deterioration in view of associated comorbidities. This...

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