Citation Information :
Augustine A, Nair SP, Darji MD, Panhale V. Rehabilitation Journey of a COVID-19 Survivor from Hospitalization to Follow-up: A Case Report of Progressive Lung Fibrosis. Indian J Respir Care 2022; 11 (2):183-186.
Progressive lung fibrosis, an enduring complication of COVID-19, affects lung function adversely, fatigue levels, exercise tolerance, and health-related quality of life, affecting more than 50% of the confirmed cases. Furthermore, the number of post-COVID survivors is steadily increasing, stipulating a need for early, safe, and effective post-COVID pulmonary rehabilitation (PR). A 62-year-old male diagnosed with viral pneumonitis with severe lung fibrosis post-COVID infection exhibited severe exercise intolerance during hospitalization. An 8-week supervised, structured PR program led to early weaning from oxygen support and improved patient's functional outcomes. Amelioration in the patient's clinical status was demonstrated by a 50% reduction in his fatigue levels and a three-fold change in his functional capacity. This case study highlights the importance of early initiation of PR in optimizing patient's health status and reducing any further functional limitations.
Available from: https://COVID.who.int/. [Last accessed on 2021 Oct 25].
Available from: https://www.mohwf.gov.in/. [Last accessed on 2021 Oct 25].
Taquet M, Dercon Q, Luciano S, Geddes JR, Husain M, Harrison PJ. Incidence, co-occurrence, and evolution of long-COVID features: A 6-month retrospective cohort study of 273,618 survivors of COVID-19. PLoS Med 2021;18:e1003773.
Carfì A, Bernabei R, Landi F; Gemelli Against COVID-19 Post- Acute Care Study Group. Persistent symptoms in patients after acute COVID-19. JAMA 2020;324:603-5.
Spruit MA, Holland AE, Singh SJ, Tonia T, Wilson KC, Troosters T. COVID-19: Interim guidance on rehabilitation in the hospital and posthospital phase from a European Respiratory Society and American Thoracic Society-coordinated International Task Force. Eur Respir J 2020;56:2002197. [doi: 10.1183/13993003.02197-2020].
Thomas P, Baldwin C, Bissett B, Boden I, Gosselink R, Granger CL, et al. Physiotherapy management for COVID-19 in the acute hospital setting: Clinical practice recommendations. J Physiother 2020;66:73-82.
Swaminathan N, Jiandani M, Surendran PJ, Jacob P, Bhise A, Baxi G, et al. Beyond COVID-19: Evidence-based consensus statement on the role of physiotherapy in pulmonary rehabilitation in the Indian context. J Assoc Physicians India 2020;68:82-9.
Spruit MA, Singh SJ, Garvey C, ZuWallack R, Nici L, Rochester C, et al. An official American Thoracic Society/European Respiratory Society statement: Key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med 2013;188:e13-64.
Pathmanathan N, Beaumont N, Gratrix A. Respiratory physiotherapy in the critical care unit. Continuing Educ Anaesth Crit Care Pain 2015;15:20-5.
Hanada M, Kasawara KT, Mathur S, Rozenberg D, Kozu R, Hassan SA, et al. Aerobic and breathing exercises improve dyspnea, exercise capacity and quality of life in idiopathic pulmonary fibrosis patients: Systematic review and meta-analysis. J Thorac Dis 2020;12:1041-55.
Babu AS, Padmakumar R, Nayak K, Shetty R, Mohapatra AK, Maiya AG. Effects of home-based exercise training on functional outcomes and quality of life in patients with pulmonary hypertension: A randomized clinical trial. Indian Heart J 2019;71:161-5.
Swigris JJ, Fairclough DL, Morrison M, Make B, Kozora E, Brown KK, et al. Benefits of pulmonary rehabilitation in idiopathic pulmonary fibrosis. Respir Care 2011;56:783-9.