Rehabilitation programs for patients with chronic and second disease Covid-19 include position method, respiratory training and physical therapy.
1-) Positioning of the patient: This application, which can reduce the effect of postural drainage, secretion (sputum) on the respiratory tract, is generally important to improve the patient’s V / Q ratio (Ventilation / Perfusion). Covid patients under the influence of gravity; learn the proper position to help expel sputum from lung lobes or lung segments.
2-) Breathing Exercise: Exercise can greatly expand lung lobes. It can help breakthroughs from the pulmonary alveoli and airway to the large airway. Thus, sputum does not accumulate in the basal of the lungs, increases vital capacity and improves lung function.
Breathing deep and slow and pulling the shoulder back by expanding the rib cage are two main techniques of breathing exercises.
3-) Broochial excretion can be performed effectively and lung function can be improved without hypoxemia and airway obstruction exacerbation. It can occur in 3 stages; Respiratory Control, Troxic Expansion and Expiratoryum.
4-) Positive Expiratory Pressure Application: The lung tissues of Covid-19 patients are seriously damaged. In mechanical ventilation, low pressure and low tidal volume are required to prevent damage to lung tissue. Therefore, Positive Expiratory Pressure Application can be applied to assist the movement of secretions from low volume lung segments to high volume segments after mechanical ventilation is removed. Thus, the difficulty of expectoration can be reduced.
5-) Physical Therapy: These are ultrashort wave, external diaphragm pacemaker, electric muscle stimulants, oscillators etc.