Evaluation of the effect of exercise and respiratory physiotherapy exercises on the improvment of respiratory disorders in patient with Covid-19

Covid-19 disease is a new disease that first appeared in December 2019 in Wuhan, China and started rapidly throughout China. Since respiratory disorders are one of the most important symptoms and complications in patients with Covid-19 and due to the role of exercise in improving respiratory disorders and since few studies to determine the effect of exercise on the course of recovery of respiratory disorders in patients with Covid-19 Therefore, this study was conducted to investigate the effect of exercise and respiratory physiotherapy exercises on the improvement of respiratory disorders in patients with Covid-19 in the first half of 2019 in an international health center in Tehran. This study was a cross-sectional study that was perfonned in the first half of 2019 and the study population included patients with Covid-19 who had referred to an international health center in Tehran. In order to collect basic information and evaluate the effect of exercise, a 4- part researcher-made checklist was used and to evaluate the effect of respiratory physiotherapy exercises, a researcher-made checklist was used in accordance with the recommended respiratory physiotherapy exercises for patients. To report descriptive results of mean, standard deviation, absolute frequency and absolute frequency percentage, as well as for analyzes of two-group independent t-test and Chi-square test, Kruskal-Wallis and one-way analysis of variance (ANOVA) using SPSS software Version 16 (IBM SPSS statistics version 16) was used at the significance level of 0.05. Hi the study of the effect of exercise in this study, 350 patients with Covid-19 participated and in the study of the effect of respiratory physiotherapy exercises, 91 patients who did not improve their respiratory disorders by the 16th week of follow-up participated. The prevalence of respiratory disorders in patients was 54.57%. Patients with Covid-19 with a sex ratio equal to (50.00%) participated in the study and the mean and age deviation of patients was 32.71. 10.93 years. The relationship between xvii unplanned exercise including walking and anaerobic bodybuilding with an 8-week improvement in respiratory disorders (p-value = 684) and a 16-week improvement in respiratory disorders (p-value = 0.848) in patients with covid-19 disease There was no significance. There was a significant relationship between performing respiratory physiotherapy exercises with increasing patients 'respiratory capacity (p-value = <0.000), reducing patients' respiratory secretions (p-value = <0.000) and improvement of respiratory disorders in patients (p-value = <0.000). Respiratory disorders in patients with covid-19 disease is one of the most common disorders that should be followed up by pulmonologists and physiotherapists for at least 8 weeks in patients with mild respiratory disorders and in patients with severe respiratory disorders for 16 weeks. Due to the fact that irregular and planned exercise and anaerobic bodybuilding do not have a significant effect on the recovery of respiratory disorders in patients with covid-19 disease, while specialized exercises of respiratory physiotherapy have a significant effect on improving respiratory disorders, increasing respiratory rate and reducing respiratory secretions, hi these patients, and due to the importance of how these exercises are performed by patients on the effect of exercises, it is recommended that patients with covid-19 disease with follow-up be followed by physiotherapists from the beginning until recovery.