The Breath project (Project Number: 2022-1-PL01-KA220-HED-000089283) has been Co-funded by the European Union. Views and opinions expressed are however those of the author or authors only and do not necessarily reflect those of the European Union or the Foundation for the Development of the Education System. Neither the European Union nor the entity providing the grant can be held responsible for them.

Breathing exercises and mobilization exercises of the upper extremities-Recommendations for physiotherapy interventions in patients with respiratory system infection with the virus SARS-CoV-

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https://www.pulmologija.hr/Content/Dokumenti/PREPORUKEZA_FIZIOTERAPEUTE_U_RADU_SA_COVID_19_BOLESNICIMA.pdf
Institution
Croatian Society for Cardiorespiratory Physiotherapy; Croatian thoracic society, Special hospital for pulmonary diseases, Zagreb; Clinic for pulmonary diseases Jordanovac, Zagreb
Institution Typology
Hospital, Rehabilitation Center
Country
Croatia
Description
Breathing exercises and mobilization exercises of the upper extremities are essential components of respiratory and rehabilitation programs aimed at improving lung function, respiratory muscle strength, and upper limb mobility. When breathing deeply and slowly, it is necessary to activate the diaphragm as much as possible in order to reduce the breathing rate (optimal breathing rate 12-15 inhalations and exhalations per minute). Expanding the chest in conjunction with upper body exercises of the extremities helps to remove secretions and increase vital capacity. During exercise, it is necessary to pay particular attention to the breathing rate and keep it within the recommended range.
Disease
Covid19
Activity level
Low
Activity Typology
Rehabilitation section-based activities
Motivation Tools
Not available

Innovation
In milder stages of the disease, it is prevented by early physiotherapy interventions development of fibrotic changes in the pulmonary interstitium, and subsequent disability.

Evaluation System
Patients with pulmonary disease are susceptible due to reduced immunocompetence secondary bacterial infections, so removing bronchial secretions is necessary for treatment.
Evaluating the effectiveness of breathing exercises and mobilization exercises of the upper extremities involves assessing various parameters related to respiratory function, upper limb mobility, and overall functional outcomes.

Assessment
Early physiotherapy interventions in seriously and critically ill patients can facilitate breathing, reduce symptoms, anxiety and depression and prevent the development of complications.
References
Benko S, et al. Recommendations for physiotherapy interventions in patients with SARS-COV-2 respiratory system infection. Avaliable at: www.pulmologija.hr/Content/Dokumenti/PREPORUKEZA_FIZIOTERAPEUTE_U_RADU_SA_COVID_19_BOLESNICIMA.pdf

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