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Využití respirační fyzioterapie u pacientů po prodělání onemocnění Covid-19
BÍLKOVÁ, Klára
Covid-19 disease is caused by a new type of coronavirus, technically called SARS-CoV-2, which had not been identified in humans before December 2019. It is a droplet- and aerosolborne infectious disease mainly affecting the nasopharynx and lungs. Nowadays, numerous people suffer from the after-effects of having contracted Covid-19, the so-called post-covid syndrome. This is a set of different symptoms that can provide in essence the whole body. The most common complaints include shortness of breath and a persistent cough, deconditioning, headaches, back and chest pain to varying degrees, weakness and fatigue, as well as psychological problems such as anxiety and depression, concentration disorders and insomnia. From a physiotherapy perspective, these symptoms can be modified to varying degrees. For example, directly respiratory difficulties - influencing lung function, respiratory muscles, restoring the correct breathing stereotype. However, we can also influence posturalarticular functions and posture. The aim of the bachelor's thesis is to describe the most common health problems of patients after Covid-19 infection and to suggest appropriate physiotherapy approaches for the identified difficulties. In particular, the thesis focuses on breathing difficulties and the possibility of influencing them with respiratory physiotherapy techniques. A qualitative research strategy was chosen, the research population consisted of five adult patients, and during the course of the research the number was reduced to four probands. The condition for inclusion in the research was a history of SARS-CoV-2 infection, after which patients continued to experience some persistent health problems. Physiotherapy interventions were targeted to optimize respiratory function using selected respiratory physiotherapy techniques. The results were processed by comparing the input and output kinesiological analysis, measuring inspiratory and expiratory mouth pressures using the MicroRPM device and measuring the patient's lung function using spirometry. Improvements were achieved in walking ability, postural-respiratory diaphragmatic function, chest mobility, respiratory pressure values and subjective perception of health status. Some improvement in lung function was also noted by spirometry.
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