Effects of Diagrammatic Breathing With and Without Resistance in Post Covid Patients on ADLs
Condition: COVID-19 Pandemic
MeSH terms: COVID-19
Study type: Interventional

Summary: 
      Effects of diaphragmatic breathing exercise with and without resistance exercise program on
      functional capacity and activity of daily living in post covid patients
    

Detailed description: 
      The pandemic caused by the spread of the COVID-19 virus has implied a major challenge for the
      health systems and economies all around the world, as well as for their justice institutions;
      After COVID recovery subject feels muscle weakness and joint stiffness; extreme tiredness
      (fatigue) and a lack of energy; sleep problems. And these factors disturb the individuals
      daily activities of life like unable do household chores and social activities. Breathing is
      a natural process that usually occurs without conscious effort. However, the average breath
      tends be shallow and does not engage the diaphragm very much. During diaphragmatic breathing,
      a person consciously engages their diaphragm in order take deeper breaths. A person will
      notice their stomach rising and falling. They will also feel an expanding or stretching
      sensation in the stomach, rather than solely in their chest and shoulders. In this research
      determine the effects of diaphragmatic breathing with and without resistance exercise program
      on functional capacity and activity of daily living in post COVID patients.

      This study will be a randomized controlled trial. This study will be conducted in general
      hospital Lahore. In the present study under considerations we mainly look on the subjects
      meeting predetermined inclusion and exclusion criteria will be divided into two groups using
      lottery method. Sample size will be 42 including both male and female. QUESTIONNAIRE used as
      subjective measurements and BARTHEL INDEX as objective measurement. PCFS will be used to
      check the functional capacity and ordinal scale used to measure performance in activities of
      daily living will be used check activity of daily living. Subjects of one group will be
      treated with resistance training at both limbs, at upper limb wall press-up and dumbbell
      biceps curls will be used but at lower limb back squats and leg press will be used and the
      other group will be treated without resistance training. Each group performed special
      trainings for 12 weeks, 2 sessions per week; each session took about 1 hour. Protocols were
      started with 1 set of 10 repetitions at starting baseline and by improving performance and
      patients' compatibility with trainings, all eventually finished with 3 sets of 20 repetitions
      at the end of the protocol. Post treatment reading of PCFS and Barthel quality of life will
      be recorded after every week. Outcome variables will be PCFS, ordinal scale used to measure
      performance in activities of daily living and pulse oximeter. Data will be analyzed on
      SPSS-25.
    

Intervention name(s): Diaphragmatic breathing with Resistance Training; diaphragmatic breathing with out resistance training
Intervention type(s): Other; Other
Intervention description(s): Wall press-up:
Stand arm's length from the wall. Place your hands flat against the wall at chest level, with your fingers pointing upwards. With your back straight, slowly bend your arms, keeping your elbows by your side.
Dumbbell biceps curls:
Hold a pair of light weights and stand with your feet hip-width. Keeping your arms by your side, slowly bend them until the weight in your hand reaches your shoulder. Slowly lower again.
Back squats:
Place barbell with weights onto the squat rack. Bring your body under the bar. Rest barbell over your traps and shoulders. Make sure hands are even on each side of the bar. Keep your feet in the same position as they would be for an air squat. Brace your midline and keep your chest up.
Leg press:
Position feet about shoulder width apart. Try to push through your heels, keeping the knees lined up over the toes. Extend the legs until nearly straight, avoiding locking the knees.; Diaphragmatic Breathing:
Lie on your back on a flat surface (or in bed) with your knees bent. You can use a pillow under your head and your knees for support if that's more comfortable.
Place one hand on your upper chest and the other on your belly, just below your rib cage.
Breathe in slowly through your nose, letting the air in deeply, towards your lower belly. The hand on your chest should remain still, while the one on your belly should rise.
Tighten your abdominal muscles and let them fall inward as you exhale through pursed lips. The hand on your belly should move down to its original position. You can also practice this sitting in a chair, with your knees bent and your shoulders, head, and neck relaxed
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: : COVID, Exercise training, Functional Capacity.