Inspiratory Muscle Trainer and Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) COVID-19 Persistent Symptoms
Condition: Covid19; Hypertension; Corona Persistent Symptoms
MeSH terms: COVID-19; Severe Acute Respiratory Syndrome
Study type: Interventional

Summary: 
      Inspiratory muscle training considered as safe and valid method to improve respiratory muscle
      strength and functional capacity among uncountable conditions which could improve post
      COVID-19 persistent symptoms including but not limited to respiratory muscle strength,
      diminishing dyspnea, enhance blood oxygenation, and patient's functional capacity and quality
      of life.
    

Detailed description: 
      The current COVID-19 pandemic will place enormous pressure on healthcare systems around the
      world. The COVID-19 pandemic continues to dominate our daily lives with large numbers of
      people are predicted to become critically ill with acute respiratory distress syndrome and
      will require management in intensive care units. Unfortunately, it is expected that COVID-19
      will persist as a major challenge for the delivery of medical care for a long while to go.
      High levels of physical, cognitive, and psychosocial impairments can be anticipated and
      persist after discharging from hospitals. Growing data shows a higher risk of COVID-19
      infections and complications in people with high blood pressure affecting between 30% to 50%
      of the patients.

      Intensive care unit- acquired weakness is very common after ARDS (COVID 19) which confers a
      major determinant of poor long-term functional, respiratory and psychological outcome.

      Patients with coronavirus disease (COVID-19) are described as exhibiting oxygen levels
      incompatible with life with dyspnea. Pulse oximeter is valid device used to assess oxygen
      level in the blood as well as the pulse rate. As case numbers grow, neurological symptoms
      have been reported with increasing the frequency of corona virus infection, including those
      of autonomic dysfunction. It was reported that many patients developed postural tachycardia
      syndrome (POTS) several months after confirmed SARSCoV- 2 infection especially those with
      cardiovascular risk factors. Based on knowledge from the multiple systemic complications
      associated with Covid-19, it is reasonable to suggest that most patients, especially those
      who underwent prolonged hospitalization with one or more cardiovascular risk factor, will
      need a multi professional rehabilitation program.

      Respiratory rehabilitation aims to improve quality of life by managing dyspnea, improving
      exercise tolerance and increasing functional capacity. After initial recovery from Covid-19,
      especially for those who required hospitalization in ICU, it is possible that some patients
      may experience respiratory muscle dysfunction, as well as pulmonary restriction or
      obstruction to varying extents, affecting peripheral muscle function and respiratory
      conditioning.

      Several previous studies explained that inspiratory muscle training (IMT) is a feasible and
      safe modality in patients with respiratory muscle dysfunction which approve its efficacy in
      enhancing respiratory muscle strength, improving aerobic capacity, and diminishing dyspnea
      among patients suffering from COVID 19.
    

Intervention name(s): Inspiratory muscle trainer; diaphragmatic release
Intervention type(s): Device; Other
Intervention description(s): POWER breathe IMT is a drug-free, hand-held breathing training device. The medical term for this type of breathing training is Inspiratory Muscle Training, or IMT. POWER breathe IMT exercises the main muscles you use to breathe in, primarily your diaphragm and intercostal; diaphragmatic release is a manual technique use for restoring the ability of the diaphragm to go through a full range of motion
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment