Search

Background: The aim of this systematic review was to evaluate and identify the latest evidence on the feasibility and accessibility of telerehabilitation services in the prevention, diagnosis, treatment and control of patients with COVID-19. Methods: The studies were retrieved from the authoritative scientific databases Embase, Web of Science, Scopus, PubMed on November 25, 2021. Then, the gray literature was scrutinized using the Google search engine to identify the latest possible evidence. Randomized controlled trial studies and protocols that used the telerehabilitation approach as an intervention to improve the condition of distant COVID-19 patients were part of the inclusion criteria. In order to assess the quality of the studies entering this study, the Joanna Briggs Institute Critical Appraisal Checklist for Randomized Controlled Trials was used. The same checklist was used for data extraction. Findings: A total of 7 eligible articles were obtained in this review. The quality assessment results showed that there was no significant bias in the studies and all studies were eligible to be included in our study. In two studies (3.7, 43%), telerehabilitation was used to support COVID-19 patient, both of which reported significant improvement in endurance, functional and physical condition of patients with telerehabilitation. However, no significant improvement was found in patients' pulmonary function parameters. In contrast, another study showed a significant improvement in shortness of breath and aerobic capacity of patients in the intervention group compared to the control. Conclusion: The results of the systematic review showed that a small number of small-scale studies on telerehabilitation have been performed for patients with COVID-19. However, it seems telerehabilitation has great potential to improve the functional, respiratory, physical condition and ultimately improve the quality of life of patients with COVID-19.

Background: Rare studies have been done about rehabilitation stage in patients with COVID-19. Materials and Methods: In randomized controlled clinical trial, thirty Participants were randomly divided to control group (CG) and intervention group (IG). Participants in IG group performed rehabilitation trainings 30 minutes once a day for two 4 weeks. Forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), FEV1/FVC and forced expiratory flow (FEF) 25-75% were measured using spirometry. Six-min walk distance [6-MW) test as well as heart rate (HR) and blood oxygen saturation (SPO2) were measured, also. Results: Twenty-eight patients completed the study. FVCact, FEV1act, FEV1pred, FEV1/FVCact, FEV1/FVCPred were significantly improved in intervention group as compared to control group (Ptime*group FVCact= 0.01, Ptime*group FEV1act< 0.001, Ptime*group FEV1pred< 0.001, Ptime*group FEV1/FVCact= 0.01, Ptime*group FEV1/FVCpred< 0.01). In addition, changes in FVCpred and PEFact became significant after the adjustments [Ptime*group FVCpred= 0.03, Ptime*group PEFact= 0.05). Finally, no significant differences were seen in changes of rest heart rate (RHR) (Ptime*group: 0.55), walk heart rate (WHR) (Ptime*group: 0.61), walked distance (Ptime*group: 0.41), and PEFpred [Ptime*group= 0.09) throughout the study between the two groups. Conclusion: This study illustrated rehabilitation training significantly increased FVC, FEV1, FEV1/FVC, and PEFact, while it had no significant influence on PEFpred, RHR, WHR and walk distance after 8-weeks. However, further RCTs are needed to confirm our findings.

Introduction: The respiratory system, one of the most important organs of the body, can be affected by adverse effects, disorders and consequences in the workplace. Spirometry is one of the most important screening and testing tools in the periodic medical examination of every employee. This study was aimed to evaluate the factors affecting the respiratory function of staff of Tehran University of Medical Sciences (TUMS). Material and Methods: This descriptive-analytical and cross-sectional study carried out on 300 employees of TUMS according on during the enrollment phase of the Tehran University of Medical Sciences employee’s cohort (TEC) study was in order to survey the parameters affecting pulmonary function. Demographic data were collected through a demographic questionnaire. Spirometry was used to evaluate respiratory function parameters and bioelectric impedance was used to analyze body composition. Data analysis was performed by SPSS software version 25. Two-sample t-test, one-way ANOVA, and Pearson correlation coefficient were used for statistical analysis. Multiple linear regression was used to determine the effect of independent variables on the parameters of pulmonary function. Results: It was found that 73.6% of the subjects had a normal lung pattern, 7% had an obstructive pattern, 14.7% had a threatening pattern and 4.7% had a mixed pattern. There was a significant negative correlation between FVC and FEV1 parameters and smoking (P-value

Background: Abdominoplasty is a surgical procedure with the aim of creation of an abdomen with normal naval and abdominal wall appearance with least scar. This procedure is accompanied with various complications. Current study aimed to assess the effects of abdominal plication following abdominoplasty on respiratory tract pressure. Methods: This was a census clinical-trial study conducted on 100 patients who had undergone abdominoplasty in Isfahan City, Iran, during 2016-17. Respiratory functions including pulse rate, respirator rare, peak inspiratory pressure, and peak expiratory pressure were assessed in patients prior to and immediately after abdominoplasty. Data were analyzed with using SPSS software. P-value of less than 0.05 was considered significant. Findings: 100 patients including 92 women (92%) and 8 men (8%) with mean age of 37.77 ± 7.89 years were participated in this study. Mean arterial blood pressure, mean tracheal pressure, systolic blood pressure, diastolic blood pressure, mean blood pressure, and respiratory rate of patients were significantly different prior to and after the surgery (P < 0.05); but pulse rate was not statistically different prior to and after the surgery (P > 0.05). The least tracheal pressure (17 mmH2O) and the most satisfaction (5 out of 5) was achieved with upper abdomen plication of 15 centimeters and lower abdomen plication of 14 centimeters. Conclusion: Tracheal pressure and respiratory rate can be used for assessment of respiratory function immediately after abdominoplasty. Results of the current study showed that the size of plication had significant effect on tracheal pressure, respiratory rate, and patients' satisfaction after abdominoplasty.

Background and Aim: Plasma leptin, adiponectin (as theadipokines) and related obesity – HOMA index in the obese men are introduced as a predictive metabolic indicators for asthmatic individuals. However, under asthma conditions, role of cariometabolic variables interaction for altering clinical pulmonary indexes aren't clear. In the present study, the relationship between plasmatic adiponectin to leptin ratio (adipo/lep) with respiratory capacities & HOMA in the chronic asthmatic males are investigated. Materials and Methods: Thirty nine obese males with mild to moderate asthma with an average age of 38±2.6 ys and BMI 31.4 ± 1.06 kg/m2 voluntarly participated in this study. Baseline plasmatic leptin, adiponetin, insulin and glucose levels were determined after 10-12 hours fasting overnight. FEV1/FVC, PEF% and FEF 25%-75% were determined by standard method. A pearson correlation test was used to analyse data. Results: There were no significant correlation between WHR , BMI with metabolic risk factors (P>0.05). Relationship markedly observed among HOMA with adipo/ lep ratio and leptin levels respectively (P

An interesting feature of the olfactory system is its relationship with the respiratory system. The research studies have shown that olfactory imagery increases respiratory tidal volume, resulting in an improvement in respiratory function. This paper systematically reviews the effectiveness of mental imagery on respiratory function. Twelve electronic databases were searched from their inception through the end of January 2015. Our literature search was limited to English and Persian databases, using the predetermined keywords to find the existing evidence on the effectiveness of mental imagery on respiratory function. The selection of articles, data extraction and validations were performed by two independent reviewers. The search yielded 69 articles, 7 of which met the inclusion criteria. No additional article was identified from the bibliographies of retrieved papers. Despite very little research on olfactory imagery, the evidence indicates that this imagery approach can improve respiratory function by stimulating sniffing and subsequent increase in respiratory volume and depth. However, further research is required to provide evidence of the effectiveness of mental imagery in cases such as respiratory muscle weakness or decreased respiratory function. [ABSTRACT FROM AUTHOR]

Background and Aim: Plasma leptin, adiponectin (as theadipokines) and related obesity – HOMA index in the obese men are introduced as a predictive metabolic indicators for asthmatic individuals. However, under asthma conditions, role of cariometabolic variables interaction for altering clinical pulmonary indexes aren't clear. In the present study, the relationship between plasmatic adiponectin to leptin ratio (adipo/lep) with respiratory capacities & HOMA in the chronic asthmatic males are investigated. Materials and Methods: Thirty nine obese males with mild to moderate asthma with an average age of 38±2.6 ys and BMI 31.4 ± 1.06 kg/m2 voluntarly participated in this study. Baseline plasmatic leptin, adiponetin, insulin and glucose levels were determined after 10-12 hours fasting overnight. FEV1/FVC, PEF% and FEF25%-75% were determined by standard method. A pearson correlation test was used to analyse data. Results: There were no significant correlation between WHR, BMI with metabolic risk factors (P>0.05). Relationship markedly observed among HOMA with adipo/lep ratio and leptin levels respectively (P<0.05), Also a marked negative correlation between adipokine ratio and leptin level was obtained (P<0.05). From view of respiratory efficiency, FVC% and FEV1/FVC were maingly corrected with baseline leptin&adiponectin levels (P<0.05). Conclusion: Inconclusion, it seems that adipo/lep ratio biomarker plays as a clinical diagnosis index for HOMA index than baseline leptin or adiponectin levels. However, these findings showed that FEV1/FVC & adipo/lept ratios are accounted as valuable indicators for evaluating the obesity syndrome and pulmonary efficiency in the asthma disease. [ABSTRACT FROM AUTHOR]