This document discusses the role of physiotherapists in the rehabilitation of COVID-19 patients. It begins by outlining the current global situation of the COVID-19 pandemic. It then describes the responsibilities of physiotherapists, including developing rehabilitation protocols for patients with varying illness severities. Mild cases may involve exercises while critical cases require techniques like chest physiotherapy and positioning. The document stresses a multidisciplinary approach involving various specialties working collaboratively to ensure best care and recovery for patients. Education of patients and their families is also emphasized.

1. COVID19
vs
Physiotherapist’s role & its
Rehabilitation
DR.SANA KOMAL
DPT,MS-OMPT
PHD-CONTROL SCIENCE &
REHABILITATION
ROBOTICS
7/19/2020 DR.SANA KOMAL 1

2. Table of Contents
01
COVID19 Current
Situation
Responsibilities
of PT
03
Rehabilitation
and COVID19
Team Work
02
Conclusion
04 05

3. World Health Organization
Evolution Prevalence
200,000,000
Russia
4080 people got infected in every
24 hours in Pakistan
85 patient
Every 30 minute
42 patient
every 15 minutes
Pakistan
Canada
206152
634 437103 032
7/19/2020 DR.SANA KOMAL 3

4. 3,892
Per day Cases
3,337
Critical
60% ratio of recovery mild conditions

5. Most Common Symptoms of COVID19
Cough Sore ThroatDifficulty
Breathing
Fever
Serious Symptoms
Chest Pain Loss of speech
& taste
Shortness of Breath
Less Common symptoms
Body Aches
Diarrhea
Conjunctivitis
Skin Rash

6. Prevention

7. Possible Treatment
Oxygen Therapy
A normal blood oxygen level varies between 75
and 100 millimeters of mercury (mm Hg). A blood
oxygen level below 60 mm Hg is considered low
and may require oxygen support.
Life Support
Devices
Ventilation is required when RR is below
Adults: 12–18 breaths per minute
3 years: 20–30 breaths per minute
6 years: 18–25 breaths per minute
10 years: 17–23 breaths per minute
Plasma
Transfusion
Plasma transfusions are used for patients
with liver failure, severe infections, and
serious burns.
Rehabilitation
1. Physical
2. Emotional
3. Psychological
4. Nutritional
5. Educational

8. Rehabilitation
Pre-Infection
Post- Infection
Mild Infection
Aerobics, Strengthening, Balance and stretching
exercises. Education, psychiatry session.
WHO recommends 150 minutes of moderate-intensity or
75 minutes of vigorous-intensity physical activity per
week for adults, or a combination of both.
For hospitalized people with normal heart blood tests
they should rest without exercise until symptoms
resolve
Critical Condition
Chest Physiotherapy is strongly recommended
along with positioning and ankle movement in CU.

9. Physiotherapy Protocol
Mild /Quarantine
1. Mackenzie stretch
2. Breathing Exercises
3. No Aerobics
4. Hook position
5. Balance & Cognition
02
Hospitalized
1. Chest Physio Vibration technique
2. Ankle knee and back stretches
3. Positioning regarding lobes of the
lungs
4. Pursed breathing
o Relax shoulder & neck
o Nasal breath for 2 seconds
o Breath out for 4 seconds
03
Critical Unit
1. Positioning for drainage /15
min each
2. Ankle stretch & knee
positioning
3. Back support
4. Vibration technique for
specified lung lobes
(auscultation)
04
Pre Infection
1. 1000 steps/day
2. Stretching 20/day
3. Breathing exercises
4. Balance & Cognition
5. Aerobics 30 min/day
01

10. Positioning and
basic guideline for
lung support and
drainage regarding
lobes.

11. Self Quarantine
1. 1000 Steps daily
2. Breathing enhancement (Pursed breathing)
3. Mackenzie stretch (20 repetition,2 sets)
4. Hooked sitting position (15 min, 2 sets)
5. Supported lying (supported hip flexion,knee30*)
6. Calf muscles strengthening

12. Hospitalized
WARD
Chest Clearance Body
ache recovery > stretches
& Breathing education
Supported hook sitting
position, Knee & ankle
stretches, Pursed breathing
Isolation
Passive Stretches, Passive
positioning, Monitored chest
clearance technique
Critical Illness Unit
Low intensity medium endurance
work, 500-1000 steps daily, full
body stretches, deep breathing
exercises, endurance training.
Recovery

13. COVID vs Health
Team work
Professional
Expertise
Technical Support &
Excellence
Education

14. Multidesciplinary Approach
Respect and
collaboration
between
departments to
ensure best quality
and quick recovery
of the patient from
every single aspect
7/19/2020 DR.SANA KOMAL 14

15. Professional
Experties
Explain the plan for patient treatment and create a
mutual understanding while remaining within the
concerned field of work

16. Staff & Doctor Collaboration
Basic techniques and technical equipment.

17. Patient & Attendee
Education
First and most important step is to educate
the patient to avoid mental stress and to
gain confidence and encouragement.

18. “A Muslim shall never
leave another Muslim
helpless, in the time of
need.”
Humanity & Muhammad (PBUH)

19. THANK YOU
A multidisciplinary approach is a whole method of recovery. No team ever
be seen on failing to achieve their goals. In this globular hard condition
lets join hands to make a differences in life. Chin up and walk with
confidence. You! Yes you are a health care provider be proud of that.
God bless you and increase you in knowledge and respect.
Dr. Sana Komal

20. Our Team
John Doe
Here you can talk a bit
about this person
Jenna
PattersonHere you can talk a bit
about this person
Helena James
Here you can talk a bit
about this person
Dr.Sana Komal
H.O.D Rehabilitation Medicine
PIHMS, Peshawar
Dr. Mian Awais Ahmed
Doctor of Physical Therapy
Vice President of YPDA-PK
Dr. Mian Waleed Ahmed
Doctor of Physical Therapy
General Secretary of YPDA-PK