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Does virtual breathing pattern retraining improve breathlessness in patients with post COVID syndrome?

Lauren Williamson, Gita Ramdharry, Olivia Chapman, Melissa Heightman, Toby Hillman, Rebecca Livingston
European Respiratory Journal 2021 58: PA2265; DOI: 10.1183/13993003.congress-2021.PA2265
Lauren Williamson
1Therapy and Rehabilitation Department, University College Hospitals NHS Foundation Trust, London, United Kingdom
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  • For correspondence: l.williamson3@nhs.net
Gita Ramdharry
2National Hospital for Neurology & Neurosurgery, UCLH NHS Trust, London, United Kingdom
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Olivia Chapman
1Therapy and Rehabilitation Department, University College Hospitals NHS Foundation Trust, London, United Kingdom
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Melissa Heightman
3Respiratory Medicine Department, University College Hospitals NHS Foundation Trust, London, United Kingdom
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Toby Hillman
3Respiratory Medicine Department, University College Hospitals NHS Foundation Trust, London, United Kingdom
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Rebecca Livingston
1Therapy and Rehabilitation Department, University College Hospitals NHS Foundation Trust, London, United Kingdom
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Abstract

Introduction: British Thoracic Society (BTS) guidelines recommend assessment of breathing pattern disorder (BPD) for ongoing breathlessness post COVID-19 infection. Breathing pattern retraining (BPR) has been shown to improve breathlessness arising from BPD.

Aim: Ascertain percentage of people with BPD in a post-COVID clinic cohort.

To determine if virtual BPR improves breathlessness in patients with BPD following COVID-19 infection.

Method:: Data was collected from patients completing a systematic MDT assessment in a post-COVID clinic. Breathlessness (Dyspnoea 12- D12) and breathing pattern (Brompton Breathing Pattern Assessment Tool - BPAT) were assessed by the clinic Physiotherapist and on completion of BPR. Those with MDT diagnosis of BPD were referred for physiotherapy led virtual BPR. A Wilcoxon Sign Rank test was used to compare pre and post treatment data. The effect sizes were presented as a Hedge’s G statistic. Effect sizes are classified as: small > 0.2; moderate > 0.5; large > 0.8.

Results: 55 of 293 patients were diagnosed with BPD (18.8%).

Data for 17 patients who completed virtual BPR were analysed. Mean number of days since symptoms onset was 61.88 (SD 19.72). Patients completed a mean of 3.74 (SD 1.19) BPR sessions.

Improvement in D12 was statistically significant (median pre 18, post 5, (z=-3.62, p=0.000)). The effect size was large: Hedge’s G=1.84.

Improvement in BPAT was statistically significant (median BPAT pre 4 post 1, (z=-3.66, p=0.000)). The effect size was large: Hedge’s G=3.19.

Conclusion: BPD is prevalent post COVID. Virtual BPR improves breathing pattern and breathlessness.

  • Covid-19
  • Physiotherapy care

Footnotes

Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA2265.

This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2021
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Does virtual breathing pattern retraining improve breathlessness in patients with post COVID syndrome?
Lauren Williamson, Gita Ramdharry, Olivia Chapman, Melissa Heightman, Toby Hillman, Rebecca Livingston
European Respiratory Journal Sep 2021, 58 (suppl 65) PA2265; DOI: 10.1183/13993003.congress-2021.PA2265

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Does virtual breathing pattern retraining improve breathlessness in patients with post COVID syndrome?
Lauren Williamson, Gita Ramdharry, Olivia Chapman, Melissa Heightman, Toby Hillman, Rebecca Livingston
European Respiratory Journal Sep 2021, 58 (suppl 65) PA2265; DOI: 10.1183/13993003.congress-2021.PA2265
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