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1.
Italian Journal of Medicine ; 16(SUPPL 1):13-14, 2022.
Article in English | EMBASE | ID: covidwho-1912938

ABSTRACT

Background and Aim of the study: Many patients affected by COVID-19 after having been declared “recovered” show the so called “long covid syndrome”: a series of signs and symptoms which resist for weeks after the clinical healing. Materials and Methods: We studied 11 patients between 30 and 75 years old with diagnosis of COVID19 and then declared healed. All patients have been treated at home with light or moderate respiratory symptoms. Patients with cardio-pulmonary conditions, tumors or metabolic diseases were cut out from the study. During the study patients were monitored for SpO2 and heart rate frequency. Patients were treated with respiratory rehabilitation, soft tissues manipulation and specific exercises to improve lung capacity. Results: After the treatment all patients referred a reduction of the chest oppression and better dilatation of the chest. Saturation improved from treatment to treatment (average before treatments: 93,7% RV 87 - 95. Average after treatments: 98,7% RV 97-99) with an average improvement of 5% in Sp O2. Conclusions: The study involved a limited number of patients because of difficulties in recruiting but the results are indicative of the effectiveness of a non pharmacological intervention that can help patient in recovering after COVID-19. A wider diffusion of the culture of physical treatment both among physicians and patients may help to contain the spreading of the “long covid syndrome”.

2.
Italian Journal of Medicine ; 16(SUPPL 1):80, 2022.
Article in English | EMBASE | ID: covidwho-1912937

ABSTRACT

Those who have faced SARS-Cov-2 disease have a 60% higher risk of developing mental disorders within a year of infection. Anxiety, depression and sleep problems are the most frequent. A research published in the British Medical Journal highlights how the risk is greater among those who have had a severe form of the disease, but also emerges among those who have not needed hospitalization. Less than a year after infection, among the healed there is an increase in diagnosis or prescription of drugs for mental disorders equal to 64 cases more per 1,000 people than those who have not contracted the virus. In particular, among those who had become ill there was an increase of 24 cases of sleep disorders per 1,000 people, 15 cases per 1,000 of depressive symptoms, 11 per 1,000 of neurocognitive decline and 4 per 1,000 of substance use disorders (excluding opioids). The gut microbiota has been associated with a plethora of disorders, including some pathologies involving the brain. Recently, a group of researchers found that patients with major depressive disorder (MDD) have a different microbial “signature” than healthy people. The findings, published in Science Advances, suggest that patients with depression are characterized by alterations in the gut microbiota, and previous studies have found that depressed people have alterations in the gut microbiota. Proper diet and nutrition in order to replenish the gut microbiome can promote good mental balance and help prevent mental disorders as much as good mental hygiene can help counteract gastrointenstinal disorders.

3.
Italian Journal of Medicine ; 16(SUPPL 1):62, 2022.
Article in English | EMBASE | ID: covidwho-1912887

ABSTRACT

Introduction: In this publication, it is described the clinical case of a 59-year-old female patient reporting anxiety-related symptomatology, generally worsening postpandemic and post-SARS-CoV- 2 infection. Clinical Case Description: A 60-year-old female patient reports an heightened state of anxiety as a consequence of the pandemic and after being infected by SARS-CoV-2. Reported symptoms are heart palp, tachycardia, chest pain and increased sweating. Since the appearance of those symptoms, she has been prescribed extended release anxiolytic medication by her primary care physician, such as 0.5 mg benzodiazepines (one tablet per evening). The patient underwent two osteopathic treatments. A questionnaire was given to assess the patient's perceived state of anxiety before the first treatment and after the second one. The patient indicates a decrease in anxiety-related symptoms and the questionnaire shows a significant reduction in her perceived anxiety. The clinical examinations she underwent revealed respiratory performance decrease (spirometry) and QRS complex lengthening (ECG). Conclusions: Osteopathic treatment is effective on anxiety side effects due to the pandemic era. Assess the possible replacement, interchange or reduction of pharmacological therapy (benzodiazepines).

4.
Italian Journal of Medicine ; 15(3):9, 2021.
Article in English | EMBASE | ID: covidwho-1567708

ABSTRACT

Aim of the study: The aim of the study was to determine the influence of fascial and soft tissue treatment on respiratory efficiency and chest mobility of men and women between 22 and 54 years old. Materials and Methods: Subjects between 22 and 54 y.o., vaccinated or healed from CoViD-19 and without any other pathologies were recruited. Fascial and soft tissues manual treatment was made on mesentery's roots, right pillar of diaphragm and ileocecal valve. Spirometry was executed before and after the treatment. Patients had been adequately instructed on how to make a spirometry. Results: FEV1 showed an average increase of 2% meanwhile FEF2575 showed an average increase of 14.38% [from 0.26% to 31.76%]. Conclusions: Although FEV1's improvement is not indicative, there is an improvement in FEF2575 indicating better spontaneous return of the diaphragm to its resting state after the treatment. The treatment doesn't act on filling because we have seen that the increase in FEV1 is not significant but it affects emptying so it could be interesting to evaluate how patients are able, after the treatment, to better empty themselves and, since better emptying is a prerequisite for better filling, whether and how the residual functional capacity improves. It is as if with the treatment we had made patients learn to better empty themselves, getting therefore a more elastic return of the diaphragm in its relaxed position. There is a gain except for smokers who always remain hyperinflated emphasizing then how the share of emphysema is already measurable for the smoker.

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