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Myofascial Release Therapy For COVID-19

This study aimed to research the results of Myofascial release therapy (MRT) on cardiorespiratory functions in patients with COVID-19.

Some evidence suggests that  manual therapy in certain chronic lung diseases, like chronic asthma attack and Chronic obstructive pulmonary disease (COPD), will have an effect on respiratory mechanics and increase chest wall flexibility and thoracic expansion. this method will indirectly improve exercise capability and lung function. there’s additionally evidence that the respiratory muscles stretching could improve ventilation in COPD patients; the mechanism of action is thru increased thoracic expansion capacity.

Besides, studies have shown that manual medical aid techniques that concentrate on the thoracic region (e.g. mobilization and manipulation) and exercise improve the range of motion, postural adaptations, and lung volumes and capacities in individuals with and while not respiratory diseases.

The manual diaphragm release technique is an intervention that stretches the diaphragm muscle fibers directly, so increasing chest mobility.

On the opposite hand, in patients within the respiratory phase of the COVID-19 infection, following changes in respiratory mechanics and shallow breathing, overactivity and adaptational changes area unit seen within the respiratory accessory muscles and facia of the upper thorax and neck. therefore the present study supposed to assess the effect of the neck, thoracic and diaphragmatic muscle and fascia release on the patient’s cardiac and respiratory functions.


  • A total of thirty six patients with COVID-19 (intervention group=20, controls=16) were enclosed within the present study.
  • The inclusion criteria were as follows: definitive diagnosis of COVID-19 (PCR test positive and moderate respiratory phase), over six months had passed since the onset of other acute respiratory infection, and therefore the absence of COPD or different respiratory diseases.
  • The patients within the intervention group participated in a very single session of suboccipital, anterior thoracic and sternal, anterior cervical, and diaphragm myofascial release techniques, and respiratory physiotherapy.


  • After using myofascial release techniques, significant effects on heart rate and respiratory rate were observed in patients with COVID-19.
  • it’s also possible that this manual therapy can prevent the rise in diastolic pressure following coughing exercises.
  • This study suggests that myofascial release be additional to the respiratory rehabilitation programs as a result it may in real-time have an effect on the heart rate and easy respiration.

Research Paper: Efficacy of Myofascial Release Therapy on the Cardiorespiratory Functions in Patients With COVID-19 Sara Fereydounnia1 , Azadeh Shadmehr1* , Alireza Tahmasbi1 1. Department of Physical Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.

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