Post-COVID-19 physical therapy: impact of respiratory and motor physical therapy on functional and cardiovascular recovery: A literature review

Authors

DOI:

https://doi.org/10.62827/fb.v26i6.1123

Keywords:

SARS-CoV-2; Physical Therapy Services; Respiratory Therapy.

Abstract

Introduction: Post-COVID-19 rehabilitation is essential to restore respiratory, cardiovascular, and functional capacity in patients presenting with persistent sequelae after infection. Musculoskeletal, cardiorespiratory, and metabolic complications resulting from the disease can significantly impair autonomy and quality of life, requiring interdisciplinary approaches that integrate physiotherapy, clinical management, and educational strategies. Objective: This study aimed to analyze the impact of interdisciplinary rehabilitation—emphasizing respiratory and motor physiotherapy—on functional and cardiovascular recovery in post-COVID-19 patients, considering parameters such as muscle strength, aerobic capacity, pulmonary function, and quality of life. Methods: A descriptive and analytical literature review was conducted, based on national and international publications retrieved from the Virtual Health Library (BVS), Latin American and Caribbean Literature on Health Sciences (LILACS), United States National Library of Medicine (PubMed), and Scopus databases. Twelve studies published between 2020 and 2025 were included, selected for their relevance to post-COVID-19 rehabilitation, physiotherapeutic protocols, and observed functional outcomes. Results: Evidence demonstrates that structured respiratory and motor physiotherapy programs significantly improve ventilatory capacity, peripheral muscle strength, exercise tolerance, and cardiovascular performance. Strategies combining breathing reeducation, muscle strengthening, progressive physical conditioning, and interdisciplinary medical supervision promoted functional recovery and reduced long-term complications. Factors such as therapeutic adherence, family support, and continuity of home-based care were decisive for maintaining functional gains. Findings reinforce that post-COVID-19 recovery depends on the interaction between clinical, behavioral, and social factors, with physiotherapy emerging as a central component in restoring function and autonomy. Conclusion: Interdisciplinary rehabilitation, particularly structured respiratory and motor physiotherapy, is fundamental to optimizing functional and cardiovascular recovery in post-COVID-19 patients. Individualized protocols integrating medical monitoring, therapeutic exercise, and educational interventions improve physical capacity, minimize sequelae, and enhance quality of life, underscoring the importance of multifactorial and patient-centered approaches in post-pandemic rehabilitation.

Author Biographies

  • Maria Luíza de Sales Endringer, UVV

    Graduanda de Medicina pela Universidade Vila Velha (UVV), Vila Velha, ES, Brasil

  • Isadora Severiano de Souza, UVV

    Graduanda de Medicina pela Universidade Vila Velha (UVV), Vila Velha, ES, Brasil

  • Luma Candian Gundling , UVV

    Graduanda de Medicina pela Universidade Vila Velha (UVV), Vila Velha, ES, Brasil

  • Anna Beatriz de Carvalho Manzoli , UVV

    Graduanda de Medicina pela Universidade Vila Velha (UVV), Vila Velha, ES, Brasil

  • Wilson Sant Anna Lopes Neto , UVV

    Graduando de Medicina pela Universidade Vila Velha (UVV), Vila Velha, ES, Brasil

  • Verônica Góbi Bernabé , UVV

    Graduanda de Medicina pela Universidade Vila Velha (UVV), Vila Velha, ES, Brasil

  • Jean Moschem, UVV

    Graduando de Medicina pela Universidade Vila Velha (UVV), Vila Velha, ES, Brasil

  • Erika Mendes Cypriano, UVV

    Graduanda de Medicina pela Universidade Vila Velha (UVV), Vila Velha, ES, Brasil

References

Abo Elyazed TI, Alsharawy L, Salem SE, Helmy NA, Abd El-Moneim AE. Effect of home-based pulmonary rehabilitation on exercise capacity in post COVID-19 patients: a randomized controlled trial. J Neuroeng Rehabil [Internet]. 2024 Mar [cited 2025 Nov 12];21(1):40. Available from: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-024-01340-x. doi:10.1186/s12984-024-01340-x.

Meléndez-Oliva E, Martínez-Pozas O, Cuenca-Zaldívar J N, Villafañe JH, Jiménez-Ortega L, Sánchez-Romero EA. Efficacy of pulmonary rehabilitation in post-COVID-19: a systematic review and meta-analysis. Biomedicines [Internet]. 2023 Aug [cited 2025 Nov 11];11(8):2213. Available from: https://www.mdpi.com/2227-9059/11/8/2213. doi:10.3390/biomedicines11082213.

Şahın H, Naz İ, Karadeniz G, Süneçli O, Polat G, Ediboğlu O. Effects of a home-based pulmonary rehabilitation program with and without telecoaching on health-related outcomes in COVID-19 survivors: a randomized controlled clinical study. J Bras Pneumol [Internet]. 2023 Jan [cited 2025 Nov 10];49(1):e20220107. Available from: https://www.scielo.br/j/jbpneu/a/ttjc8J8NsL9r6J7Hkw8CWRJ/. doi:10.36416/1806-3756/e20220107.

Vallier JM, Simon C, Bronstein A, Dumont M, Jobic A, Paleiron N, Mely L. Randomized controlled trial of home-based vs. hospital-based pulmonary rehabilitation in post-COVID-19 patients. Eur J Phys Rehabil Med [Internet]. 2023 Jan [cited 2025 Nov 09];59(1):103–10. Available from: https://pubmed.ncbi.nlm.nih.gov/36700245/. doi:10.23736/S1973-9087.22.07702-4.

Rutkowski S, Adamczyk M, Olszewski J, et al. Inpatient post-COVID-19 rehabilitation program featuring virtual reality: preliminary results of randomized controlled trial. Front Public Health [Internet]. 2023 Feb [cited 2025 Nov 08];11:1121554. Available from: https://pubmed.ncbi.nlm.nih.gov/36815161/. doi:10.3389/fpubh.2023.1121554.

Hockele LF, Sachet Affonso JV, Rossi D, Eibel B. Pulmonary and functional rehabilitation improves functional capacity, pulmonary function and respiratory muscle strength in post COVID-19 patients: pilot clinical trial. Int J Environ Res Public Health [Internet]. 2022 Nov [cited 2025 Nov 07];19(22):14899. Available from: https://www.mdpi.com/1660-4601/19/22/14899. doi:10.3390/ijerph192214899.

Reinert G, Müller D, Wagner P, Martínez-Pozas O, Cuenca-Záldivar JN, et al. Pulmonary rehabilitation in SARS-CoV-2: a systematic review and meta-analysis of post-acute patients. Diagnostics (Basel) [Internet]. 2022 Dec [cited 2025 Nov 06];12(12):3032. Available from: https://pubmed.ncbi.nlm.nih.gov/36553039/. doi:10.3390/diagnostics12123032.

Chen H, Shi H, Liu X, Sun T, Wu J, Liu Z. Effect of pulmonary rehabilitation for patients with post-COVID-19: a systematic review and meta-analysis. Front Med (Lausanne) [Internet]. 2022 Jun [cited 2025 Nov 05];9:837420. Available from: https://www.frontiersin.org/articles/10.3389/fmed.2022.837420/full. doi:10.3389/fmed.2022.837420.

Ponce-Campos SD, Díaz JM, Moreno-Agundis D, González-Delgado AL, Andrade-Lozano P, Avelar-González FJ, Hernández-Cuellar E, Torres-Flores F. A physiotherapy treatment plan for post-COVID-19 patients that improves the FEV1, FVC, and 6-min walk values, and reduces the sequelae in 12 sessions. Front Rehabil Sci [Internet]. 2022 Jun [cited 2025 Nov 04];3:907603. Available from: https://www.frontiersin.org/articles/10.3389/fresc.2022.907603/full. doi:10.3389/fresc.2022.907603.

Cevei M, Onofrei RR, Gherle A, Gug C, Stoicanescu D. Rehabilitation of post-COVID-19 musculoskeletal sequelae in geriatric patients: a case series study. Int J Environ Res Public Health [Internet]. 2022 Nov [cited 2025 Nov 03];19(22):15350. Available from: https://www.mdpi.com/1660-4601/19/22/15350. doi:10.3390/ijerph192215350.

Zampogna E, Paneroni M, Belli S, Aliani M, Gandolfo A, Visca D, et al. Pulmonary rehabilitation in patients recovering from COVID-19. Respiration [Internet]. 2021 May [cited 2025 Nov 02];100(5):416–22. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8089404/. Doi:10.1159/000514387.

Santana AV, Fontana AD, Pitta F. Pulmonary rehabilitation after COVID-19. J Bras Pneumol [Internet]. 2021 Jan [cited 2025 Oct 31];47(1):e20210034. Available from: https://www.scielo.br/j/jbpneu/a/nXKFpxSjzHpgw8893y77c6L/. doi:10.36416/1806-3756/e20210034.

Published

2025-11-28

How to Cite

Post-COVID-19 physical therapy: impact of respiratory and motor physical therapy on functional and cardiovascular recovery: A literature review. (2025). Fisioterapia Brasil, 26(6), 2795-2805. https://doi.org/10.62827/fb.v26i6.1123

Most read articles by the same author(s)