A rapid review of physiotherapy in a palliative care programme for people living with HIV
Abstract
Background: Physiotherapy plays an important role in the management of patients with HIV/AIDS in palliative care. This review provides a summary of the available evidence on the effectiveness of physiotherapy interventions in a palliative care program for HIV/AIDS patients. Methods: A search of the PubMed, CINAHL, and Cochrane databases was conducted for studies published between 2016 and 2021. A total of 7 studies met the inclusion criteria and were included in this review. The studies evaluated the effectiveness of physiotherapy interventions, including exercise therapy, respiratory therapy, and manual therapy, in improving the quality of life, functional capacity, and symptom management in HIV/AIDS patients receiving palliative care. Results: The studies demonstrated that physiotherapy interventions were effective in improving the quality of life and functional capacity of HIV/AIDS patients. Exercise therapy improved muscle strength, endurance, and aerobic capacity, while respiratory therapy improved pulmonary function and reduced dyspnoea. Massage therapy as well as manual therapy was effective in reducing pain and improving joint range of motion. In addition, physiotherapy interventions were effective in managing symptoms commonly experienced by HIV/AIDS patients, such as fatigue, pain, and depression. Exercise therapy reduced fatigue and improved mood, while manual therapy reduced pain and improved relaxation. Conclusion: Physiotherapy is an important component of palliative care for HIV/AIDS patients. The evidence suggests that exercise therapy, respiratory therapy, and manual therapy are effective interventions for improving the quality of life, functional capacity, and symptom management in this patient population. However, further research is needed to determine the optimal timing, frequency, and duration of these interventions.
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