Post Covid Syndrome
Conditions
Brief summary
Coronavirus (19) is a pandemic that affects many countries allover the world. Many patients experienced symptoms as dyspnea and fatigue after their recovery from coronavirus . These symptoms appear to occur regardless the severity of the infection. In addition, many studies reported change in the inflammatory status and immunity in post covid patients. laser acupuncture is a painless noninvasive modality that is used in treating many diseases. laser acupuncture appear to have a role in relieving symptoms, altering inflammatory status and boosting immunity in post covid patients.
Interventions
gallium-aluminum arsenide diode laser with a continuous wave and a wavelength of 850nm will be used for laser acupuncture. it will be applied for three times per week for 12 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* age will be ranged from 30 to 40 years * patients were diagnosed as covid 19 by polymerase chain reaction test using nasopharyngeal swap * patients will be negative polymerase chain reaction test (pcr) with symptoms of dyspnea and fatigue. * patients will be recruited after 2 weeks post the negative pcr * patients who want to participate and complete the study till the end
Exclusion criteria
* patients with photosensitivity * pacemaker plantation pregnant women * BMI more than 30kg/m2 infection or inflammation at the site of acupuncture laser malignancy uncontrolled diabetes psychiatric disorders or mental retardation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in level of interleukin 4 | after 12 weeks of treatment | BD FACS Canto flow cytometer with BD CBA human th1/th2 cytokine kit will be used |
| change in the level of CD 3 T cells | after 12 weeks of treatment | 5ml of blood will be drawn and serum will be separated. cd3 level will be measured using BD FACS Canto flow cytometer |
| change in the level of cd4 T cells | after 12 weeks of treatment | cd4 will be measured using BD FACS Canto flow cytometer after blood sample will be separated |
| change in level of dyspnea | after 12 weeks of treatment | mMRC scale is a five point scale to detect degree of dyspnea while performing physical activity. it is ranged from 0-4 |
| change in level of interleukin 6 | after 12 weeks of treatment | BD FACS Canto flow cytometer with BD CBA human th1/th2 cytokine kit will be used |
| change in lymphocyte count | after 12 weeks of treatment | BD FACS Canto flow cytometer will be used |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in fatigability | after 12 weeks of treatment | chalder fatigue scale is 11 items scale. people of 4 or more are considered meeting the criteria of fatigue |