Medical rehabilitation strategies in complex assistance of people with COVID-19
Keywords:
Сovid-19, rehabilitation, Pulmonary rehabilitation, physical activity, functional defi cit, exercise physical fi tness, consequences of Сovid-19Abstract
Covid-19 infection is a challenge for the medical system. The development of programs and strategies for the rehabilitation of people in diff erent stages of the disease is relevant and current. Th e study is a bibliographic synthesis that aimed to analyze the methods and strategies of medical rehabilitation of patients with the new “coronavirus infection”. Data were collected from the academic databases PubMed, PubMed Central, Google, collecting relevant articles from 2019-2021, using the keywords: [“Covid-19” or “Covid 19” or “2019CoV” or “SARS- CoV”or“new coronavirus”or“ SARS-CoV-2”] and [“rehabilitation ”or“ physical medicine”]. The aim of the study was to estimate the consequences of COVID-19 and to identify methods of recovery treatment. Because Covid-19 severely aff ects the respiratory system, pulmonary rehabilitation interventions with respiratory techniques and postural drainage combined with other physiotherapeutic methods may be used for a patient with COVID-19. Th e wide range of clinical manifestations in COVID-19 reveals the importance of adapting the rehabilitation program to functional defi cits and patient needs. Multifactorial programs combined with active and supportive methods (physical therapy, exercise, occupational therapy, refl ex therapy) are eff ective and can be used in the complex care of patients with COVID-19 at all stages of treatment.
References
1. Zhang G, Hu C, Luo L, et al. Clinical features and short-term outcomes of 221 patients with COVID-19 in Wuhan, China. J Clin Virol. 2020;127:104364. https://doi.org/10.1016/j.jcv.2020.104364
2. De Biase S, Cook L, Skelton DA, et al. The COVID-19 rehabilitation pandemic. Age Ageing. 2020;49(5):696-700. https://doi.org/10.1093/ageing/afaa118
3. Simpson R, Robinson L. Rehabilitation after critical illness in people with COVID-19 infection. Am J Phys Med Rehabil. 2020;99(6):470-474. https://doi.org/10.1097/PHM.0000000000001443
4. Halpin SJ, McIvor C, Whyatt G, Adams A, et al. Post-discharge symptoms and rehabilitation needs in survivors of COVID-19 infection: a cross-sectional evaluation. J Med Virol. 2021;93(2):1013-1022. https://doi.org/10.1002/jmv.26368
5. World Health Organization. Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected: interim guidance. Geneva: WHO; 2020. https://doi.org/10.15557/PiMR.2020.0003
6. O'Sullivan O, Barker-Davies R, Chamley R, et al. Defence Medical Rehabilitation Centre (DMRC) COVID-19 Recovery Service. BMJ Mil Health. 2021;167(2):122-125. https://doi.org/10.1136/bmjmilitary-2020-001681
7. Carda S, Invernizzi M, et al. The role of physical and rehabilitation medicine in the COVID-19 pandemic: the clinician's view. Ann Phys Rehabil Med. 2020;63(6):554-556. https://doi.org/10.1016/j.rehab.2020.04.001
8. Carda S, Invernizzi M, Bavikatte G, Bensmail D, et al. COVID-19 pandemic: what should Physical and Rehabilitation Medicine specialists do? A clinician's perspective. Eur J Phys Rehabil Med. 2020;56(4):515-524. https://doi.org/10.23736/S1973-9087.20.06317-0
9. Zhao HM, Xie YX, Wang C. Recommendations for respiratory rehabilitation in adults with COVID-19. Chin Med J (Engl). 2020;133(13):1595-1602. https://doi.org/10.1097/CM9.0000000000000848
10. Barker-Davies RM, O'Sullivan O, Senaratne KPP, et al. The Stanford Hall consensus statement for post-COVID-19 rehabilitation. Br J Sports Med. 2020;54(16):949-959. https://doi.org/10.1136/bjsports-2020-102596
11. Yohannes AM, Dryden S, Casaburi R, Hanania NA. Long-term benefits of pulmonary rehabilitation in patients with COPD: a 2-year follow-up study. Chest. 2021;159(3):967-974. https://doi.org/10.1016/j.chest.2020.10.032
12. Cascella M, Rajnik M, Cuomo A, Dulebohn SC, Di Napoli R. Features, evaluation and treatment of coronavirus (COVID-19). StatPearls. Treasure Island (FL): StatPearls Publishing; 2020.
13. Pascal O, Tăbârță A, Pleșca S, Melnic A. Ghid național "Reabilitarea medicală a pacienților cu infecția COVID-19". Chișinău: Ministerul Sănătății, Muncii și Protecției Sociale; 2020.
14. Liu K, Zhang W, Yang Y, Zhang J, Li Y, Chen Y. Respiratory rehabilitation in elderly patients with COVID-19: a randomized controlled study. Complement Ther Clin Pract. 2020;39:101166. https://doi.org/10.1016/j.ctcp.2020.101166
15. Felten-Barentsz KM, van Oorsouw R, Klooster E, Koenders N, Driehuis F, et al. Recommendations for hospital-based physical therapists managing patients with COVID-19. Phys Ther. 2020;100(9):1444-1457. https://doi.org/10.1093/ptj/pzaa114
16. Chang MG, Mo G, Yuan X, et al. Time kinetics of viral clearance and resolution of symptoms in novel coronavirus infection. Am J Respir Crit Care Med. 2020;201(9):1150-1152. https://doi.org/10.1164/rccm.202003-0524LE
17. Thomas P, Baldwin C, Bissett B, et al. Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. J Physiother. 2020;66(2):73-82. https://doi.org/10.1016/j.jphys.2020.03.011
18. Kochi AN, Tagliari AP, Forleo GB, et al. Cardiac and arrhythmic complications in patients with COVID-19. J Cardiovasc Electrophysiol. 2020;31(5):1003-1008. https://doi.org/10.1111/jce.14479
19. Madjid M, Safavi-Naeini P, Solomon SD, Vardeny O. Potential effects of coronaviruses on the cardiovascular system: a review. JAMA Cardiol. 2020;5(7):831-840. https://doi.org/10.1001/jamacardio.2020.1286
20. Wang D, Hu B, Hu C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-1069. https://doi.org/10.1001/jama.2020.1585
21. Cowie A, Buckley J, Doherty P, et al. Standards and core components for cardiovascular disease prevention and rehabilitation. Heart. 2019;105(7):510-515. https://doi.org/10.1136/heartjnl-2018-314206
22. Calabrese M, Garofano M, Palumbo R, et al. Exercise training and cardiac rehabilitation in COVID-19 patients with cardiovascular complications: state of the art. Life (Basel). 2021;11(3):259. https://doi.org/10.3390/life11030259
23. Zheng YY, Ma YT, Zhang JY, Xie X. COVID-19 and the cardiovascular system. Nat Rev Cardiol. 2020;17(5):259-260. https://doi.org/10.1038/s41569-020-0360-5
24. Zhou F, Yu T, Du R, Fan G, Liu Y, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-1062. https://doi.org/10.1016/S0140-6736(20)30566-3
25. Guo T, Fan Y, Chen M, Wu X, Zhang L, et al. Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19). JAMA Cardiol. 2020;5(7):811-818. https://doi.org/10.1001/jamacardio.2020.1017
26. Inciardi RM, Lupi L, Zaccone G, Italia L, Raffo M, Tomasoni D, et al. Cardiac involvement in a patient with coronavirus disease 2019 (COVID-19). JAMA Cardiol. 2020;5(7):819-824. https://doi.org/10.1001/jamacardio.2020.1096
27. Mao L, Wang M, Chen S, He Q, Chang J, Hong C, et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol. 2020;77(6):683-690. https://doi.org/10.1001/jamaneurol.2020.1127
28. Del Rio C, Collins LF, Malani P. Long-term health consequences of COVID-19. JAMA. 2020;324(17):1723-1724. https://doi.org/10.1001/jama.2020.19719
29. Neufeld KJ, Leoutsakos JMS, Yan H, Lin S, Zabinski JS, Dinglas VD, et al. Fatigue symptoms during the first year following acute respiratory distress syndrome. Chest. 2020;158(3):999-1007. https://doi.org/10.1016/j.chest.2020.03.059
30. College of Occupational Therapists. A quick guide for occupational therapists: rehabilitation for people recovering from COVID-19. London: Royal College of Occupational Therapists; 2020.
31. Kurtaiş Aytür Y, Köseoğlu BF, Özyemişçi Taşkıran Ö, Ordu-Gökkaya NK, Ünsal Delialioğlu S, Sonel Tur B, et al. Pulmonary rehabilitation principles in SARS-CoV-2 infection (COVID-19): a guideline for acute and subacute rehabilitation. Turk J Phys Med Rehabil. 2020;66(2):104-120. https://doi.org/10.5606/tftrd.2020.6444
32. Zhang C, Shi L, Wang FS. Liver injury in COVID-19: management and challenges. Lancet Gastroenterol Hepatol. 2020;5(5):428-430. https://doi.org/10.1016/S2468-1253(20)30057-1
33. Bangash MN, Patel J, Parekh D. COVID-19 and the liver: little cause for concern. Lancet Gastroenterol Hepatol. 2020;5(6):529-530. https://doi.org/10.1016/S2468-1253(20)30084-4
34. Lauer SA, Grantz KH, Bi Q, Jones FK, Zheng Q, Meredith HR, et al. The incubation period of coronavirus disease 2019 (COVID-19) from publicly reported confirmed cases: estimation and application. Ann Intern Med. 2020;172(9):577-582. https://doi.org/10.7326/M20-0504
35. Yonter SJ, Alter KE, Bartels MN, et al. What now for rehabilitation specialists? Coronavirus disease 2019 questions and answers. Arch Phys Med Rehabil. 2020;101(12):2233-2242. https://doi.org/10.1016/j.apmr.2020.09.368
36. Demeco A, Marotta N, Barletta M, Pino I, Marinaro C, Petraroli A, et al. Rehabilitation of patients post-COVID-19 infection: a literature review. J Int Med Res. 2020;48(8):300060520948382. https://doi.org/10.1177/0300060520948382
37. Zeng B, Chen D, Qiu Z, Zhang M, Wang G. Expert consensus on protocol of rehabilitation for COVID-19 patients using framework and approaches of WHO International Family Classifications. Aging Med (Milton). 2020;3(2):82-94. https://doi.org/10.1002/agm2.12120
38. Wang TJ, Chau B, Lui M, Lam GT, Lin N, Humbert S. PM&R and pulmonary rehabilitation for COVID-19. Am J Phys Med Rehabil. 2020;99(9):769-774. https://doi.org/10.1097/PHM.0000000000001505
39. World Health Organization. Rapid assessment of service delivery for noncommunicable diseases during the COVID-19 pandemic. Geneva: WHO; 2020.
40. Huang S, Xiao Y, Yan L, Deng J, He M, Lu J, et al. Implications for online management: two cases with COVID-19. Telemed J E Health. 2020;26(4):487-494. https://doi.org/10.1089/tmj.2020.0066
41. World Health Organization. World report on ageing and health. Geneva: WHO; 2015.
42. Hammami A, Harrabi B, Mohr M, Krustrup P. Physical activity and coronavirus disease 2019 (COVID-19): specific recommendations for home-based physical training. Managing Sport and Leisure. 2020;27(1-2):26-31. https://doi.org/10.1080/23750472.2020.1757494
43. Бубнова МГ, Персиянова-Дуброва АЛ, Лямина НП, Аронов ДМ. Реабилитация после новой коронавирусной инфекции (COVID-19): принципы и подходы. КардиоСоматика. 2020;11(4):6-14.
44. Бубнова МГ, Шляхто ЕВ, Аронов ДМ. Новая коронавирусная инфекционная болезнь COVID-19: особенности комплексной кардиологической и респираторной реабилитации. Российский кардиологический журнал. 2021;26(5):4487.
45. Гетманская ЮМ, Трегер Ю. Реабилитация тяжелых больных после коронавирусной инфекции в рамках госпитализации в реабилитационном отделении: анализ конкретных случаев. Вестник восстановительной медицины. 2021;20(2):4-10.
46. Демченко ЕА, Красникова ВВ, Янишевский СН. Практические рекомендации по физической реабилитации больных с тяжелым течением COVID-19 в отделениях реанимации и интенсивной терапии. Артериальная гипертензия. 2020;26(3):327-342.
47. Иванова ГЕ, Шмонин АА, Мальцева МН, и др. Реабилитационная помощь в период эпидемии новой коронавирусной инфекции COVID-19 на первом, втором и третьем этапах медицинской реабилитации. Физическая и реабилитационная медицина, медицинская реабилитация. 2020;2(2):98-117.
48. Мещерякова НН, Белевский АС, Кулешов АВ. Легочная реабилитация пациентов, перенесших коронавирусную инфекцию COVID-19 (клинические примеры). Пульмонология. 2020;30(5):715-722.
49. Фесюн АД, Лобанов АА, Рачин АП, и др. Вызовы и подходы к медицинской реабилитации пациентов, перенесших осложнения COVID-19. Вестник восстановительной медицины. 2020;97(3):3-13.
50. Шмонин АА, Мальцева МН, Мельникова ЕВ, и др. Медицинская реабилитация при коронавирусной инфекции: новые задачи для физической и реабилитационной медицины в России. Вестник восстановительной медицины. 2020;97(3):14-21.
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