Possibilities of post-COVID medical rehabilitation in the context of the ongoing pandemic
https://doi.org/10.24884/1607-4181-2022-29-4-72-81
Abstract
Introduction. Effective and available rehabilitation methods are necessary in the context of the ongoing pandemic of COVID-19 (CoronaVirus Disease 2019).
The objective was to develop a personalized rehabilitation program for patients who have undergone COVID-19 based on the proven effectiveness of methods.
Methods and materials. Three months after COVID-19, 855 patients were examined by the method of standardized phone interview, according to the rehabilitation routing scale (RRS). 200 patients have got through the 10-days inpatient rehabilitation course. Breathing exercises, exercise regimen designed to strengthen basic muscles groups, Nordic walking were used. The physical activity level, heart rate and saturation (SpO2) have been monitored by wearable devices (fitness-trackers) during 3 months.
Results. Inpatient rehabilitation was required for 1 % of patients, outpatient – 19 %. 42 % did not need rehabilitation, but they had respiratory symptoms and decreased exercise tolerance. There was an improvement in flexibility, muscle strength; the duration of breath holding, 6-minutes walk test, exercise tolerance test; reducing the severity of shortness of breath (mMRC scale) and respiratory symptoms (САТ scale). The achieved level of daily physical activity was maintained for 3 months after the end of the rehabilitative program.
Сonclusion. Using the rehabilitation routing scale in the post-COVID period allows stratifying patients according to the degree of need for rehabilitation. Clinically significant and persistent positive effect in most patients can be achieved by physiotherapy methods during 10-days course. Wearable devices of monitoring biometric data are useful additional instruments for monitoring recovery after COVID-19.
About the Authors
V. A. Belash
Pavlov University
Russian Federation
Russian Federation
Belash Vasilii A., Cand. of Sci. (Med), Assistant of the Department of Medical Rehabilitation and Adaptive Physical Culture
6-8 L’va Tolstogo str., Saint Petersburg, 197022
A. A. Korshunova
Pavlov University
Russian Federation
Russian Federation
Korshunova Aleksandra A., Deputy Chief Physician of the Clinic for Clinical and Expert Work
Saint Petersburg
E. B. Bilichenko
Pavlov University
Russian Federation
Russian Federation
Bilichenko Elena B., Doctor of Physical Therapy, Department of Physical Methods of Treatment and Rehabilitation of the Scientific and Clinical Research Center
Saint Petersburg
Ju. A. Lamden
Pavlov University
Russian Federation
Russian Federation
Lamden Julia A., Cand. of Sci. (Med), Doctor of Physical Therapy of the Department of Physical Methods of Treatment and Rehabilitation of the Scientific and Clinical Research Center
Saint Petersburg
A. N. Kulikov
Pavlov University
Russian Federation
Russian Federation
Kulikov Aleksandr N., Dr. of Sci. (Med), Professor, Head of the Department of Functional Diagnostics
Saint Petersburg
References
1. World Health Organization. Situation-response to COVID-19 in the WHO European Region as ofon 26.08.2021, 10:00 (CET). URL: https://covid19.who.int/.
2. Chikhanie Y. A., Veale D., Schoeffler M., Pepin J. L., Verges S., H́erengt F. Effectiveness of pulmonary rehabilitation in COVID-19 respiratory failure patients post-ICU // Respir Physiol Neurobiol. 2021; 5;1-3. Doi: 10.1016/j.resp.2021.103639.
3. Shmonin A. A., Maltseva M. N., Melnikova E. V., Mishina I. E., Ivanova G. E. Medical rehabilitation for coronavirus infection: new challenges for physical and rehabilitation medicine in Russia // Bulletin of rehabilitation medicine. 2020; 97 (3): 14-21 (In Russ.). Doi:10.38025/2078-1962-2020-97-3-14-21).
4. Goñi-Viguria R., Yoldi-Arzoz E., Casajús-Sola L., Aquerreta-Larraya T., Fernández-Sangil P., Guzmán-Unamuno E., Moyano-Berardo B. M. Respiratory physiotherapy in intensive care unit: Bibliographic review // Enferm Intensiva (Engl Ed). 2018;29(4):168-181. Doi: 10.1016/j.enfi.2018.03.003.
5. De Biase S., Cook L., Skelton D. A., Miles Witham M., Hove R. T. The COVID-19 rehabilitation pandemic. Age and Ageing // 2020;49(5):696-700. Doi:10.1093/ageing/afaa118.
6. Ivanova G. E., Balandina I. N., Batisheva T. T. et al. Medical Rehabilitation for new coronavirus infection (COVID-19). Temporary guidelines of the Ministry of health of the Russian Federation. Version 2 (31.07.2020). р150 (In Russ.) URL: https://www.edu.rosminzdrav.ru/fileadmin/user_upload/specialists/COVID-19/dop-materials/VMR_medreabilitacija_COVID_versija2.pdf (accessed 03.04.2023).
7. Yang L-L., Yang T. Pulmonary rehabilitation for patients with coronavirus disease 2019 (COVID-19) // Chronic Dis Transl Med. 2020;6(2):79–86. Doi: 10.1016/j.cdtm.2020.05.002.
8. Salman D., Vishnubala D., Le Feuvre P. et al. Returning to physical activity after COVID-19 // BMJ. 2021;372:m4721. Doi: 10.1016/j.cdtm.2020.05.002.
9. Sawyer A., Cavalheri V., Hill K. Effects of high intensity interval training on exercise capacity in people with chronic pulmonary conditions: a narrative review // BMC Sports Science, Medicine and Rehabilitation. 2020;12:22. Doi: 10.1186/s13102-020-00167-y.
10. Ross L. M., Porter R. R., Durstine J. L. High-intensity interval training (HIIT) for patients with chronic diseases // Journal of Sport and Health Science. 2016;5(2):139–144. Doi: 10.1016/j.jshs.2016.04.005.
11. Flodgren G., Rachas A., J Farmer A. J., Inzitari M., Shepperd S. Interactive telemedicine: effects on professional practice and health care outcomes // Cochrane Database Syst Rev. 2015;2015(9):CD002098. Doi: 10.1002/14651858.CD002098.pub2.
12. Salawu A., Green A., Crooks M. G., Brixey N., Ross D. H., Sivan M. A Proposal for Multidisciplinary Tele-Rehabilitation in the Assessment and Rehabilitation of COVID-19 Survivors // Int J Environ Res Public Health. 2020;(13):4890. Doi: 10.3390/ijerph17134890.
13. Kaewkannate K., Kim S. A comparison of wearable fitness devices // BMC Public Health 2016;16:433. Doi: 10.1186/s12889-016-3059-0.
14. Hodkinson A., Kontopantelis E., Adeniji C. et al. Interventions Using Wearable Physical Activity Trackers Among Adults With Cardiometabolic Conditions: A Systematic Review and Meta-analysis // JAMA Netw Open. 2021;4(7). Doi: 10.1001/jamanetworkopen.2021.16382.
15. Rogozin D. M., Ipatova A. A., Galieva N. I. Standardized (telephone) interview. M.: Item 2018;416.
16. Ponomarenko G. N. Physical and rehabilitation medicine. National manual. Moscow: GEOTAR-Media, 2016:688.
17. Klok F. A., Boon G. J. A. M, Barco S. et al. The Post-COVID-19 Functional Status scale: a tool to measure functional status over time after COVID-19 // Eur Respir J. 2020;56(1):2001494. Doi: 10.1183/13993003.01494-2020.
18. Duncan E., Cooper K, Cowie J, Alexander L, Morris J, Preston J. A national survey of community rehabilitation service provision for people with long COVID in Scotland [version 2; peer review: 2 approved]. F1000Res. 2020;7;9:1416. Doi: 10.12688/f1000research.27894.2
19. Halpin S. J., McIvor C., Whyatt G. et al. Post discharge symptoms and rehabilitation needs in survivors of COVID-19 infection: A cross-sectional evaluation // J Med Virol. 2021;93:1013–1022. Doi:10.1002/jmv.26368.
20. Bull F. C., Al-Ansari S. S., Biddle S. et al. World Health Organization 2020 guidelines on physical activity and sedentary behavior // Br J Sports Med. 2020;54(24):1451– 1462.
Review
For citations:
Belash V.A., Korshunova A.A., Bilichenko E.B., Lamden J.A., Kulikov A.N. Possibilities of post-COVID medical rehabilitation in the context of the ongoing pandemic. The Scientific Notes of the Pavlov University. 2022;29(4):72-81. (In Russ.) https://doi.org/10.24884/1607-4181-2022-29-4-72-81
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