COVID-19, Physical Medicine, Rehabilitation
Conditions
Keywords
Acute rehabilitation, COVID-19 pneumonia
Brief summary
COVID-19 can have different clinical manifestations including myalgia, arthralgia, neurological, cardiac, psychological and other manifestations.These patients are at greater risk of developing consequences of prolonged bed rest. Therefore physical medicine and rehabilitation could have an important role in the multidisciplinary treatment of these issues. Early respiratory and neuromuscular rehabilitation is necessary to improve functional physical limitations, performance, muscle strength, endurance as well as cognitive and emotional domains. Some studies proposed that rehabilitation protocols in the inpatient setting include early mobilisation, strength and endurance training with the aim of reducing weakness and dependency. This Study aimed to detect the effects of rehabilitation in patients with Covid-19 who were admitted in temporary Covid hospital in Serbia. Furthermore, to emphasize the importance of functional assessment of the patients, in identifying their problems and selections of priorities in planning the best therapeutic protocol.
Interventions
PROCEDUREAcute rehabilitation program
Patients included in the study started the rehabilitation program when they were hemodynamic stable, when it was determined that it was safe for patients. Until discharge from the hospital, a re-evaluation of neuromuscular and respiratory function was performed.
Sponsors
Institut za Rehabilitaciju Sokobanjska Beograd
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 95 Years
Healthy volunteers
No
Inclusion criteria
* Positive pharyngeal or nasal swab for SARS CoV-2, 3) SP O2\> 94% on admission, 4) body temperature under 37.5 5) Clinical stability defined by ability to perform bedside active mobilization without a reduction of oxygen saturation (SpO2) below 92%;
Exclusion criteria
* 1\) SP o2 \< 94% on admission, 2) Moderate and severe heart failure (grade III and IV, NY heart Association), 3) Paresis or plegia as a result of CVI or neurodegenerative disease, 4) Impaired cognitive status.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| functional outcome of activity of daily living | up to three weeks | Bartel index (BI) |
| functional outcome of cardiovascular and respiratory system | up to three weeks | six minute walk test (6MWT) |
| functional outcome for assesing dyspnea | up to three weeks | Borg scale for dyspnea, |
| functional outcome of mobility | up to three weeks | Time Up and Go test (TUG) |
| functional outcome of lower limbs strength | up to three weeks | Sit To Stand test (STS) |
| functional outcome of static balance | up to three weeks | One Leg Stance Test (OLST) |
Countries
Serbia
Outcome results
None listed