REHABILITATION OF PATIENTS WHO HAVE UNDERGONE COVID-19
Introduction. Patients who have suffered pneumonia caused by COVID-19, after discharge from the hospital and return to normal life, face violations of the function of external respiration, limitations of physical performance, social and psycho-emotional functioning. The importance of rehabilitation during COVID-19 has been emphasized by the World Health Organization, the main purpose of which is to improve respiratory symptoms, preserve functions and reduce complications, as well as prevent disability.
The aim of our study is to evaluate the effectiveness of rehabilitation measures in those patients who have undergone COVID-19.
Materials and methods. A descriptive retrospective study. The case histories of patients who have passed all stages of rehabilitation after COVID-19 for one year in 3 organizations of the city of Almaty have been studied. The study included patients who had completed three full stages of rehabilitation. Of all 150 people, only 55 have passed the 3rd stage of medical rehabilitation. The recovery program after COVID-19 was developed individually. The rehabilitation plan included physical therapy, kinesiotherapy, massage, physiotherapy, mechanotherapy, psychological correction. The effectiveness of rehabilitation measures was assessed on the basis of specific scales and functional tests.
Results. The indicator of the rehabilitation routing scale in patients who underwent COVID-19 after a course of rehabilitation significantly increased. According to the modified MRC dyspnea scale, an average degree of 2 points was determined in all 55 patients, after the course it turned into a mild degree of 1 point. According to the functional test of a six-minute walk, functional class II was determined in all patients before rehabilitation, after class I. Before rehabilitation, the Barthel Index was determined at an average of 75 points, after 90 points. The Saturation Index before the courses was determined at an average of 90 percent, after 97 percent.
Conclusion. All indicators increased statistically significantly after, which confirms the effectiveness of passing all stages of medical rehabilitation for patients who have undergone COVID-19.
Ayaulym S. Skakova1,
Lyazzat K. Kosherbayeva1, https://orcid.org/0000-0001-8376-4345
Akmaral Zh. Zharimbetova2, Anuar D. Akhmetzhan3, Larisa N. Yarovaya2,
Oxana A. Yurkovskaya4, https://orcid.org/0000-0002-6251-5574
Yerbol M. Smail4, https://orcid.org/0000-0003-3881-3747
Altynay M. Dosbayeva4, https://orcid.org/0000-0002-0554-2680
Zhanar M. Zhumanbayeva4, http://orcid.org/0000-0001-8941-862X
1 NCJSC «Al-Farabi Kazakh National University», Almaty c., Republic of Kazakhstan;
2 City Polyclinic №7 of Almaty, Almaty c., Republic of Kazakhstan;
3 NCJSC «Asfendiyarov Kazakh National Medical University», Almaty c., Republic of Kazakhstan;
4 NCJSC “Semey medical university”, Semey с., Republic of Kazakhstan.
1. Agostini F., Mangone M., Ruiu P., Paolucci T., Santilli V., Bernetti A. Rehabilitation setting during and after Covid-19: An overview on recommendations // J Rehabil Med. 2021 Jan 5;53(1):jrm00141. doi: 10.2340/16501977-2776. PMID: 33284353; PMCID: PMC8772378.
2. Ahmed I., Mustafaoglu R., Yeldan I., Yasaci Z., Erhan B. Effect of Pulmonary Rehabilitation Approaches on Dyspnea, Exercise Capacity, Fatigue, Lung Functions, and Quality of Life in Patients With COVID-19: A Systematic Review and Meta-analysis // Arch Phys Med Rehabil. 2022 Oct;103(10):2051-2062. doi: 10.1016/j.apmr.2022.06.007. Epub 2022 Jul 29. PMID: 35908659; PMCID: PMC9334878.
3. Barker-Davies R.M., O'Sullivan O., Senaratne K.P.P., Baker P., Cranley M. et al. The Stanford Hall consensus statement for post-COVID-19 rehabilitation // Br J Sports Med. 2020 Aug;54(16):949-959. doi: 10.1136/bjsports-2020-102596. Epub 2020 May 31. PMID: 32475821; PMCID: PMC7418628.
4. Carvalho A.C., Moreira J., Cubelo P., Cantista P., Branco C.A., Guimarães B. Therapeutic respiratory and functional rehabilitation protocol for intensive care unit patients affected by COVID-19: a structured summary of a study protocol for a randomised controlled trial // Trials. 2021 Apr 12;22(1):268. doi: 10.1186/s13063-021-05210-y. PMID: 33845878; PMCID: PMC8039799.
5. Curci C., Pisano F., Bonacci E., Camozzi D.M., Ceravolo C., Bergonzi R. et al. Early rehabilitation in post-acute COVID-19 patients: data from an Italian COVID-19 Rehabilitation Unit and proposal of a treatment protocol // Eur J Phys Rehabil Med. 2020 Oct;56(5):633-641. doi: 10.23736/S1973-9087.20.06339-X. Epub 2020 Jul 15. PMID: 32667150.
6. de Sire A, Andrenelli E., Negrini F., Patrini M. et al. International Multiprofessional Steering Committee of Cochrane Rehabilitation REH-COVER Action. Rehabilitation and COVID-19: a rapid living systematic review by Cochrane Rehabilitation Field updated as of December 31st, 2020 and synthesis of the scientific literature of 2020 // Eur J Phys Rehabil Med. 2021 Apr;57(2):181-188. doi: 10.23736/S1973-9087.21.06870-2. Epub 2021 Feb 18. PMID: 33599442.
7. Dixit S., Borghi-Silva A., Bairapareddy K.C. Revisiting pulmonary rehabilitation during COVID-19 pandemic: a narrative review // Rev Cardiovasc Med. 2021 Jun 30;22(2):315-327. doi: 10.31083/j.rcm2202039. PMID: 34258900.
8. Everaerts S., Heyns A., Langer D., Beyens H., Hermans G., et al. COVID-19 recovery: benefits of multidisciplinary respiratory rehabilitation // BMJ Open Respir Res. 2021 Sep;8(1):e000837. doi: 10.1136/bmjresp-2020-000837. PMID: 34489236; PMCID: PMC8423511.
9. Fugazzaro S., Contri A., Esseroukh O., et al. Reggio Emilia COVID-19 Working Group. Rehabilitation Interventions for Post-A cute COVID-19 Syndrome: A Systematic Review // Int J Environ Res Public Health. 2022 Apr 24;19(9):5185. doi: 10.3390/ijerph19095185.
10. Goel N., Goyal N., Nagaraja R., Kumar R. Systemic corticosteroids for management of 'long-COVID': an evaluation after 3 months of treatment // Monaldi Arch Chest Dis. 2021 Nov 3;92(2). doi: 10.4081/monaldi.2021.1981. PMID: 34730322.
11. Li J., Huang D.Q., Zou B., Yang H., Hui W.Z., Rui F. et al. Epidemiology of COVID-19: A systematic review and meta-analysis of clinical characteristics, risk factors, and outcomes // J Med Virol. 2021 Mar;93(3):1449-1458. doi: 10.1002/jmv.26424.
12. Maestri R., Bruschi C., Fracchia C., Pinna G.D., et al. Physiological and clinical characteristics of patients with COPD admitted to an inpatient pulmonary rehabilitation program: A real-life study // Pulmonology. 2019 Mar-Apr;25(2):71-78. doi: 10.1016/j.pulmoe.2018.07.001. Epub 2018 Aug 22. PMID: 30143469.
13. McCloskey B., Zumla A., Ippolito G., Blumberg L., et al. WHO Novel Coronavirus-19 Mass Gatherings Expert Group. Mass gathering events and reducing further global spread of COVID-19: a political and public health dilemma // Lancet. 2020 Apr 4;395(10230):1096-1099. doi: 10.1016/S0140-6736(20)30681-4. Epub 2020 Mar 20. PMID: 32203693; PMCID: PMC7138150.
14. Reinert G., Müller D., Wagner P., Martínez-Pozas O., Cuenca-Záldivar J.N. et al. Pulmonary Rehabilitation in SARS-CoV-2: A Systematic Review and Meta-Analysis of Post-Acute Patients // Diagnostics (Basel). 2022 Dec 2;12(12):3032. doi: 10.3390/diagnostics12123032. PMID: 36553039; PMCID: PMC9776761.
15. Rooney S., Webster A., Paul L. Systematic Review of Changes and Recovery in Physical Function and Fitness After Severe Acute Respiratory Syndrome-Related Coronavirus Infection: Implications for COVID-19 Rehabilitation // Phys Ther. 2020 Sep 28;100(10):1717-1729. doi: 10.1093/ptj/pzaa129. PMID: 32737507; PMCID: PMC7454932.
16. Sari D.M., Wijaya LC.G. General rehabilitation for the Post-COVID-19 condition: A narrative review // Ann Thorac Med. 2023 Jan-Mar;18(1):10-14. doi: 10.4103/atm.atm_286_22. Epub 2023 Jan 25. PMID: 36968333; PMCID: PMC10034826.
17. Sheehy L.M. Considerations for Postacute Rehabilitation for Survivors of COVID-19 // JMIR Public Health Surveill. 2020 May 8;6(2):e19462. doi: 10.2196/19462. PMID: 32369030; PMCID: PMC7212817.
18. Zampogna E., Paneroni M., Belli S., Aliani M., Gandolfo A., et al. Pulmonary Rehabilitation in Patients Recovering from COVID-19 // Respiration. 2021;100(5):416-422. doi: 10.1159/000514387. Epub 2021 Mar 30. PMID: 33784696; PMCID: PMC8089404.
19. Kulchitskaya D.B., Fesyun A.D., Samoilov A.S., Kolbasova S.N. Experience of using physical factors in the rehabilitation of patients who have suffered pneumonia associated with covid-19 // Bulletin of Restorative Medicine. 2022. №1. pp.125-132.
20. Peregudova N.N., Kosyakov A.V., Abrosimov V.N. Assessment of the functional parameters of the respiratory system in patients with chronic obstructive pulmonary disease during a 6-minute step test // Nauka molodykh – Eruditio Juvenium. 2019. №3. pp. 6-17
Number of Views: 90
Category of articles:
COVID-19 - Topical Subject
Bibliography link
Skakova A.S., Kosherbayeva L.K., Zharimbetova A.Zh., Akhmetzhan A.D., Yarovaya L.N., Yurkovskaya O.A., Smail Ye.M., Dosbayeva A.M., Zhumanbayeva Zh.M. Rehabilitation of patients who have undergone COVID-19 // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 2, pp. 30-34. doi 10.34689/SH.2023.25.2.004Related publications:
IMMUNOLOGICAL CHANGES IN CHILDREN WITH MULTISYSTEM INFLAMMATORY SYNDROME ASSOCIATED WITH SARS-COV-2
EFFICACY OF THE ANTIVIRAL DRUG ENISAMY IODIDE IN SEVERE ADULT ACUTE RESPIRATORY INFECTIONS IN THE COVID-19 ERA
APPLICATION OF ARTIFICIAL INTELLIGENCE IN COMBATING THE COVID-19 PANDEMIC: CURRENT TRENDS AND PROSPECTS. REVIEW
CONSEQUENCES OF THE CORONAVIRUS INFECTION: THE POST-COVID SYNDROME AND MENTAL MANIFESTATIONS. LITERATURE REVIEW
FEATURES OF THE SICKNESS BEHAVIOR OF ARTERIAL HYPERTENSION AND OBESITY DURING THE PANDEMIC OF COVID-19 CORONAVIRUS. REVIEW