Optimizing cardiopulmonary rehabilitation duration for long COVID patients: an exercise physiology monitoring approach

GeroScience, Journal Year: 2024, Volume and Issue: 46(5), P. 4163 - 4183

Published: May 21, 2024

The presence of prolonged symptoms after COVID infection worsens the workability and quality life. 200 adults with long syndrome were enrolled medical, physical, mental screening, divided into two groups based on their performance. intervention group (n = 100) received supervised rehabilitation at Department Pulmonology, Semmelweis University registration number 160/2021 between 01/APR/2021-31/DEC/2022, while an age-matched control a single check-up. To evaluate long-term effects rehabilitation, was involved in 2- 3-month follow-up, carrying out cardiopulmonary exercise test. Our study contributes understanding emphasizing potential benefits structured enhancing patient outcomes well-being. Significant difference found baseline visit pulmonary parameters, as forced vital capacity, expiratory volume, transfer factor for carbon monoxide, coefficient oxygen saturation (all p < 0.05). follow-up proved that 2-week long, patient-centered program has positive effect people symptomatic syndrome. data showed significant improvement three months maximal consumption (p Multidisciplinary, individualized approach may be key element successful conditions, which improves workload, life, respiratory function, status patients

Language: Английский

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Multidisciplinary inpatient rehabilitation for older adults with COVID-19: a systematic review and meta-analysis of clinical and process outcomes

BMC Geriatrics, Journal Year: 2023, Volume and Issue: 23(1)

Published: June 27, 2023

Abstract Background Older adults are at increased risk for disease severity and poorer prognosis following COVID-19 infection. The aim of this systematic review meta-analysis is to explore the impact multidisciplinary rehabilitation in acute or post-acute hospital setting older with COVID-19. Methods Cochrane library, EMBASE, Cinahl Medline (via EBSCO), PubMed, Web Science were systematically searched June 2022 a repeat search was completed March 2023. Screening, data extraction quality appraisal conducted independently by two reviewers. Studies reporting outcomes (provided more Health Social Care Professionals) included. Both observational experimental study designs primary outcome functional ability. Secondary included discharge disposition, unit length stay, mortality, secondary healthcare utilisation, long-term effects Results Twelve studies met inclusion criteria, comprising total 570 adults. Where reported, stayed mean 18 days (95%CI, 13.35- 23.13 days) units 19 15.88–21.79 days). There significant improvement ability among who received (REM, SMD = 1.46, 95% CI 0.94 1.98). proportion discharged directly home ranged from 62 97%. Two reported 2% inpatient mortality rate persons during rehabilitative care. No followed up patients after point no on long term Conclusions Multidisciplinary may result improved units/centres Findings also highlight need further research into effect Future should comprehensively describe terms disciplines involved intervention provided.

Language: Английский

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Functional outcome after interdisciplinary, acute rehabilitation in COVID-19 patients: a retrospective study

European Archives of Psychiatry and Clinical Neuroscience, Journal Year: 2024, Volume and Issue: 274(8), P. 1993 - 2001

Published: July 16, 2024

Survivors of severe COVID-19 often exhibit a variety sequelae including loss mobility and ADL (activities daily living) capacity. Acute rehabilitation (AR) is an interdisciplinary intervention applied early while still in hospital setting. The goal AR to improve functional limitations increase independence at discharge. It established the treatment patients with other diseases such as sepsis, polytrauma, or stroke. Data concerning are sparse.

Language: Английский

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Early pulmonary rehabilitation of COVID-19 patients in an isolation ward and intensive care unit

Tzu Chi Medical Journal, Journal Year: 2022, Volume and Issue: 35(2), P. 137 - 142

Published: Nov. 2, 2022

When patient with coronavirus disease 2019 (COVID-19) are hospitalized, the limited space for activity, itself causes fever, muscle aches, fatigue, respiratory failure mechanical ventilation, or medications such as steroids neuromuscular blocking can cause dysfunction. Pulmonary rehabilitation (PR) should be arranged these patients COVID-19. However, literature on early PR within 1 week of admission COVID-19 limited. This review focuses in admitted to isolation wards intensive care units. The essential components programs include education, breathing exercise, airway clearance, and physical activity training. Breathing exercises, including diaphragmatic pursed-lip breathing, known improve lung function chronic obstructive pulmonary also recommended patients. Poor clearance further aggravate pneumonia. Airway techniques help clear sputum prevent aggravation Early training allows maintain limb during hospitalization. It is design appropriate indoor exercise frequency 1-2 times a day, intensity not too high (dyspnea Borg Scale ≤3) acute stage. In order achieve safe training, criteria selecting stable termination important. may reduce length hospital stay, functional status, symptoms dyspnea, relieve anxiety, health-related quality life after discharge.

Language: Английский

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Case report: Dysphagia after COVID-19 infection in a stroke patient—Is neurostimulation a potential management?

Frontiers in Neurology, Journal Year: 2023, Volume and Issue: 14

Published: March 6, 2023

A 90-year-old man with stroke was weaned from tube feeding 4 months after onset. However, he had a coronavirus disease 2019 (COVID-19) infection 2 and suffered drastically worsened oropharyngeal dysphagia that required reinsertion of the nasogastric tube. videofluoroscopic swallowing study revealed poor bolus oral transit, significantly delayed reflex, reduced pharyngeal movements, insufficient cough response. Repetitive transcranial magnetic stimulation neuromuscular electrical were applied, in addition to conventional training. The removed 20 treatment sessions. Clinicians should be aware risk COVID-19 patients underlying neurological diseases. management post-COVID-19 has not yet been fully established. combined may used as an auxiliary intervention specific cases.

Language: Английский

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Physiotherapy during the COVID-19 pandemic in global terms – limitations, therapeutic challenges, remedial actions

Medycyna Ogólna i Nauki o Zdrowiu, Journal Year: 2023, Volume and Issue: 29(2), P. 123 - 130

Published: June 19, 2023

1. Elsayed W, Albagmi F, Hussain M, et al. Impact of the COVID-19 pandemic on physical therapy practice in Saudi Arabia. PLoS One. 2022;17(12):e0278785. https://doi.org/10.1371/journa.... CrossRef Google Scholar

Language: Английский

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Exploring the lived experiences and perspectives of individuals with communication and swallowing difficulties associated with Long-COVID

Advances in Communication and Swallowing, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 16

Published: Feb. 3, 2024

BACKGROUND: Long-COVID occurs in individuals with a history of probable or confirmed SARS CoV-2 infection. can affect who experience both mild and severe acute COVID-19 involve multiple body systems. Research thus far acknowledges swallowing communication difficulties as characteristic Long-COVID, however, this research lacks detail does not address the psychosocial impact these problems. OBJECTIVES: To establish an understanding presence, severity, trajectory symptom among adults. investigate characteristics explore supports barriers to recovery. METHODS: The objectives were addressed by utilizing qualitative design. Semi-structured interviews carried out participants using online Zoom sessions. recorded transcribed reflexive thematic analysis was used analyse data. RESULTS: Seven from Ireland, Scotland Australia interviewed. Four main themes identified including dysphagia-related issues, communication-related dysphagia disorders, accessing related healthcare for disorders. presentation problems diverse had significant mental health consequences. Furthermore, access services effectively treat issues challenging. CONCLUSIONS: lack recognition its adverse effects is pertinent issue which warrants further updated guidelines living professionals alike.

Language: Английский

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Expert assessment of the competencies of interpersonal interaction between specialists involved in the implementation of the rehabilitation process

Health Care of the Russian Federation, Journal Year: 2024, Volume and Issue: 68(2), P. 139 - 146

Published: April 29, 2024

Introduction. The need to study the interaction between specialists involved in implementation of rehabilitation process is due fact that already at initial stages process, effective interpersonal allows identifying patients risk for medical complications and readmission, determining amount necessary interventions will be focused on solving various tasks (medical, physical, cognitive, emotional, social, psychological) facing rehabilitation. Purpose study. Assessment competences (medical non-medical profile) included process. Materials methods. total sample size was two hundred forty six people aged 25–52 years (mean age 31.4 ± 5.18 years). All participants were employees centers divided into groups: specialists. carried out using assessment technology individual group forms work. Results. About 90% functionality a modern specialist, both non-medical, functional, determined by managing competencies interaction. Depending case, volume functional competence content individually. Non-medical have higher level formation comparison with Research limitations. Excluded from participation who not centers, as well over 55 age. Conclusion. A condition functioning direction management an increase proportion high development decrease demotivated low competencies.

Language: Английский

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COVID-19 та його наслідки для емоційно-вольової сфериосіб похилого і старечого віку

Notes in Current Biology, Journal Year: 2024, Volume and Issue: 7(1)

Published: June 17, 2024

The presence of a variety symptoms that last longer than the acute phase COVID-19 is called post-COVID syndrome (PCS). Musculoskeletal, digestive (i.e., diarrhea), and neurological symptoms, including depression (according to Zung scale), were most commonly observed in patients with PCS. Fatigue/muscle weakness, dyspnea, pain discomfort, anxiety/depression, impaired concentration more 20% patients. PCS mainly characterized by musculoskeletal, lung, disorders, depression. independent severity illness humoral response. During after infection COVID-19, are at increased risk developing anxiety. Many people long-term impairment disability, especially critical cases. Symptoms highly variable varied. Not only stressors associated consequences but also measures taken against pandemic can lead development new mental illnesses or worsening existing health disorders. Depressive disorders affect physical, mental, social functioning increase premature death. People who survived had high prevalence psychiatric complications. Common neuropsychiatric sequelae following SARS-CoV-2 included fatigue, sleep problems, anxiety, depression, post-traumatic stress disorder, headache, raving, cognitive impairment. Additional diverse manifestations have been noted, such as delirium, peripheral neuropathy, dizziness, mood

Language: Английский

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Comprehensive approach to rehabilitation of patients with COVID-19. (A literature review)

Problems of Balneology Physiotherapy and Exercise Therapy, Journal Year: 2024, Volume and Issue: 101(3), P. 48 - 48

Published: Jan. 1, 2024

The COVID-19 epidemic has made significant changes in the organization of treatment process both at inpatient and outpatient stages.

Language: Английский

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