Inpatient post-COVID-19 rehabilitation program featuring virtual reality—Preliminary results of randomized controlled trial

Frontiers in Public Health, Год журнала: 2023, Номер 11

Опубликована: Фев. 6, 2023

Background Numerous recommendations from pulmonary scientific societies indicate the need to implement rehabilitation programs for patients after COVID-19. The aim of this study was propose an innovative comprehensive intervention based on a hospital-based program individuals with post-acute sequelae Methods It decided evaluate two forms hospital rehabilitation: traditional and one provided through virtual reality. Preliminary results are group 32 (20 female 12 male), average age 57.8 (4.92) years in period 3–6 months initial infection. Primary outcomes included analysis lung function, exercise performance stress level. A 3-week, high-intensity, five-times per week designed compare effectiveness form VR-led, novel therapy. Results showed statistically significant improvement both groups regard expressed as 6MWT distance. Moreover, decrease dyspnoea levels following also noted intergroup comparison, but between-group comparison revealed non-statistically changes low effect size. Regarding essentially normal function at baseline completion program. level within inter-group yet deltas values non-significant difference Conclusion 3-weeks inpatients led people COVID-19, not function. Furthermore, shown reduce patients' levels. using VR, shows similar terms

Язык: Английский

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Effects of physical rehabilitation interventions in COVID-19 patients following discharge from hospital: A systematic review

Journal of Integrative Medicine, Год журнала: 2023, Номер 21(2), С. 149 - 158

Опубликована: Янв. 20, 2023

Язык: Английский

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Systematic Review of COVID-19-Related Physical Activity-Based Rehabilitations: Benefits to Be Confirmed by More Robust Methodological Approaches

International Journal of Environmental Research and Public Health, Год журнала: 2022, Номер 19(15), С. 9025 - 9025

Опубликована: Июль 25, 2022

The first emergency was to receive and treat COVID-19 patients in their acute phase; today, there is a clear need propose appropriate post-acute rehabilitation programs. aim of this research systematically review the effects physical activity programs recovery post-COVID-19 patients. literature search followed Preferred Reporting Items for Systematic Review Meta-Analysis (PRISMA) guidelines, registered PROSPERO database (CRD42022289219), conducted between August December 2021. A total 35 studies out 1528 initially identified were finally included analysis. systematic clearly showed health benefits including recovery, regardless exercise modalities. These positive results even observed using minor muscle re-mobilization severe cases (i.e., postural changes, few steps—2 times/day) or low volumes mild-to-moderate 120 min/week). 97% 29 that performed statistical analyses demonstrated significant increase at least one parameter functional capacity, 96% 26 statistically investigated on quality life, mental health, general state reported improvements. Yet, most retrospective, uncontrolled, enrolled aged people with comorbidities presented forms COVID-19. Physical programs, addition high heterogeneity, remained poorly described 83% part multidisciplinary program 89% studies. Despite promising results, today real prospective well-designed specifically assessing activity. In addition, it might appear relevant standardized further considering main characteristics such as age, comorbidities, severity

Язык: Английский

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S1 guidelines for the management of postviral conditions using the example of post-COVID-19

Wiener klinische Wochenschrift, Год журнала: 2023, Номер 135(S4), С. 525 - 598

Опубликована: Июль 1, 2023

Zusammenfassung Die vorliegende Leitlinie S1 ist die Aktualisierung und Weiterentwicklung der Long COVID: Differenzialdiagnostik Behandlungsstrategien. Sie fasst den Stand Kenntnis zu postviralen Zuständen anhand des Beispiels Long/Post COVID zum Zeitpunkt Redaktionsschlusses zusammen. Aufgrund starken Dynamik Wissensentwicklung versteht sie sich als „living guideline“. Der Schwerpunkt liegt auf praktischen Anwendbarkeit Ebene hausärztlichen Primärversorgung, geeignete Stelle für Erstzutritt primäre Betreuung Behandlung verstanden wird. gibt Empfehlungen Versorgungsgang, häufigsten Symptome, in Folge einer Infektion wie mit SARS-CoV‑2 auftreten können, therapeutischen Optionen, Patient:innenführung -betreuung sowie zur Wiedereingliederung Alltag Rehabilitation. Entsprechend Krankheitsbildes einem interdisziplinären interprofessionellen Prozess entstanden Schnittstellen Kooperationsmöglichkeiten.

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Leitlinie S1: Long COVID: Differenzialdiagnostik und Behandlungsstrategien

Wiener klinische Wochenschrift, Год журнала: 2021, Номер 133(S7), С. 237 - 278

Опубликована: Дек. 1, 2021

Zusammenfassung Die vorliegende Leitlinie S1 fasst den Stand der Kenntnis zu Long COVID zum Zeitpunkt des Redaktionsschlusses zusammen. Aufgund starken Dynamik Wissensentwicklung versteht sie sich als „living guideline“. Der Schwerpunkt liegt auf praktischen Anwendbarkeit Ebene hausärztlichen Primärversorgung, die geeignete Stelle für Erstzutritt und primäre Betreuung Behandlung verstanden wird. gibt Empfehlungen zur Differenzialdiagnostik häufigsten Symptome, in Folge einer Infektion mit SARS-CoV‑2 auftreten können, therapeutischen Optionen, Patient:innenführung -betreuung, sowie Wiedereingliederung Alltag, Rehabilitation. Entsprechend Krankheitsbildes ist einem interdisziplinären Prozess entstanden Schnittstellen Kooperationsmöglichkeiten.

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Effectiveness of Pulmonary Rehabilitation in Severe and Critically Ill COVID-19 Patients: A Controlled Study

International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(17), С. 8956 - 8956

Опубликована: Авг. 25, 2021

Background: Severe and critically ill COVID-19 patients frequently need pulmonary rehabilitation (PR) after hospitalization. However, little is known about the effectiveness of PR in patients. Methods: We compared performances six-min walk test (6MWT), chronic respiratory questionnaire (CRQ), Functional Independence Measure (FIM) from inpatient between 51 other with common pneumonia. used multivariate linear regression controlled for baseline values at entrance, age, sex, cumulative illness rating scale. The odds ratios (ORs) non-improvement/improvement 6MWT (>30-m) CRQ (>10-point) discharge were two groups (Fisher’s exact test). Results: had similar improvements CRQ, but group achieved a 4-point higher FIM (p-value = 0.004). OR was 0.30 0.13) controls; however, non-improvement tended to be 3.02 times 0.075) critical outcomes. Conclusions: Inpatient can effectively improve physical functions life quality patients, irrespective disease severity. Whether relatively low gains an indicator development needs further studies.

Язык: Английский

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Access to Assistive Technology during the COVID-19 Global Pandemic: Voices of Users and Families

International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(21), С. 11273 - 11273

Опубликована: Окт. 27, 2021

The SARS COVID-19 pandemic emerged in 2019 and has impacted people everywhere. Disparities impact outcomes are becoming apparent for individuals communities which go beyond the trajectory of disease itself, influenced by strength weaknesses systems universal health care, actions civil society government. This article is one a series exploring COVID-19-related experiences assistive technology (AT) users across globe implications AT strengthening. such as mobility products, braille devices, information communication technologies key enablers functioning, necessary to achievement UN Sustainable Development Goals enshrined Convention on Rights Persons with Disabilities. Reporting survey 73 six global regions, we demonstrate that minority groups already living inequities unduly impacted. An ecosystem analysis was conducted using WHO GATE 5P framework, is, people, personnel, provision policy. families call inclusive responses encompass their needs lifespan, from very young old. We offer specific recommendations future action strengthen access public policy preparedness response.

Язык: Английский

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Post-COVID-19 patients in geriatric rehabilitation substantially recover in daily functioning and quality of life

Age and Ageing, Год журнала: 2024, Номер 53(5)

Опубликована: Май 1, 2024

Abstract Background After an acute infection, older persons may benefit from geriatric rehabilitation (GR). Objectives This study describes the recovery trajectories of post-COVID-19 patients undergoing GR and explores whether frailty is associated with recovery. Design Multicentre prospective cohort study. Setting 59 facilities in 10 European countries. Participants Post-COVID-19 admitted to between October 2020 2021. Methods Patients’ characteristics, daily functioning (Barthel index; BI), quality life (QoL; EQ-5D-5L) (Clinical Frailty Scale; CFS) were collected at admission, discharge, 6 weeks months after discharge. We used linear mixed models examine QoL. Results 723 participants included a mean age 75 (SD: 9.91) years. Most pre-frail frail (median [interquartile range] CFS 6.0 [5.0–7.0]) admission. BI first steeply increased 11.31 2.51 (SE 0.15, P < 0.001) points per month stabilised around 17.0 (quadratic slope: −0.26, SE 0.02, 0.001). Similarly, EQ-5D-5L 0.569 0.126 0.008, 0.8 −0.014, 0.001, Functional rates independent level QoL was lower admission for frailer participants, but faster, stabilising almost equal values frail, fit patients. Conclusions showed substantial not should be reason exclude GR.

Язык: Английский

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Rehabilitation needs and mortality associated with the Covid-19 pandemic: a population-based study of all hospitalised and home-healthcare individuals in a Swedish healthcare region

EClinicalMedicine, Год журнала: 2021, Номер 36, С. 100920 - 100920

Опубликована: Май 30, 2021

BackgroundThis first report of the Linköping Covid-19 Study (LinCoS) aimed at determination Covid-19-associated mortality, impairments, activity and participation limitations denoting rehabilitation needs four months after discharge from hospital.MethodsAn ambidirectional population-based cohort study including all confirmed cases admitted to hospital during 1/03-31/05 those living in home healthcare settings identified through a regional registry evaluated medical records, WHO Clinical Progression Scale (CPS). All patients discharged were followed-up by structured telephone interview 4 post-discharge. Respondents indicated any new or aggravated persisting problems 25 body functions 12 activity/participation items rated them for impact on daily life.FindingsOut 734 hospitalised patients, 149 excluded, 125 died, 460 alive 4-month follow-up whom 433 (94.1%) interviewed. In total, 40% reported impairments affecting life warranted further multi-professional assessment, predominantly with severe disease considerable proportion moderate disease. Cognitive affective equally common groups 20-40% cases. Limb weakness was 31%, CPS 7-9 being times more likely this problem as compared 4-5. 26% working studying difficulties returning these activities, 3.5 25% walking >1 km, over three other two sub-groups. 90-day mortality rate associated deaths 15.1%.InterpretationMost involved higher cerebral dysfunction both This should be considered when designing services aiming minimizing long-term disability.FundingALF grant Region Östergötland.

Язык: Английский

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Assistive Technology Provider Experiences during the COVID-19 Pandemic

International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(19), С. 10477 - 10477

Опубликована: Окт. 6, 2021

Globally, health systems face challenges in the delivery of assistive technology (AT) and only 10% people are currently able to access products they need. The COVID-19 pandemic presented an uncharted path for AT providers navigate, placing them under pressure be agile rapidly adapt. This article, part a series, explores experiences impacts on aims inform how can better prepared supported future. A mixed methods approach was used gather service data perspectives from via survey. total 37 responses were received 18 countries. Service showed extensive disruption throughout 2020. Thematic analysis suggested significant changes routine including rapid momentum towards home-based, decentralised, digital services which many not prepared. Providers required make difficult decisions deliver new ways balance meeting demands, complying with government restrictions, ensuring safety staff clients. Few but important positives expressed belief that expanded capacity use remote would remain useful

Язык: Английский

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