Covid-19 infection is a challenge for the medical system. The development of programs and strategies for the rehabilitation of people in different stages of the disease is relevant and current. The study is a bibliographic synthesis that aimed to analyze the methods and strategies of medical rehabilitation of patients with the new “coronavirus infection”. Data were collected from the academic databases PubMed, PubMed Central, Google, collecting relevant articles from 2019-2021, using the keywords: [“Covid-19” or “Covid 19” or “2019- CoV” or “SARS- CoV” or“ new coronavirus” or “SARS-CoV-2”] and [“rehabilitation ”or“ physical medicine”]. Th e aim of the study was to estimate the consequences of COVID-19 and to identify methods of recovery treatment. Because Covid-19 severely affects the respiratory system, pulmonary rehabilitation interventions with respiratory techniques and postural drainage combined with other physiotherapeutic methods may be used for a patient with COVID-19. The wide range of clinical manifestations in COVID-19 reveals the importance of adapting the rehabilitation program to functional deficits and patient needs. Multifactorial programs combined with active and supportive methods (physical therapy, exercise, occupational therapy, reflex therapy) are effective and can be used in the complex care of patients with COVID-19 at all stages of treatment.
Introduction. Different painful syndromes and comorbidities can often occur in stroke survivors; thus, pain management remains a strong issue that interferes with the rehabilitation programs and contributes to poor functional outcomes. Painful conditions can be regarded as comorbidities or complications of stroke itself, which makes the rehabilitation more difficult. The aim of the research was to investigate the types and causes of pain after stroke and the possibilities of rehabilitation interventions for pain control. Methods: A multiple directed literature research was conducted using the key words “stroke”, “pain”, “stroke rehabilitation” and “painful comorbidities” in PubMed, Google scholar databases. Results: The most common types of pain associated with stroke to be found were: shoulder pain, complex regional pain syndrome, central post-stroke pain and headache. Usually, musculoskeletal disorders and pain related to spasticity can lead to chronic suffering, and are related to loss of function. In some cases, different causes of pain can overlap in stroke patients. Discussion: Rehabilitation interventions in stroke can be regarded as a solution or an additional treatment to painful syndromes. Physical therapy methods, movement therapy, heat and cold therapies or TENS can serve as therapeutical and rehabilitation options for shoulder pain, pain related to spasticity or musculoskeletal disorders. A multidisciplinary approach that consists of pharmacological and physical treatments is requested in most of the cases. Conclusion: Post-stroke pain is a common clinical feature, but also a very heterogeneous one, with multiple causes and characteristics. Rehabilitation methods bring new insights and can be regarded as additional instruments for pain treatment in stroke survivors.
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