Feasibility and Efficacy of the Pulmonary Rehabilitation Program in a Rehabilitation Center

Pancera, Simone; Galeri, Silvia; Porta, Roberto; Pietta, Irene; Bianchi, Luca; Carrozza, Maria Chiara; Villafañe, Jorge Hugo

doi:10.1097/hcr.0000000000000529

Cited by 31 publications

(35 citation statements)

References 13 publications

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“…[ 30 , 56 ] Early inpatient rehabilitation includes respiratory care, bed mobilization, bed-to- chair transfer, sit-to-stand training, assisted walking, and neuromuscular electrical stimulation in limb muscles result in improved respiratory function, quadriceps muscle function, and walking capacity measured on Barthel dyspnea index, quadriceps size, and EuroQoL questionnaire. [ 30 , 34 ] Besides, a dynamic patient-guided robotic suspension system assists in developing ambulation, ADL performance, 6MWT, and 10-meter walk test speed. [ 35 ] In COVID-19, an eight-segment traditional Chinese PR exercises regime is considered promising, particularly when prescribed with conventional breathing techniques and proprioceptive neuromuscular facilitation.…”

Section: Discussionmentioning

confidence: 99%

“…In a recent retrospective inception cohort, early PR of COPD patients within 90 days of hospital discharge was associated with a significantly lower death risk over one year (hazard ratio [HR], 0.63, 95% confidence interval [CI]: 0.57 to 0.69 (p <0.001). [ 34 ] Additional PR sessions were also associated with a reduced death risk (HR, 0.91, 95% CI: 0.85 to 0.98, p=0.01). [ 69 ] Besides, patients who adhere to PR techniques for a long-time, usually require less utilization of healthcare utilization than non-adherent patients.…”

Section: Discussionmentioning

confidence: 99%

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Pulmonary Rehabilitation in COVID-19 patients: A scoping review of current practice and its application during the pandemic

Siddiq

Rathore²,

Clegg

et al. 2020

Turk J Phys Med Rehab

128

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The novel coronavirus-2019 (COVID-19) pandemic primarily affects the respiratory system. Elderly individuals with comorbidity are severely affected. Survivors weaned from mechanical ventilation are at a higher risk of developing post-intensive care syndrome (PICS). This scoping review, based on 40 recent publications, highlights pulmonary rehabilitation (PR) in COVID-19. There is a paucity of high-quality research on this topic. However, rehabilitation societies including the Turkish Society of Physical Medicine and Rehabilitation have issued PR recommendations in COVID-19 pneumonia with productive cough can benefit from diaphragmatic breathing, pursed-lip breathing, and resistance-breathing training. Besides, those in mechanical ventilation and post-PICS COVID-19 cases, oxygen therapy, early mobilization, airway clearance, aerobic exercise, gradual-graded limb muscle resistance exercise, nutritional and psychological interventions should be consideration. During PR, careful evaluation of vital signs and exercise-induced symptoms is also required. When in-person PR is not possible, telerehabilitation should be explored. However, the long-term effects of PR in COVID-19 need further evaluation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pulmonary Rehabilitation in COVID-19 patients: A scoping review of current practice and its application during the pandemic

Siddiq

Rathore²,

Clegg

et al. 2020

Turk J Phys Med Rehab

128

View full text Add to dashboard Cite

show abstract

“…Under these premises, a standard rehabilitation program for ARDS should include an early intervention starting during the ICU stay and continuing to the subacute phase to reduce the complications of immobilization and the effects of prolonged mechanical ventilation. However, during the COVID-19 pandemic, the majority of patients could not receive rehabilitation treatment in ICU and this task was left to specialized rehabilitation centers, which had already undergone unexpected and urgent organizational changes [ 23 ]. For example, due to the risk of spreading the infection to other patients and health professionals, we divided inpatient rehabilitation into two phases.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of subacute rehabilitation for mechanically ventilated patients with COVID-19 disease: a retrospective case series

Pancera

Bianchi

Porta

et al. 2020

International Journal of Rehabilitation Research

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In this case series study, we aimed to evaluate the feasibility of a subacute rehabilitation program for mechanically ventilated patients with severe consequences of COVID-19 infection. Data were retrospectively collected from seven males (age 37–61 years) who were referred for inpatient rehabilitation following the stay in the ICU (14–22 days). On admission, six patients were still supported by mechanical ventilation. All patients were first placed in isolation in a special COVID unit for 6–22 days. Patients attended 11–24 treatment sessions for the duration of rehabilitation stay (13–27 days), including 6–20 sessions in the COVID unit. The treatment included pulmonary and physical rehabilitation. The initially nonventilated patient was discharged prematurely due to gallbladder problems, whereas all six mechanically ventilated patients were successfully weaned off before transfer to a COVID-free unit where they stayed for 7–19 days. At discharge, all patients increased limb muscle strength and thigh circumference, reduced activity-related dyspnea, regained functional independence and reported better quality of life. Rehabilitation plays a vital role in the recovery of seriously ill post-COVID-19 patients. Facilities should develop and implement plans for providing multidisciplinary rehabilitation treatments in various settings to recover functioning and prevent the development of long-term consequences of the COVID-19 disease.

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“… 89 Kensuke et al and Simone et al reported on severe COVID-19 patients treated with muscle electrical stimulation in the ICU ward. 90 , 91 Therefore, for people with more severe COVID-19 illness , WBV or electro muscle stimulation may play an important role in their physical rehabilitation.…”

Section: Exercise Methods Selectionmentioning

confidence: 99%

The role of exercise in rehabilitation of discharged COVID-19 patients

Tian

2021

Sports Medicine and Health Science

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) mainly caused pneumonia and pulmonary fibrosis through upper respiratory tract infection, which resulted in acute respiratory distress syndrome (ARDS) and multiorgan damage of cardiovascular, nervous, digestive, and genitourinary systems. Although the virus test turned negative after the patient recovered, the damage to multiorgan which caused by SARS-CoV-2 may irreversible. Therefore, the health status of the recovered patients has gradually become the focus of people’s attention. Whether coronavirus disease 2019 (COVID-19) patients can receive exercise rehabilitation training after discharge? and what’s the basis? We try to analyze and answer these questions, will provide some ideas about the patients to develop a reasonable and effective exercise rehabilitation program.

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Feasibility and Efficacy of the Pulmonary Rehabilitation Program in a Rehabilitation Center

Abstract: We reported the case of a patient referred for a respiratory rehabilitation program (RRP) after intensive care unit stay, who achieved a meaningful functional recovery after 3 wk of RRP, partially carried out in an ad hoc isolation ward.

Cited by 31 publications

References 13 publications

Pulmonary Rehabilitation in COVID-19 patients: A scoping review of current practice and its application during the pandemic

Pulmonary Rehabilitation in COVID-19 patients: A scoping review of current practice and its application during the pandemic

Feasibility of subacute rehabilitation for mechanically ventilated patients with COVID-19 disease: a retrospective case series

The role of exercise in rehabilitation of discharged COVID-19 patients

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