Rehabilitation after COVID-19: an evidence-based approach

Abstract

After severe COVID-19 disease, many patients will experience a variety of problems with normal functioning and will require rehabilitation services to overcome these problems. The principles of and evidence on rehabilitation will allow an effective response. These include a simple screening process; use of a multidisciplinary expert team; four evidence-based classes of intervention (exercise, practice, psychosocial support, and education particularly about self-management); and a range of tailored interventions for other problems. The large number of COVID-19 patients needing rehabilitation coupled with the backlog remaining from the crisis will challenge existing services. The principles underpinning vital service reconfigurations needed are discussed.

Long-term outcomes from critical care

“…Survivors of previous Coronavirus outbreaks (SARS and MERS) have demonstrated a reduced health-related quality of life at 6 months and beyond, with key areas being impaired exercise tolerance and psychological problems. 17 , 18 …”

Challenges to physiotherapy practice in COVID-19 times

“…As healthcare professionals, physiotherapists have to strive to impart the best service to all patients, while keeping personal safety in mind. This may bring about much-needed change in understanding the importance of rehabilitation, which might lead to the development of standard operating procedures, an increase in finances and effective management which will benefit everyone (Wade, 2020). Healthcare professionals will not only endure, but will thrive, if they work together as an interdisciplinary team (Wade, 2020…”

Management of patients with digestive diseases during the COVID-19 pandemic: Clinical Practice Guidelines by the Gastroenterological Scientific Society of Russia

“…Осуществляются следующие основные виды вмешательства: физические упражнения, практика, психосоциальная помощь и обучение, нутритивная поддержка. В реабилитации будет нуждаться большое количество пациентов с COVID-19, что создаст серьезную нагрузку на все этапы оказания помощи [167,168].…”