Shoulder Pain in COVID-19 Survivors Following Mechanical Ventilation

Álvarez, Roberto Dalmazzo; Valle, María Fernanda Del; Sol, Mariano del; Lizana, Pablo A.; Gutiérrez, Jorge Nelson Malpartida; Valenzuela, Jorge; Muñoz-Cofré, Rodrigo

doi:10.3390/ijerph181910434

Cited by 12 publications

(10 citation statements)

References 21 publications

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“…Twenty literature reviews were identified2, 12-30 . Of the remaining studies, 31 presented original research 31-61 , 6 were case series 62-67 , 24 were case reports 68-91 , 1 provided a specialist’s opinion 92 , 4 were editorials 93-96 , and 2 were letters to the editor 97,98 .…”

Section: Resultsmentioning

confidence: 99%

What Do We Need to Know About Musculoskeletal Manifestations of COVID-19?

et al. 2022

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COVID-19 is a disease that is challenging science, health-care systems, and humanity. An astonishingly wide spectrum of manifestations of multiorgan damage, including musculoskeletal, can be associated with SARS-CoV-2. » In the acute phase of COVID-19, fatigue, myalgia, and arthralgia are the most common musculoskeletal symptoms.» Post-COVID-19 syndrome is a group of signs and symptoms that are present for .12 weeks. The associated musculoskeletal manifestations are fatigue, arthralgia, myalgia, new-onset back pain, muscle weakness, and poor physical performance.» Data on COVID-19 complications are growing due to large absolute numbers of cases and survivors in these 2 years of the pandemic. Additional musculoskeletal manifestations encountered are falls by the elderly, increased mortality after hip fracture, reduced bone mineral density and osteoporosis, acute sarcopenia, rhabdomyolysis, Guillain-Barr é syndrome, muscle denervation atrophy, fibromyalgia, rheumatological disease triggering, septic arthritis, adhesive capsulitis, myositis, critical illness myopathy, onset of latent muscular dystrophy, osteonecrosis, soft-tissue abscess, urticarial vasculitis with musculoskeletal manifestations, and necrotizing autoimmune myositis.

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Section: Resultsmentioning

confidence: 99%

What Do We Need to Know About Musculoskeletal Manifestations of COVID-19?

et al. 2022

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“…We showed that it is possible to implement a national rehabilitation policy that integrates all levels of health care in response to a pandemic in a developing country. Although it is still too early to evaluate the effectiveness of the rehabilitation plan in COVID-19 in Chile, from a scientific point of view, experiences in evaluation and intervention in these patients have been reported, both at the hospital level and in primary care ( 26 , 44 – 46 ).…”

Section: Discussionmentioning

confidence: 99%

How a Developing Country Faces COVID-19 Rehabilitation: The Chilean Experience

Torres‐Castro

Neculhueque-Zapata

Hrzic-Miranda

et al. 2022

Front. Public Health

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The coronavirus 19 (COVID-19) pandemic has been one of the most significant challenges to public health in recent decades. The heterogeneity of government responses and the varying preparedness of health systems has determined that the pandemic's impact differs from country to country. Chile is no stranger to the challenges posed by rehabilitation in a developing country. We aimed to describe the approach to rehabilitation during the pandemic in Chile in the public health system since rehabilitation is considered a relevant health strategy from the prevention to management of complications, mitigation of sequelae, or new complications associated with COVID-19. For this, a descriptive study was conducted on the rehabilitation strategies implemented by Chile to respond to the COVID-19 pandemic. The analysis includes the context of the Chilean health system and the matrix of access to rehabilitation services in COVID-19. The Health Ministry (MINSAL) rehabilitation strategy includes five central axes: approaches, specific lines, transversal lines, intervention, and funding. Additionally, the policies were based and supported by the WHO recommendations. Intensive care unit beds were increased approximately 68%, and the primary care response was the reconversion of function depending on the epidemiological context. During the 2021–2022 period, the estimated number of people diagnosed with a post-COVID-19 condition was 80,528. With this, we can conclude that a developing country has managed to coordinate a rehabilitation policy for people with COVID-19 by generating a structure of the different health system levels. However, the effectiveness of this policy will need to be evaluated in the future.

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“…Several neuromusculoskeletal complications from proning have been reported in the literature. These include peripheral neuropathies affecting the upper and lower limb, 2 , 3 , 4 , 5 the development of multifactorial musculoskeletal shoulder pain 6 and even cervical spine injury. 7 …”

Section: Introductionmentioning

confidence: 99%

“…Several neuromusculoskeletal complications from proning have been reported in the literature. These include peripheral neuropathies affecting the upper and lower limb, [2][3][4][5] the development of multifactorial musculoskeletal shoulder pain 6 and even cervical spine injury. 7 Peripheral nerve and brachial plexus injuries can be devastating and are associated with reduced quality of life, impaired activity participation, persistent pain, and psychological morbidity.…”

Section: Introduction 1| Problem Descriptionmentioning

confidence: 99%

Reducing neuropathies between the 2020 and 2021 Covid‐19 surges in a large UK intensive care unit: A quality improvement project

Jeffrey

Miller

O'Sullivan

et al. 2022

Nursing in Critical Care

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Background Peripheral nerve injuries (PNIs) can be acquired by patients in intensive care unit (ICU) who are critically unwell with Covid pneumonitis. Prone position ventilation has been linked to this life‐changing complication. Aim To reduce the occurrence and severity of PNIs for patients with Covid pneumonitis requiring prone positioning whilst sedated and ventilated in ICU. Study Design This study is a quality improvement project that evolved over the course of the first two surges of Covid pneumonitis admissions within the ICU at the Queen Elizabeth Hospital Birmingham (Surge 1: March 2020–July 2020, 93 prone ventilation survivors; Surge 2: September 2020–May 2021, 309 prone ventilation survivors). Implementation of updated prone positioning guidelines that aimed to reduce the risk of PNI. This was supplemented by face‐to‐face teaching for ICU professionals. The number of patients who sustained PNI and the severity of such injuries were recorded. Results During the first surge 21 patients (22.6%) had at least one high grade PNI. During the second surge there were 12 patients (3.9%) sustaining an intermediate or high grade PNI. For PNI patients, there was an increase in the mean proning episodes (6–13) and duration (17.8–18.6 h). This represents an 82% reduction in PNI cases. High grade injuries reduced from 14/21 (66%) to 4/12 (33%). Conclusions Optimizing the position of patients in the prone position in ICU with Covid pneumonitis may be key in reducing the development of PNI. Changes to pharmacological management may have influenced the results seen in this study. Relevance to Clinical Practice Clinicians working within ICU with acutely unwell patients with Covid pneumonitis should acknowledge the heightened risk of PNI and take relevant steps to reduce the risk of injury acquisition.

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Shoulder Pain in COVID-19 Survivors Following Mechanical Ventilation

Cited by 12 publications

References 21 publications

What Do We Need to Know About Musculoskeletal Manifestations of COVID-19?

What Do We Need to Know About Musculoskeletal Manifestations of COVID-19?

How a Developing Country Faces COVID-19 Rehabilitation: The Chilean Experience

Reducing neuropathies between the 2020 and 2021 Covid‐19 surges in a large UK intensive care unit: A quality improvement project

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