Staying Active in Isolation: Telerehabilitation for Individuals With the Severe Acute Respiratory Syndrome Coronavirus 2 Infection

Mukaino, Masahiko; Tatemoto, Tsuyoshi; Kumazawa, Nobuhiro; Tanabe, Shigeo; Katoh, Masaki; Saitoh, Eiichi; Otaka, Yohei

doi:10.1097/phm.0000000000001441

Cited by 56 publications

(48 citation statements)

References 4 publications

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“…A letter to the editor [ 62 ] described the experience obtained with the use of telerehabilitation for 4 patients hospitalized with Covid-19 through a tablet connected to the Internet via Wi-Fi and a pulse oximeter (used by the patients) connected to the tablet via Bluetooth. A physical therapist guided each individual in a 20-min exercise program, which consisted of stretching, muscle strengthening, and balance exercises directed by a video program with real-time instructions.…”

Section: Resultsmentioning

confidence: 99%

Early mobilization and physical exercise in patients with COVID-19: A narrative literature review

Wittmer

Paro

Duarte

et al. 2021

Complementary Therapies in Clinical Practice

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Background Currently, little is known about early mobilization and exercise in individuals with COVID-19. Objective To describe the indication and safety of early mobilization and exercises in mild to severe COVID-19 patients and to investigate the use of telerehabilitation to deliver exercise programs to these patients. Methods This narrative literature review was conducted performing a comprehensive search of databases. Results 32 articles met the established criteria and the main findings were summarized and described, including indication, contraindication and recommendation for early rehabilitation and exercises prescription. Conclusion s: The literature suggests that early mobilization and physical exercise are beneficial for individuals with COVID-19. However, much of what has been published is based on expert opinion due to a lack of randomized trials, which are needed.

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Section: Resultsmentioning

confidence: 99%

Early mobilization and physical exercise in patients with COVID-19: A narrative literature review

Wittmer

Paro

Duarte

et al. 2021

Complementary Therapies in Clinical Practice

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“…Parenteral nutrition was continued because he could consume a limited volume of soft meals comprising rice gruel. Physical therapy using a telerehabilitation system [3] was started after his respiratory status became stable on the 36th day after admission. Testing for SARS-CoV-2 by polymerase chain reaction was negative twice; therefore, he was transferred from a depressurized room to a general ward on the 43th day and assessed for dysphagia.…”

mentioning

confidence: 99%

Oropharyngeal Dysphagia and Aspiration Pneumonia Following Coronavirus Disease 2019: A Case Report

et al. 2020

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Cranial nerve involvement is a finding often observed in patients infected with severe acute respiratory syndrome coronavirus 2 during the pandemic outbreak of coronavirus disease 2019 (COVID-19). To our knowledge, this is the first report of oropharyngeal dysphagia associated with COVID-19. A 70-year-old male developed dysphagia and consequent aspiration pneumonia during recovery from severe COVID-19. He had altered sense of taste and absent gag reflex. Videoendoscopy, videofluorography, and high-resolution manometry revealed impaired pharyngolaryngeal sensation, silent aspiration, and mesopharyngeal contractile dysfunction. These findings suggested that glossopharyngeal and vagal neuropathy might have elicited dysphagia following COVID-19. The current case emphasizes the importance of presuming neurologic involvement and concurrent dysphagia, and that subsequent aspiration pneumonia might be overlooked in severe respiratory infection during COVID-19.

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“…The telerehabilitation system was designed and built by a team consisting of two physicians, an engineer, and two physical therapists. The preliminary version of the system was introduced previously [ 10 ]. The team first discussed and defined the requirements for the telerehabilitation system for COVID-19 and then developed the system to satisfy the requirements.…”

Section: Methodsmentioning

confidence: 99%

An Affordable, User-friendly Telerehabilitation System Assembled Using Existing Technologies for Individuals Isolated With COVID-19: Development and Feasibility Study

Mukaino¹,

Tatemoto²,

Kumazawa³

et al. 2020

JMIR Rehabil Assist Technol

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Background Isolation due to a COVID-19 infection can limit activities and cause physical and mental decline, especially in older adults and people with disabilities. However, due to limited contact, adequate rehabilitation is difficult to provide for quarantined patients. Telerehabilitation technology could be a solution; however, issues specific to COVID-19 should be taken into consideration, such as strict quarantine and respiratory symptoms, as well as accessibility to deal with rapid increases in need due to the pandemic. Objective This study aims to develop and to investigate the feasibility of a telerehabilitation system for patients who are quarantined due to COVID-19 by combining existing commercial devices and computer applications. Methods A multidisciplinary team has identified the requirements for a telerehabilitation system for COVID-19 and developed the system to satisfy those requirements. In the subsequent feasibility study, patients diagnosed with COVID-19 (N=10; mean age 60 years, SD 18 years) were included. A single session of telerehabilitation consisted of stretching exercises, a 15-minute exercise program, and a video exercise program conducted under real-time guidance by a physical therapist through a video call. The system included a tablet computer, a pulse oximeter, videoconferencing software, and remote control software. The feasibility of the system was evaluated using the Telemedicine Satisfaction Questionnaire (TSQ; 14 items) and an additional questionnaire on the telerehabilitation system (5 items). Each item was rated from “1 = strongly disagree” to “5 = strongly agree.” Results The telerehabilitation system was developed by combining existing devices and applications, including a pulse oximeter and remote control mechanism, to achieve user-friendliness, affordability, and safety, which were determined as the system requirements. In the feasibility study, 9 out of 10 patients were able to use the telerehabilitation system without any on-site help. On the TSQ, the mean score for each item was 4.7 (SD 0.7), and in the additional items regarding telerehabilitation, the mean score for each item was 4.3 (SD 1.0). Conclusions These findings support the feasibility of this simple telerehabilitation system in quarantined patients with COVID-19, encouraging further investigation on the merit of the system’s use in clinical practice.

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Staying Active in Isolation: Telerehabilitation for Individuals With the Severe Acute Respiratory Syndrome Coronavirus 2 Infection

Cited by 56 publications

References 4 publications

Early mobilization and physical exercise in patients with COVID-19: A narrative literature review

Early mobilization and physical exercise in patients with COVID-19: A narrative literature review

Oropharyngeal Dysphagia and Aspiration Pneumonia Following Coronavirus Disease 2019: A Case Report

An Affordable, User-friendly Telerehabilitation System Assembled Using Existing Technologies for Individuals Isolated With COVID-19: Development and Feasibility Study

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