Rehabilitation of patients after COVID-19 recovery: An experience at the Physical and Rehabilitation Medicine Institute and Lucy Montoro Rehabilitation Institute

Imamura, Marta; Mirisola, Aline Rossetti; Ribeiro, Fernando de Quadros; Pretto, Lucas Ramos De; Alfieri, Fábio Marcon; Delgado, Vinicius Ramos; Battistella, Linamara Rizzo

doi:10.6061/clinics/2021/e2804

Cited by 27 publications

(52 citation statements)

References 33 publications

(62 reference statements)

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“…We assessed the nutritional and functional status of people recovering from COVID-19 pneumonia, before and after an interdisciplinary rehabilitation program. Our study is comparable to others that use nutritional intervention for post-COVID-19 pneumonia patients' rehabilitation [24,25]. However, when compared with other studies performed in a hospital context, the present study was conducted in a post-hospital rehabilitation setting with a large number of patients, albeit with a single-month intervention period [26].…”

Section: Discussionsupporting

confidence: 72%

The Effects of an Intensive Rehabilitation Program on the Nutritional and Functional Status of Post-COVID-19 Pneumonia Patients

et al. 2022

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Most hospitalized COVID-19 pneumonia patients are older adults and/or have nutrition-related issues. Many are bedridden in intensive care units (ICU), a well-documented cause of malnutrition, muscle wasting, and functional impairment. Objectives: To assess the effectiveness of an intensive rehabilitation program over the nutritional/functional status of patients recovering from COVID-19 pneumonia. Post-COVID-19 pneumonia patients underwent a 30-day intensive interdisciplinary rehabilitation program including a personalized nutritional intervention designed to achieve a minimum intake of 30 kcal/kg/day and 1 g protein/kg/day. The nutritional and functional status was assessed in each patient at three different moments. Each assessment included Body Mass Index (BMI), Mid Upper Arm Circumference (MUAC), Mid Arm Muscle Circumference (MAMC), Tricipital Skinfold (TSF), Hand Grip Strength (HGS), and Mini Nutritional Assessment (MNA®). The study included 118 patients, with ages in the range 41–90 years old. BMI increased linearly over time (0.642 units, F-test = 26.458, p < 0.001). MUAC (0.322 units, F-test = 0.515, p = 0.474) and MAMC status (F-test = 1.089, p = 0.299) improved slightly, whereas TSF decreased (F-test = 1.885, p = 0.172), but all these arm anthropometry trends did not show significant variations, while HGS (4.131 units, F-test = 82.540, p < 0.001) and MNA® (1.483 units, F-test = 217.726, p < 0.001) reported a meaningful improvement. Post-COVID-19 pneumonia patients presented malnutrition and functional impairment. An interdisciplinary rehabilitation program, including personalized nutritional intervention, was effective for post-hospital COVID-19 pneumonia nutritional/functional rehabilitation.

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Section: Discussionsupporting

confidence: 72%

The Effects of an Intensive Rehabilitation Program on the Nutritional and Functional Status of Post-COVID-19 Pneumonia Patients

et al. 2022

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“…(11) It has also been described that the length of stay in hospital is directly related to amount of loss of free fat mass and to the loss at functional independence measure during hospitalization period. (12) Furthermore, it has been described a reduction at distance walked at 6MWT, with respect to predicted values, for 25% of patients. (13) Parallel to the aforementioned mechanism, there are also peripheral neurologic perturbations due to the systemic inflammation seen in COVID-19 infection, and also due to a "hostile environment" commonly seen in intensive care unit (ICU), i.e., absence of mobility, use of corticosteroid, neuromuscular blocking agents and elevations in blood sugar.…”

Section: Physiopathology Of Post-acute Covid-19 Syndrome Evaluation A...mentioning

confidence: 96%

recovery from COVID-19: pathophysiology and potential role of pulmonary rehabilitation program

Pádua¹,

Rosa²,

Oliveira³

et al. 2021

mtprehabjournal

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The actual stage of SARS-CoV-2 pandemic reveals the necessity to rehabilitate patients, mainly those who were severe and critical ill during acute infection. These post-COVID19 patients might present multiple factors, which culminates in impairment of oxygenation to skeletal muscles, with prejudice in overall functional capacity. These factors can be described as a reduced pulmonary diffusion capacity, a cardiovascular and oxygen transport dysfunction and deconditioning of skeletal muscles. The proposition of pulmonary rehabilitation program for the aforementioned patients evaluates pulmonary, cardiac, skeletal muscles and overall function. The conduction of this program might address specifically each one of the potential impairment oxygenation factors, with significant impact evaluated functions and, by consequence, in overall functional capacity.

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“…While COVID-19 patients had greater deficits at admission, they eventually reached similar functional outcomes compared with the non–COVID-19 patients. In Brazil, COVID-19 patients ( n = 27) who received multidisciplinary rehabilitation significantly improved their muscle strength, ambulation ability and functional independence [ 18 ]. Moreover, the duration of treatment positively correlated with the evolution of the Functional Independence Measure (FIM) score.…”

Section: Introductionmentioning

confidence: 99%

Correlations between Electro-Diagnostic Findings, the Severity of Initial Infection, and the Rehabilitation Outcomes among COVID-19 Patients

Shabat

Meiner

Tsenter

et al. 2022

Biology

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Patients with Coronavirus-2019 (COVID-19) manifest many neuromuscular complications. We evaluated the correlations between electromyography and nerve conduction measurements among COVID-19 patients and the severity of the initial infection, as well as the rehabilitation outcomes, and searched for the factors which best predict the rehabilitation outcomes. A total of 19 COVID-19 patients (16 men; mean ± SD age 59.1 ± 10.4), with WHO clinical progression scale of 6.8 ± 2.3, received rehabilitation for 3.9 ± 2.5 months. The Functional Independence Measure (FIM), the 10 m walk test, the 6 minute walk test, and grip force were collected before and after the rehabilitation period. Motor Nerve Conduction (MNC), Sensory Nerve Conduction (SNC) and electromyographic abnormalities were measured. All of the MNC measures of the median nerve correlated with the WHO clinical progression scale and duration of acute hospitalization. The MNC and SNC measures correlated with the rehabilitation duration and with FIM at discharge. The MNC distal latency of the median and the peroneal nerves and the MNC velocity of the median and tibial nerves predicted 91.6% of the variance of the motor FIM at discharge. We conclude that nerve conduction measurements, especially in COVID-19 patients with severe illness, are important in order to predict prognosis and rehabilitation outcomes.

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Rehabilitation of patients after COVID-19 recovery: An experience at the Physical and Rehabilitation Medicine Institute and Lucy Montoro Rehabilitation Institute

Cited by 27 publications

References 33 publications

The Effects of an Intensive Rehabilitation Program on the Nutritional and Functional Status of Post-COVID-19 Pneumonia Patients

The Effects of an Intensive Rehabilitation Program on the Nutritional and Functional Status of Post-COVID-19 Pneumonia Patients

recovery from COVID-19: pathophysiology and potential role of pulmonary rehabilitation program

Correlations between Electro-Diagnostic Findings, the Severity of Initial Infection, and the Rehabilitation Outcomes among COVID-19 Patients

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