Chronic Neurology in COVID-19 Era: Clinical Considerations and Recommendations From the REPROGRAM Consortium

Bhaskar, Sonu; Bradley, Sian; Israeli‐Korn, Simon; Menon, Bindu; Chattu, Vijay Kumar; Thomas, Pravin; Chawla, Jasvinder; Kumar, Rajeev; Prandi, Paolo; Ray, Daniel; Golla, Sailaja; Surya, Nirmal; Yang, Hongqin; Martinez, S.; Ozgen, Mihriban Heval; Codrington, John; González, Eva María Jiménez; Toosi, Mandana; Mohan, Nithya Hariya; Valsraj, Koravangattu; Chahidi, Abderrahmane; Hengstl, Susana Mederer

doi:10.3389/fneur.2020.00664

Cited by 73 publications

(90 citation statements)

References 66 publications

(89 reference statements)

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“… 40 The nature of COVID-19, which was first appraised as a respiratory and inflammatory disease, might also explain why the few studies about people with physical disabilities included neurological diagnosis such as stroke, ALS, multiple sclerosis and chronic neurological diseases. The possible neurological consequences of COVID-19 on those diseases 41 , 42 , 43 might have made them a population of interest for researchers during the crisis. Certain populations, such as amputees and people with visual and hearing impairments, may be less susceptible to medical complications due to COVID-19 than people with neurological disabilities.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on people with physical disabilities: A rapid review

Lebrasseur

Fortin-Bédard

Lettre

et al. 2021

Disability and Health Journal

186

138

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Background The COVID-19 pandemic caused drastic changes in the lives of the general population. People with physical disabilities, who commonly encounter daily challenges such as barriers to community mobility, reduced access to healthcare services and higher risk of suffering from depression, may face additional challenges in the context of the pandemic. Objective This study aims to review the impact of the COVID-19 pandemic, and associated isolation and protective measures, among people with physical disabilities. Methods A rapid review of the published literature was conducted on August 10, 2020 through a search in six online databases to synthesize results from original studies regarding the impact of the COVID-19 pandemic on people with physical disabilities. The International Classification of Functioning, Disability and Health was used to describe the population and the personal and environmental factors with a unified and standard health language. Results Eleven records were extracted from 1621 individual papers retrieved from the search strategy. Various impacts on daily functioning such as a decrease in access to healthcare have been noted during the pandemic. Changes in social and lifestyle habits, mood changes and decreased levels of physical activity were also noted. Conclusions Our results highlighted the lack of early research about the impacts of COVID-19 experienced by people with physical disabilities. Future studies should focus on specific consequences and needs of this vulnerable population to ensure their inclusion in public health recommendations and consideration by policy makers.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on people with physical disabilities: A rapid review

Lebrasseur

Fortin-Bédard

Lettre

et al. 2021

Disability and Health Journal

186

138

View full text Add to dashboard Cite

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“…Coronavirus disease 2019 (COVID- 19) has challenged the status quo of how we approach, deliver, and receive modern medicine (1)(2)(3)(4). According to the American Telemedicine Association, telemedicine is defined as "the remote delivery of healthcare services and clinical information using telecommunications technology" (5).…”

Section: Introductionmentioning

confidence: 99%

Telemedicine as the New Outpatient Clinic Gone Digital: Position Paper From the Pandemic Health System REsilience PROGRAM (REPROGRAM) International Consortium (Part 2)

Bhaskar¹,

Bradley

Chattu

et al. 2020

Front. Public Health

Self Cite

122

120

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Technology has acted as a great enabler of patient continuity through remote consultation, ongoing monitoring, and patient education using telephone and videoconferencing in the coronavirus disease 2019 (COVID-19) era. The devastating impact of COVID-19 is bound to prevail beyond its current reign. The vulnerable sections of our community, including the elderly, those from lower socioeconomic backgrounds, those with multiple comorbidities, and immunocompromised patients, endure a relatively higher burden of a pandemic such as COVID-19. The rapid adoption of different technologies across countries, driven by the need to provide continued medical care in the era of social distancing, has catalyzed the penetration of telemedicine. Limiting the exposure of patients, healthcare workers, and systems is critical in controlling the viral spread. Telemedicine offers an opportunity to improve health systems delivery, access, and efficiency. This article critically examines the current telemedicine landscape and challenges in its adoption, toward remote/tele-delivery of care, across various medical specialties. The current consortium provides a roadmap and/or framework, along with recommendations, for telemedicine uptake and implementation in clinical practice during and beyond COVID-19.

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“…In Scotland, the financial impact of COVID-19 has been supported by the Scottish Government with a goal to protect and secure their world-leading research programmes through the provision of a £75 million one-off increase in funding for Scotland’s universities [ 10 ]. More recently, various independent and collaborative multidisciplinary related research studies on COVID-19 have been investigated in the area of equipment and manufacturing [ 11 , 12 , 13 , 14 ], pathophysiology [ 15 , 16 , 17 ], neurophysiology [ 18 , 19 , 20 , 21 ], radiology [ 22 , 23 , 24 , 25 ], psychology [ 26 , 27 ], diagnostics [ 28 , 29 , 30 , 31 , 32 ] and treatment [ 33 , 34 , 35 ].…”

Section: Introductionmentioning

confidence: 99%

An Assessment of the Novel COVISTRESS Questionnaire: COVID-19 Impact on Physical Activity, Sedentary Action and Psychological Emotion

Ugbolue

Duclos

Urzeala

et al. 2020

JCM

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Globally the COVID-19 pandemic outbreak has triggered an economic downturn and a rise in unemployment. As a result, global communities have had to face physical, health, psychological and socio-economical related stressors. The purpose of this study was to assess and report the impact of isolation and effect of coronavirus on selected psychological correlates associated with emotions. Following ethical approval, a mixed methods observational study was conducted using the validated COVISTRESS questionnaire. Two observational study scenarios were evaluated namely “Prior” to the COVID-19 outbreak and “Currently”, i.e., during the COVID-19 pandemic. 10,121 participants from 67 countries completed the COVISTRESS questionnaire. From the questionnaire responses only questions that covered the participant’s occupation; sociodemographic details, isolation and impact of coronavirus were selected. Further analyses were performed on output measures that included leisure time, physical activity, sedentary time and emotions. All output measures were evaluated using the Visual Analogue Scale (VAS) with an intensity ranging from 0–100. Descriptive statistics, Wilcoxon signed-rank test and Spearman correlational analysis were applied to the leisure time, physical activity, sedentary time and emotional feeling datasets; p = 0.05 was set as the significance level. Both males and females displayed similar output measures. The Wilcoxon signed rank test showed significant differences with respect to “Prior” COVID-19 and “Currently” for sedentary activity (Z = −40.462, p < 0.001), physical activity (Z = −30.751, p < 0.001) and all other emotional feeling output measures. A moderate correlation between “Prior” COVID-19 and “Currently” was observed among the Males (r = 0.720) in comparison to the Females (r = 0.639) for sedentary activity while weaker correlations (r < 0.253) were observed for physical activity and emotional feeling measurements, respectively. Our study reported incremental differences in the physical and psychological output measures reported, i.e., “Prior” COVID-19 and “Currently”. “Prior” COVID-19 and “Currently” participants increased their sedentary habits by 2.98%, and the level of physical activity reduced by 2.42%, depression levels increased by 21.62%, anxiety levels increased by 16.71%, and stress levels increased by 21.8%. There were no correlations (r) between leisure, physical activity and sedentary action (i.e., “Prior” = −0.071; “Currently” = −0.097); no correlations (r) between leisure physical activity and emotion (i.e., −0.071 > r > 0.081) for “Prior”; and poor correlations (r) between leisure, physical activity and sedentary action (i.e., −0.078 > r > 0.167) for “Current”. The correlations (r) between sedentary action and emotion for “Prior” and “Currently” were (−0.100 > r > 0.075) and (−0.040 > r > 0.041) respectively. The findings presented here indicate that the COVISTRESS project has created awareness in relation to the physical and psychological impact resulting from the COVID-19 pandemic. The findings have also highlighted individual distress caused by COVID-19 and associated health consequences for the global community.

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Chronic Neurology in COVID-19 Era: Clinical Considerations and Recommendations From the REPROGRAM Consortium

Cited by 73 publications

References 66 publications

Impact of COVID-19 on people with physical disabilities: A rapid review

Impact of COVID-19 on people with physical disabilities: A rapid review

Telemedicine as the New Outpatient Clinic Gone Digital: Position Paper From the Pandemic Health System REsilience PROGRAM (REPROGRAM) International Consortium (Part 2)

An Assessment of the Novel COVISTRESS Questionnaire: COVID-19 Impact on Physical Activity, Sedentary Action and Psychological Emotion

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