Consensus Statement on Neurorehabilitation during COVID-19 Times

Dhamija, Rajinder K; Srivastava, Abhishek; Chauhan, Sonal; Shah, Urvashi; Nagda, Taral V.; Palande, Deepak; Chitnis, Sonal; Dantala, P S; Solomon, John M.; Krishnan, Sunitha; Someshwar, Hitav; Surya, Nirmal

doi:10.4103/aian.aian_997_20

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…To our knowledge, ours is the only consensus-based guideline developed to date, addressing the aspect of in-hospital based neurorehabilitation during the ongoing pandemic, and its transferability and application to other similar airborne outbreaks. Previous consensus guidelines have either addressed acute management of stroke in LMICs, neurorehabilitation in LMICs, not specific to in-hospital setting or post-COVID rehabilitation as a whole [28][29][30] .…”

Section: Resultsmentioning

confidence: 99%

Expert consensus for in-hospital neurorehabilitation during the COVID-19 pandemic in low- and middle-income countries

et al. 2021

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Background: People with neurological dysfunction have been significantly affected by the ongoing coronavirus disease 2019 (COVID-19) crisis in receiving adequate and quality rehabilitation services. There are no clear guidelines or recommendations for rehabilitation providers in dealing with patients with neurological dysfunction during a pandemic situation especially in low- and middle-income countries. The objective of this paper was to develop consensus-based expert recommendations for in-hospital based neurorehabilitation during the COVID-19 pandemic for low- and middle-income countries based on available evidence. Methods: A group of experts in neurorehabilitation consisting of neurologists, physiotherapists and occupational therapists were identified for the consensus groups. A scoping review was conducted to identify existing evidence and recommendations for neurorehabilitation during COVID-19. Specific statements with level 2b evidence from studies identified were developed. These statements were circulated to 13 experts for consensus. The statements that received ≥80% agreement were grouped in different themes and the recommendations were developed. Results: 75 statements for expert consensus were generated. 72 statements received consensus from 13 experts. These statements were thematically grouped as recommendations for neurorehabilitation service providers, patients, formal and informal caregivers of affected individuals, rehabilitation service organizations, and administrators. Conclusions: The development of this consensus statement is of fundamental significance to neurological rehabilitation service providers and people living with neurological disabilities. It is crucial that governments, health systems, clinicians and stakeholders involved in upholding the standard of neurorehabilitation practice in low- and middle-income countries consider conversion of the consensus statement to minimum standard requirements within the context of the pandemic as well as for the future.

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Section: Resultsmentioning

confidence: 99%

Expert consensus for in-hospital neurorehabilitation during the COVID-19 pandemic in low- and middle-income countries

et al. 2021

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“…According to Dhamija RK, 2021, neuro-rehabilitation plays a key role in the functional recovery of patients recovering from COVID-19 [14] . According to Ani Nalbandian, et al (2021), physical activity should be prescribed to COVID-19 patient as soon as they can tolerate it.…”

Section: Discussionmentioning

confidence: 99%

A Case Reporting the Neuro-Rehabilitation of a Patient with Bilateral Multi-Level Lower Extremity Arterial Thrombosis Post COVID -19

Chawla

2023

ijirms

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Background: The novel coronavirus (COVID-19 or SARS CoV2) appears to be associated with the risk of thrombosis which is a common consequence of a variety of medical and surgical disorders. These sequelae suggest the presence of coagulopathy induced by COVID-19 infection. Case Report: We present the case of a 63-year-old woman who developed lower limb weakness after undergoing revascularization surgery for multi-level femoral artery thrombosis as a result of SARS-CoV2. After recovery from COVID-19 infection, the patient developed bilateral lower-extremity pain and paralysis. Doppler ultrasound revealed bilateral superficial femoral artery thrombosis, which was later confirmed by angiography. The patient further developed critical limb ischemia and underwent revascularization surgery. Post surgery, patient was unable to ambulate due to marked weakness and sensory deficits in lower extremities. An evidence-based physiotherapy exercise regime was planned for this patient and was followed up for a period of three months. The functional recovery of the patient was documented using two-minute walk test (2 MWT), berg balance scale (BBS) and manual muscle testing of hip, knee and ankle. Results and conclusion: Early tailor-made neuro-rehabilitation plays a significant role in improving the functional status of patients with bilateral lower limb arterial thrombosis post COVID-19.

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“…One of the biggest challenges is the shortage of trained professionals. There is a need for more specialized therapists and rehabilitation professionals to meet the growing demand for their services [ 1 ].…”

Section: Editorialmentioning

confidence: 99%

Advancements and Challenges in Neurosurgical Practice in India: Where Do We Stand?

Chandankhede¹,

Thombre²

2023

Cureus

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The challenges facing neurosurgical healthcare in India include accessibility, affordability, infrastructure, medical malpractice, and training and education. The lack of infrastructure and shortage of trained professionals are significant issues impacting the quality of care provided to patients. To address these challenges, there is a need for increased investment in facilities, expanding access to specialized equipment, increasing the number of trained staff, and improving the overall quality of healthcare facilities. Collaboration between government, private sector, and non-profit organizations is also necessary to ensure that patients receive comprehensive, high-quality care, regardless of their location or ability to pay. Additionally, addressing the shortage of trained neurosurgeons, neurologists, and neuroanesthesiologist in India is crucial to meet the growing demand for their services.

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Consensus Statement on Neurorehabilitation during COVID-19 Times

Cited by 5 publications

References 14 publications

Expert consensus for in-hospital neurorehabilitation during the COVID-19 pandemic in low- and middle-income countries

Expert consensus for in-hospital neurorehabilitation during the COVID-19 pandemic in low- and middle-income countries

A Case Reporting the Neuro-Rehabilitation of a Patient with Bilateral Multi-Level Lower Extremity Arterial Thrombosis Post COVID -19

Advancements and Challenges in Neurosurgical Practice in India: Where Do We Stand?

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