Global statements to produce and implement evidence in the post-COVID-era provide a path forward for rehabilitation - A joint initiative of Cochrane Rehabilitation and the leading journals in the field

Negrini, Stefano; Borg, Kristian; Cusick, Anne; Ferriero, Giorgio; Frontera, Walter R.; Gross, Douglas P.; Heinemann, Allen W.; Machalicek, Wendy; Moore, Ann; Nudo, Randolph J.; Pérennou, Dominic; Stam, Henk J.; Kiekens, Carlotte

doi:10.2340/jrm.v54.4858

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Recently, there has been an ever-expanding array of medical research focusing on post-COVID-19 condition symptomatology, with estimates of 31%–69% COVID-19 pneumonia patients suffering from the syndrome ( 13 ) and clinical findings including fatigue, muscle pain, cardiac complications, dyspnoea at rest and/or exertion, anxiety and stress or depression ( 14 ). However, evaluation and management of the syndrome still remains extremely challenging in the medical setting and requires a multidisciplinary approach by different specialists and scientific guidelines based on each individual’s needs ( 15 – 17 ).…”

Section: Discussionmentioning

confidence: 99%

Quality of Life after Coronavirus Disease 2019 Hospitalization and Rehabilitation Needs

Kintrilis¹,

Kontaxakis²,

Papalambidou³

et al. 2023

JRM-CC

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Introduction: During the current pandemic, there has been a paucity of Greek data in terms of recording the general long-term functional status of patients after coronavirus disease 2019 (COVID-19) hospitalizations, as well as very little information regarding rehabilitation services nationwide and their utilization.Objective-design: This is a prospective cohort study, including 92 adults discharged from the Infectious Disease Unit of a third-level hospital in Greece after hospitalization with COVID-19. Demographics and disease severity data was collected upon admission and symptoms at discharge, 4 months and 1 year. Following rating of 12 common symptoms on a Likert scale, quality-of-life data and accessibility to rehabilitation services were compared among the 3 time points. Results: At discharge, the most prevalent complaints were fatigue, exertional dyspnoea and difficulty walking. At 4 months, these 3 remained among the most prevalent symptoms, while pain and memory/loss concentration remained at high numbers as well. Finally, at the 1-year mark, the percentages of patients reporting fatigue, exertional dyspnoea and pain were the highest. At the 4-month follow-up, only 4.3% of the study participants had visited a rehabilitation facility of any kind, whereas at the 1-year mark the percentage rose to 10.9%. Conclusion: A clinically relevant number of participants experienced at least one post-COVID-19 hospitalization symptom. Quality of life was markedly affected by the longer-term effects of the disease. The percentage of people finally attending any kind of rehabilitation service was poor. With thousands more being infected and needing hospitalization nationwide daily, the need for the inclusion of relevant rehabilitation programmes in the Greek healthcare system appears imminent. LAY ABSTRACTFor this research paper, we studied 92 adults discharged from the Infectious Disease Unit of a third-level hospital after hospitalization with COVID-19, examining their quality of life and accessibility to rehabilitation services among 3 time points: discharge, 4 months and 1 year afterwards. At discharge, the most prevalent complaints were fatigue, exertional dyspnoea and difficulty walking. At 4 months, these 3 remained among the most prevalent symptoms, while pain and memory/loss concentration remained at high numbers as well. Finally, at the 1-year mark, the percentages of patients reporting fatigue, exertional dyspnoea and pain were the highest. Quality of life was markedly affected by the longer-term effects of the disease. The percentage of people finally attending any kind of rehabilitation service was poor. Without a doubt, the need for inclusion of rehabilitation programmes in the healthcare systems is imminent in order to face the continued pandemic challenge.

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Section: Discussionmentioning

confidence: 99%

Quality of Life after Coronavirus Disease 2019 Hospitalization and Rehabilitation Needs

Kintrilis¹,

Kontaxakis²,

Papalambidou³

et al. 2023

JRM-CC

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“…Practitioners must continuously review current literature to ensure that their practice is in line with the latest and most robust evidence. This includes participation in continuing education and professional networks that enable the exchange of knowledge and experience (Negrini et al, 2022).…”

Section: Evidence-based Approachmentioning

confidence: 99%

Injury Rehabilitation in Badminton: An Evidence-based Approach to Player Well-being- A Systematic Review

Hidayat,

Ihsan

2024

IJMMU

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Badminton, as a sport that demands speed, accuracy, and agility, often causes injuries to players. These injuries can reduce their quality of life and athletic careers. Therefore, effective and evidence-based injury rehabilitation is crucial for recovery and prevention of re-injury. This study aims to systematise the current evidence regarding injury rehabilitation methods in badminton and evaluate their effectiveness in supporting player well-being. This systematic review was conducted in accordance with PRISMA guidelines; this study screened and analysed studies from PubMed, Scopus, and Web of Science databases. Inclusion criteria included studies that evaluated injury rehabilitation programmes specifically for badminton players, with outcome measures of functional recovery, pain reduction, and prevention of re-injury. Quality assessment was conducted using the CASP (Critical Appraisal Skills Programme) tool, and data were extracted for thematic analysis. The results showed that a combination of physical therapy, strengthening exercises, and manual intervention techniques such as joint mobilisation and manipulation provided the most effective outcomes in injury rehabilitation. There is strong evidence supporting the use of proprioceptive training to prevent re-injury. Factors such as player age, initial injury severity, and adherence to the rehabilitation programme were shown to influence recovery success. This study concludes that the approach to injury rehabilitation in badminton should be multidisciplinary, integrating various physiotherapy techniques for optimal outcomes. The findings emphasise the importance of a tailored and evidence-based rehabilitation programme in supporting athletes' recovery and preventing possible future injuries. This study also suggests the need for further research to develop specific and standardised rehabilitation guidelines for badminton players.

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“…These are based on existing knowledge about rehabilitation of acquired brain injuries. As the suffering is great among those affected, we need to offer safe interventions while evaluating these carefully and taking evidence‐based medicine into account [152]. As some patients may experience severe fatigue and worsened symptoms with intensive cognitive interventions, close monitoring of intensity levels and careful observation for any signs of deterioration are important.…”

Section: Management and Rehabilitation Of Cognitive Dysfunction After...mentioning

confidence: 99%

Cognitive dysfunction in post‐COVID‐19 condition: Mechanisms, management, and rehabilitation

Möller,

Borg,

Janson

et al. 2023

J Intern Med

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The long‐term effects of COVID‐19 on cognitive function have become an area of increasing concern. This paper provides an overview of characteristics, risk factors, possible mechanisms, and management strategies for cognitive dysfunction in post‐COVID‐19 condition (PCC).Prolonged cognitive dysfunction is one of the most common impairments in PCC, affecting between 17% and 28% of the individuals more than 12 weeks after the infection and persisting in some cases for several years. Cognitive dysfunctions can be manifested as a wide range of symptoms including memory impairment, attention deficit, executive dysfunction, and reduced processing speed. Risk factors for developing PCC, with or without cognitive impairments, include advanced age, preexisting medical conditions, and the severity of acute illness. The underlying mechanisms remain unclear, but proposed contributors include neuroinflammation, hypoxia, vascular damage, and latent virus reactivation not excluding the possibility of direct viral invasion of the central nervous system, illustrating complex viral pathology.As the individual variation of the cognitive impairments is large, a neuropsychological examination and a person‐centered multidimensional approach are required. According to the World Health Organization, limited evidence on COVID‐19‐related cognitive impairments necessitates implementing rehabilitation interventions from established practices of similar conditions. Psychoeducation and compensatory skills training are recommended. Assistive products and environmental modifications adapted to individual needs might be helpful. In specific attention‐ and working memory dysfunctions, cognitive training—carefully monitored for intensity—might be effective for people who do not suffer from post‐exertional malaise. Further research is crucial for evidence‐based interventions specific to COVID‐19‐related cognitive impairments.

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Global statements to produce and implement evidence in the post-COVID-era provide a path forward for rehabilitation - A joint initiative of Cochrane Rehabilitation and the leading journals in the field

Cited by 3 publications

References 9 publications

Quality of Life after Coronavirus Disease 2019 Hospitalization and Rehabilitation Needs

Quality of Life after Coronavirus Disease 2019 Hospitalization and Rehabilitation Needs

Injury Rehabilitation in Badminton: An Evidence-based Approach to Player Well-being- A Systematic Review

Cognitive dysfunction in post‐COVID‐19 condition: Mechanisms, management, and rehabilitation

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