Physiotherapy management of COVID-19 in Africa: Ongoing efforts, challenges, and future directions

Abdullahi, Auwal; Bello, Bashir; Mukhtar, Naziru Bashir; Kaka, Bashir; Abba, Muhammad Aliyu; Usman, Jibrin Sammani; Shittu, Aishat; Mayana, Kabir Isah; Maiwada, Saadatu Abubakar; Mohammed, Jibril

doi:10.1080/09593985.2020.1798163

Cited by 7 publications

(7 citation statements)

References 6 publications

(11 reference statements)

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“…In total, we included 128 articles in our review (see Figure 1 for PRISMA diagram) 3,4,13‐138 . With respect to article type, 33 were primary data articles (ie, observational studies, case reports), 22,24,33,41,51,55,57,63,69,78‐89,115,117,119,127‐129,131,132,134,136‐138 82 were secondary articles (ie, reviews, letters to the editor that did not report results of an original research project, commentaries)…”

Section: Resultsmentioning

confidence: 99%

“…An additional 12 articles provided specific suggestions for frequency, duration, and modality of COVID rehabilitation (see Table 5). Most of the suggestions were adapted from respiratory rehabilitation guidelines for COVID patients specifically 56,62,73,106 or for similar populations (eg, COPD, acute respiratory distress syndrome) 58,59,73,109 . One article made recommendations based on front‐line expert consensus and references 74 and another adapted general exercise principles from the American College of Sports Medicine 120 .…”

Section: Resultsmentioning

confidence: 99%

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Providing rehabilitation to patients recovering fromCOVID‐19: A scoping review

Wasilewski

Cimino

Kokorelias

et al. 2021

PM&R

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Objective To synthesize the nature and extent of research on rehabilitation care provision to COVID‐19 (COVID) patients. Specifically, we aimed to: (1) Describe the impact of COVID on patients and associated rehabilitation needs; (2) Outline the adaptations and preparations required to enable the provision of COVID rehabilitation; (3) Describe the types of rehabilitation services and treatments provided to COVID patients; and (4) Identify barriers and facilitators to delivering COVID rehabilitation. Literature Survey We searched Medline, PsychINFO, Embase, and CINAHL on June 26 th , 2020 using key words such as “rehabilitation”, “physical medicine”, “allied health professionals” and variations of “COVID”. The search was updated on October 13 th , 2020. We included articles published in English and that focused on some aspect of COVID rehabilitation for adults. We excluded articles focused on pediatric populations and those not focused (or minimally focused) on rehabilitation for COVID patients. Methodology Data were charted based on article type (i.e. primary data, secondary data, guidelines). Key information extracted included: (i) COVID sequelae; (ii) rehabilitation adaptations; (iii) structure, function and content of rehabilitation services/programs; (iv) facilitators and/or barriers to providing COVID rehabilitation; and (v) recommendations for COVID rehabilitation programming. Data were synthesized narratively. Synthesis In total, 129 articles were included in the review that reported primary data (n=33), secondary data (n=82), and clinical practice/patient self‐management guidelines (n=13). Evidence begins to suggest that rehabilitation is necessary and valuable for addressing COVID‐related declines in health, function, and well‐being. Most articles recommended that an individualized rehabilitation program be provided across the continuum of care by an interdisciplinary team of professionals and that the nature and extent of rehabilitation be informed by the care setting and COVID severity. Most issues that challenged COVID rehabilitation delivery were directly addressed by the facilitators and adaptations identified. Conclusions Future recommendations include a greater emphasis on the psychosocial aspects of COVID rehabilitation, inclusion of families in rehabilitation planning, and the use of qualitative approaches to complement clinical data. This article is protected by copyright. All rights reserved.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Providing rehabilitation to patients recovering fromCOVID‐19: A scoping review

Wasilewski

Cimino

Kokorelias

et al. 2021

PM&R

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“…Notable amongst the "modifiable" barriers includes; lack of expertise on ER amongst acute care clinicians 30 , staff unavailability 29 , lack of rehabilitation equipments 31 and excessive sedation practice 29,31 . Low utilization of rehabilitation services in Africa 32 , possibly resulting from these and many other barriers, has been corroborated by anecdotal reports during this pandemic 33 . This is thus a call to action for critical care centers across Africa to adopt multi-targeted strategies to (1) address these identified barriers, (2) facilitate the implementation of ER and (3) maintain an ICU culture of prioritizing ER.…”

Section: Early Icu Rehabilitationmentioning

confidence: 80%

COVID-19 survivors with Post Intensive Care Syndrome: Key rehabilitation strategies for Africa

Okeke

Kalu

Ativie

2020

Preprint

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The emergence of coronavirus diseases (COVID-19) has presented a global health threat. The number of COVID-19 cases continues to increase in Africa; this poses a challenge to the African healthcare system, particularly the intensive care unit (ICU). More so, individuals with severe COVID-19 would often have a prolonged intensive care stay, requiring mechanical ventilation and sedation and this may increase their risk of developing physical, cognitive and psychosocial impairments. These post-ICU sequelae of morbidities have been termed Post Intensive Care Syndrome. The African healthcare system needs to be prepared to manage the adverse effects of Post Intensive Care Syndrome (PICS) largely characterized by a decline in functional capacity and health-related quality of life. It is thus expedient that multi-targeted measures such as early rehabilitation, adequate screening, patient/caregiver education and post-discharge rehabilitation be adopted to combat imminent poor health outcomes in COVID-19 survivors. In this editorial, we provided a brief review of PICS and highlighted strategies for preventing and managing PICS in the critically ill within the African context

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“…In addition to this it's necessary for post to attend the physiotherapy out door patients department in order to regain their strength specially the respiratory strength because the covid-19 mostly affects the respiratory health of patients [17,21]. whereas most of the physiotherapy out door patients department are being visited by older individuals, who are more prone to get infected by infectious diseases due to suppressed immunity [22], so its duty of physiotherapist to bring most of their knowledge into practice to avoid the unnecessary communication of infectious diseases specially in pandemics.…”

Section: Discussionmentioning

confidence: 99%

Assess the awareness of COVID-19 among the physiotherapists working in different hospitals of Sindh, Pakistan: A cross sectional survey

Ali¹,

Naqi²,

Bugti³

et al. 2021

J Nov Physiother Phys Rehabil

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Background: To assess the awareness of Covid-19 among the Physiotherapists of Sindh, Pakistan, in order to check the level of knowledge present regarding the pandemics among the working physiotherapist of Pakistan. Material & Methods: A cross sectional study was carried out in different hospitals of Sindh, Pakistan from June to July 2020. A self-constructed questionnaire by Pursuing the clinical and community administration of COVID-19 given by the National Health Commission of the People's Republic of China was used among the 343 Physiotherapists and SPSS version 23 was used to analyze the data. Results: The majority (n=207, 60.3%) were male, having age between 33 and above years (n=227, 66.2%) and (n=304, 88.6%) were married. In educational status (n=230, 67.1%) were postgraduate and (n=304, 88.6%) belongs to urban area. During the assessment of awareness towards COVID-19 results showed that majority (n=321, 93.6%) were aware of COVID-19. Conclusion: This Study concluded that the physiotherapists who are working in different hospitals of Sindh, Pakistan are well aware of COVID-19.The awareness can be due to their self-interest in infection preventive measure and quality of education being provided by their respective institutions.

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Physiotherapy management of COVID-19 in Africa: Ongoing efforts, challenges, and future directions

Cited by 7 publications

References 6 publications

Providing rehabilitation to patients recovering fromCOVID‐19: A scoping review

Providing rehabilitation to patients recovering fromCOVID‐19: A scoping review

COVID-19 survivors with Post Intensive Care Syndrome: Key rehabilitation strategies for Africa

Assess the awareness of COVID-19 among the physiotherapists working in different hospitals of Sindh, Pakistan: A cross sectional survey

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