Rehabilitation and COVID-19: a rapid living systematic review by Cochrane Rehabilitation Field updated as of December 31st, 2020 and synthesis of the scientific literature of 2020

Sire, Alessandro de; Andrenelli, Elisa; Negrini, Francesco; Patrini, Michele; Lazzarini, Stefano Giuseppe; Ceravolo, Maria Gabriella

doi:10.23736/s1973-9087.21.06870-2

Cited by 44 publications

(37 citation statements)

References 64 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The COVID-19 pandemic has had a strong impact on people's lives all over the world, affecting their health, minds, and habits. [1][2][3] The disruption of normal life has significantly impacted the mental health of the individuals; in detail, mental health might influence the personal and social functioning of individuals, justifying the importance of intervening upstream to promote mental health before mental illness occurs. 4 The rapid spread of the infection and the severity of the COVID-19 caused a partial collapse of the sanitary systems in many countries of the world.…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID‐19 on the mental health in a cohort of Italian rehabilitation healthcare workers

Farì

Sire

Giorgio

et al. 2021

Journal of Medical Virology

View full text Add to dashboard Cite

The COVID‐19 pandemic has had a strong impact on healthcare workers (HCWs), affecting their physical and mental health. In Italy, HCWs have been among the first exposed to unprecedented pressure, dealing with large numbers of infections during the first pandemic wave. However, the severe psychological consequences on HCWs find little evidence in the literature, especially in terms of comparison to the status quo ante pandemic. The aim of this study was to provide an assessment of the mental health burden in a cohort of Italian HCWs during the COVID‐19 pandemic, comparing their condition with that before the emergency, to direct the promotion of mental well‐being among HCWs worldwide. In this retrospective study, we included physicians, physical therapists, and nurses working in the Respiratory Intensive Care Unit, Neurology Unit, and Rehabilitation Unit from a Southern Italy University Hospital. All study participants underwent a battery of psychological tests, aimed at verifying their state of mental health during the COVID‐19 emergency and before it. Depressive, anxiety, and burnout symptoms were assessed using the following questionnaires: Maslach Burnout Inventory, Patient Health Questionnaire‐9 (PHQ‐9), and General Anxiety Disorder‐7. Depressive, anxiety, and burnout clinical relevance symptoms were present in HCWs during the COVID‐19 pandemic more than those before the emergency. Fifty percent of the HCWs obtained a score clinically significant during the emergency. Moreover, a depersonalization factor showed a statistically significant increase in average scores ( p < 0.0001). The PHQ‐9 scale showed that 47.1% of the operators reported depressive state presence. The number of operators scoring above the cut‐off for the anxiety scale tripled during the emergency ( p < 0.0001). The female gender conferred greater risks for depression. Taken together, the findings of this study showed that our sample of Italian HCWs showed a greater risk for depression, anxiety, and stress during the COVID‐19 pandemic. These data might be a starting point to plan mental health monitoring and prevention programs for HCWs, thus ensuring patients receive the best possible care performances even during healthcare crises such as the current pandemic.

show abstract

Section: Introductionmentioning

confidence: 99%

Impact of COVID‐19 on the mental health in a cohort of Italian rehabilitation healthcare workers

Farì

Sire

Giorgio

et al. 2021

Journal of Medical Virology

View full text Add to dashboard Cite

show abstract

“…The outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which started in late December 2019 in Hubei Province in China, caused millions of cases of coronavirus disease (COVID- 19) worldwide in just a few months and evolved into a pandemic [1]. In Italy, from 3 January 2020 to 11 June 2021, there have been 4,239,868 confirmed cases of COVID-19 with 126,855 deaths, as reported by the World Health Organization [2].…”

Section: Introductionmentioning

confidence: 99%

“…Overall, in October 2020, the research on this topic progressively shifted from the description of COVID-19 related disability in the acute phase (almost half of papers published in 2020) to complications in the sub-acute (33.9%) and chronic phase (4.8%). In early 2021, the research shed light on putative predictive factors for unfavorable outcomes and severe consequences of COVID-19 infection on long-lasting activity limitations and participation restrictions [2]. To date, large numbers of COVID-19 patients require outpatient and home rehabilitation care and the negative impact of the pandemic on Rehabilitation Units' performance and organization still causes deficiencies in meeting patient needs [3].…”

Section: Introductionmentioning

confidence: 99%

Psychological Distress and Work Environment Perception by Physical Therapists from Southern Italy during COVID-19 Pandemic: The C.A.L.A.B.R.I.A Study

Sire

Marotta

Lippi

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

The psychosocial impact of the work environment during the COVID-19 pandemic on health professionals is a growing issue. The present study examined specific psychosocial work environment indicators during the COVID-19 pandemic, through a multiple regression model of a self-administered cross-sectional online survey in a cohort of physical therapists from a region of Southern Italy from March 2020 to May 2021. The questionnaire contained items on work and healthcare issues related to COVID-19. Eighty physical therapists (29 male and 51 female), mean age 32.5 ± 10.1 years, were involved in this survey. The multiple regression analysis showed that “management activity” was significantly correlated to “therapist frustration” during the COVID-19 pandemic (ΔR2 = 0.16; p < 0.03). Findings of this study underline the importance of a healthy psychosocial work environment to enhance job satisfaction of all health professionals and to avoid role conflict and burnout syndrome during the COVID-19 pandemic.

show abstract

“…We developed the program with two essential concepts in our mind: feasibility and safety. During the COVID-19 pandemic, hospitals should be visited as little as possible, and the homebased rehabilitation program is safer (DE Sire et al, 2021). Furthermore, many of our KOA patients (like patient 2 of our study) are young and active, and often do not have the time to go to the hospital.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Rehabilitation After Platelet-Rich Growth Factors’ Intra-Articular Injections for Knee Osteoarthritis: Two Case Reports of a Home-Based Protocol

et al. 2021

Self Cite

View full text Add to dashboard Cite

Knee osteoarthritis (KOA) is a chronic progressive disease that can cause pain, functional impairment, and ultimately disability. A novel and promising therapeutic approach to KOA is the so-called regenerative medicine, a set of procedures designed to harness tissue regenerative capacity and optimize functional recovery. Increasing evidence points out that platelet-rich plasma (PRP) intra-articular injections can decrease pain and improve functional abilities in KOA patients. In the present case reports, we analyze two patients who were treated with PRP injections coupled with a posttreatment home-based rehabilitation program. The two patients were selected to represent two different populations: patient 1 was an 85-year-old with severe impairment of functional abilities, while patient 2 was a younger (59 years old) and more active patient. The protocol consisted in a series of exercise to be performed at home, during the five days following PRP injection for two consecutive weeks (10 days in total). The exercises were designed to reduce the inflammation after the injection, enhance the proprioceptive control of the treated lower limb, and strengthen hip and knee flexors and extensors, mainly by isometric work. Results were evaluated at two time points: before and 2 months after the first PRP injection. The outcomes considered were as follows: visual analog scale for pain, EuroQol 5 dimensions questionnaire, Tegner Activity Scale for functioning, and Knee Injury and Osteoarthritis Outcome Score (KOOS). Both patients did not report any side effects from the treatment. Improvement in patient 1 was drastic at the two months follow-up as far as pain and functional abilities are concerned. Patient 2’s improvement was less evident, probably due to the higher starting point in both pain and functionality. Overall, the developed program seemed safe and was tolerated by the patients analyzed in the study, who performed it with good compliance.

show abstract

Rehabilitation and COVID-19: a rapid living systematic review by Cochrane Rehabilitation Field updated as of December 31st, 2020 and synthesis of the scientific literature of 2020

Abstract: The final version may contain major or minor changes.Subscription: Information about subscribing to Minerva Medica journals is online at: http://www.minervamedica.it/en/how-to-order-journals.php Reprints and permissions: For information about reprints and permissions send an email to:

Cited by 44 publications

References 64 publications

Impact of COVID‐19 on the mental health in a cohort of Italian rehabilitation healthcare workers

Impact of COVID‐19 on the mental health in a cohort of Italian rehabilitation healthcare workers

Psychological Distress and Work Environment Perception by Physical Therapists from Southern Italy during COVID-19 Pandemic: The C.A.L.A.B.R.I.A Study

Case Report: Rehabilitation After Platelet-Rich Growth Factors’ Intra-Articular Injections for Knee Osteoarthritis: Two Case Reports of a Home-Based Protocol

Contact Info

Product

Resources

About