The effects of COVID-19 on Physical Medicine and Rehabilitation in Turkey in the first month of pandemic

Yağcı, İlker; Sarıkaya, Selda; Ayhan, Fi̇kri̇ye Fi̇gen; Bahşi, Ayşe; Kaya, Başak Bilir; Erhan, Belgin; Ahi, Emine Dündar; Okan, Sevil; Özkan, Yasemin; Korkmaz, Merve Damla; Yakşi, Elif; Kabayel, Derya Demirbağ; Özdemir, Hande; Kayalar, Gülseren; Çelik, Canan; Kesiktaş, Fatma Nur; Yağci, Hanife Çağlar; Altan, Lale

doi:10.5606/tftrd.2020.6800

Cited by 11 publications

(9 citation statements)

References 2 publications

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“…For instance, Jesenšek Papež et al (2021) have reported a 44% decline in the total number of patients and a 71% decline in the number of treatment sessions during the COVID-19 period 2020 compared to the pre-COVID-19 period from March-August in 2019 [18]. Likewise, Yağcı et al (2020) have reported a decline of 84% and 92% in the number of weekly outpatient rehabilitation service visits and the number of patients seen at the time of the lockdown, respectively [19]. Altogether, these reports demonstrate the impact of the COVID-19 outbreak on rehabilitation services, which resulted in sudden cessation or substantial decline in outpatient rehabilitation service visits.…”

Section: Discussionmentioning

confidence: 99%

The Impact of COVID-19 Pandemic on Rehabilitation Services in a Tertiary Care Hospital in the Eastern Region of Saudi Arabia: A Single-Center Study

Ilyas¹,

Naiz²,

Abualait³

et al. 2021

Cureus

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In this retrospective study, we aimed to investigate the impact of the coronavirus disease 2019 (COVID-19) pandemic on rehabilitation services including outpatient rehabilitation clinic visits, speech therapy, and occupational therapy and physiotherapy sessions. Materials and methodsThis was a retrospective, observational, single-center study, which included all patients who presented to the rehabilitation clinic at the King Fahad Specialist Hospital, Dammam (KFSHD) from January to August 2020 (study period), and they were matched with parallel groups from 2017 to 2019 (control period). ResultsA total number of 1,435 patient visits were recorded in the outpatient rehabilitation clinics during the study period as compared to the 1,496 patient visits during the control period. However, the number of patients seen by the speech therapists, physiotherapists, and occupational therapists significantly came down from 482, 963, and 171, respectively in the control period to 77, 218, and 130, respectively in the study period. The occupational therapy, physiotherapy, and speech therapy services were significantly affected during the COVID-19 pandemic. ConclusionsOur findings revealed the negative consequences of the COVID-19 pandemic on the outpatient rehabilitation services, which was reflected in the sharp decline in the number of patients who attended the rehabilitation clinics as well as in the reduced number of sessions. The rehabilitation facilities should be better prepared for such pandemics in the future to deliver appropriate and timely rehabilitation programs with a patient-centered approach.

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Section: Discussionmentioning

confidence: 99%

The Impact of COVID-19 Pandemic on Rehabilitation Services in a Tertiary Care Hospital in the Eastern Region of Saudi Arabia: A Single-Center Study

Ilyas¹,

Naiz²,

Abualait³

et al. 2021

Cureus

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“…herniated disc, bulging disc, spinal stenosis, spondylolisthesis, neck disc, and de Quervain) was noted. It is possible that the reductions in outpatient visits [28][29][30][31] led to a decrease in the detection of these certain spe-cific diagnoses, which in turn lessened their internet searches. Considering the trends observed in this study (an upward trend in symptoms and some colloquial terms/well-known conditions coupled with a downward trend in general musculoskeletal disorder terms and certain specific diagnoses) and still on-going pandemic, rheumatologists should address the increased informational demand for musculoskeletal symptoms and develop effective strategies in delivering clinical care to minimize the potential detrimental impact of the pandemic on outcomes of patients with musculoskeletal disorders.…”

Section: Schlüsselwörtermentioning

confidence: 99%

Public interest in musculoskeletal symptoms and disorders during the COVID-19 pandemic

2021

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Objective The goal was to assess public interest in a wide range of musculoskeletal symptoms and disorders during the coronavirus disease 2019 (COVID-19) pandemic. Methods We searched Google Trends for 118 search queries within the United States. We compared two timeframes of 2020 (March 15–July 4 and July 5–October 31) to similar timeframes over the four prior years (2016–2019). Results In the early pandemic, March 15–July 4, a statistically significant decrease in relative search volume of the majority of queries (60%) was detected, with a significant increase in only 2 queries (i.e. myalgia and toe swelling). In the phase July through October, a statistically significant decrease was detected in only 22% of search queries; there was no difference for 60% of search queries between 2020 and 2016–2019 suggesting a return to their prior levels for most of search queries. Interestingly, the search volume of 18% of search queries (i.e. fatigue, joint pain, muscle pain, myalgia, spondylosis, radiculopathy, myelopathy, neck pain, neck strain, lower back strain, sciatica, shoulder pain, frozen shoulder, elbow pain, lateral epicondylitis, wrist pain, carpal tunnel, hand pain, finger pain, trigger finger, and Morton’s neuroma) was significantly increased compared with the four prior years. Conclusion Public interest focused on COVID-19 and sought online information for COVID-19 symptoms in the early pandemic. In the period July through October, there was an upward trend in musculoskeletal symptoms and some colloquial terms/well-known musculoskeletal conditions coupled with a downward trend in general musculoskeletal disorder terms and certain specific diagnoses. This information may help rheumatologists understand public interest in musculoskeletal symptoms and disorders and address the needs of patients to mitigate the negative impact of the pandemic on outcomes. Supplementary Information The online version of this article (10.1007/s00393-021-00989-2) includes Table 1. Article and supplementary material are available at www.springermedizin.de . Please enter the title of the article in the search field, the supplementary material can be found under “Ergänzende Inhalte”.

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“…Inpatient services decreased and interrupted their usual activities, leading to early hospital discharge. Physiotherapy, occupational therapy sessions, and botulinum toxin type A (BoNT-A) injections were postponed [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Management of spasticity in individuals with spinal cord injury in the era of COVID-19 pandemic societal restrictions

Gümüşsu

Erhan

2023

Spinal Cord Ser Cases

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Study design Cross-sectional telephone interviews. Objective The coronavirus disease (COVID-19) pandemic placed unprecedented pressure on healthcare systems worldwide. Here, we aimed to investigate the disruptions in management of spasticity and activities of daily living (ADL) in individuals with spinal cord injury (SCI) during the COVID-19 pandemic. Setting Two university hospitals in Istanbul, Turkey. Methods Twenty-four individuals with SCI exhibiting moderate and severe spasticity were enroled. All participants underwent ultrasound-guided botulinum toxin type A (BoNT-A) injections at two centres. A self-rated spasticity survey prepared by the authors was conducted. We questioned whether there was an increase in spasticity and the need for new BoNT-A injections during the societal restrictions of the COVID-19 pandemic. Spasticity severity in the previous week was rated using a numeric rating scale (NRS). ADL disrupted by spasticity were assessed by asking open-ended questions. Results In total, 75% participants reported a moderate increase in spasticity, 12.5% reported a severe increase, and 12.5% reported no difference. The mean spasticity NRS score was 6 (standard deviation = 2). Further, 87.5% (21) participants reported the need for BoNT-A treatment because of symptom re-emergence. When spasticity-induced deterioration in ADL was assessed, individuals mostly reported difficulties in walking, sitting on a wheelchair, and sleep disturbance due to spasticity. Conclusions Most (87.5%) individuals with SCI reported a moderate or severe increase in spasticity during COVID-19 restrictions. Individuals with disabilities are an especially sensitive group and require specialised care during extraordinary circumstances, such as pandemics, hurricanes, or earthquakes. Sponsorship None.

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The effects of COVID-19 on Physical Medicine and Rehabilitation in Turkey in the first month of pandemic

Cited by 11 publications

References 2 publications

The Impact of COVID-19 Pandemic on Rehabilitation Services in a Tertiary Care Hospital in the Eastern Region of Saudi Arabia: A Single-Center Study

The Impact of COVID-19 Pandemic on Rehabilitation Services in a Tertiary Care Hospital in the Eastern Region of Saudi Arabia: A Single-Center Study

Public interest in musculoskeletal symptoms and disorders during the COVID-19 pandemic

Management of spasticity in individuals with spinal cord injury in the era of COVID-19 pandemic societal restrictions

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