PMID- 37184416
OWN - NLM
STAT- Publisher
LR  - 20230515
IS  - 1532-5040 (Electronic)
IS  - 0959-3985 (Linking)
DP  - 2023 May 15
TI  - Acute inpatient rehabilitation for COVID-19 survivors: A retrospective case 
      series.
PG  - 1-10
LID - 10.1080/09593985.2023.2213773 [doi]
AB  - BACKGROUND: Patients with Coronavirus Disease 2019 (COVID-19) who required 
      mechanical ventilation and had prolonged hospital stay present with medical 
      instability and functional impairments after the acute hospitalization. 
      OBJECTIVE: To present the rehabilitation outcome of three patients with COVID-19 
      admitted to an inpatient rehabilitation unit using a case series method. METHODS: 
      Subjects included three consecutive male patients admitted to the rehabilitation 
      unit with a diagnosis of deconditioning and critical illness myopathy. On 
      admission, patients were evaluated by a multidisciplinary team using outcome 
      measures such as 6-min walk test (6 MWT), 10-m walk test (10 MWT), berg balance 
      scale (BBS), and dynamometry. Each patient received daily therapy with a minimum 
      of 900 min per week during their rehabilitation stay. Treatment strategies 
      included fatigue management, training of mobility and activities for daily living 
      tasks, muscle strengthening, and cognitive retraining. RESULTS: All patients 
      showed significant improvements across all the outcome measures, specifically, 
      the 6MWT (minimal clinically identifiable difference (MCID) range: 14-30.5 m) and 
      the 10MWT (MCID range: 0.10-0.20 m/s) which exceeded the MCID for all three 
      patients. The BBS also demonstrated significant improvement, surpassing the 
      minimum detectable change of 5-7 points. Of the three patients, two were able to 
      be discharged at an independent level, while one required supervision for safety. 
      CONCLUSION: Patients with COVID-19, who experienced prolonged hospital stay 
      present with severe impairments in muscle strength, functional mobility, and 
      participation in daily living tasks. Inpatient rehabilitation may have the 
      potential to reduce impairments and accelerate the recovery process while 
      managing ongoing medical issues.
FAU - Lijo, Mithu
AU  - Lijo M
AD  - Rehabilitation Services, John H. Stroger Jr. Hospital of Cook County, Chicago, 
      IL, USA.
FAU - Hamilton, Ashley
AU  - Hamilton A
AD  - Rehabilitation Services, TIRR Inpatient Rehabilitation, The Woodlands, TX, USA.
FAU - Russell, Mary E
AU  - Russell ME
AD  - Rehabilitation Services, TIRR Inpatient Rehabilitation, The Woodlands, TX, USA.
FAU - Wren, Nicole
AU  - Wren N
AD  - Rehabilitation Services, TIRR Inpatient Rehabilitation, The Woodlands, TX, USA.
LA  - eng
PT  - Journal Article
DEP - 20230515
PL  - England
TA  - Physiother Theory Pract
JT  - Physiotherapy theory and practice
JID - 9015520
SB  - IM
OTO - NOTNLM
OT  - Coronavirus disease 2019
OT  - inpatient rehabilitation
OT  - occupational therapy
OT  - physical therapy
OT  - speech and language pathology
EDAT- 2023/05/15 13:05
MHDA- 2023/05/15 13:05
CRDT- 2023/05/15 10:13
PHST- 2023/05/15 13:05 [medline]
PHST- 2023/05/15 13:05 [pubmed]
PHST- 2023/05/15 10:13 [entrez]
AID - 10.1080/09593985.2023.2213773 [doi]
PST - aheadofprint
SO  - Physiother Theory Pract. 2023 May 15:1-10. doi: 10.1080/09593985.2023.2213773.