Acute Rehabilitation in Patients With COVID-19 Pneumonia a Single Center Experience From a Developing Country
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- COVID-19
- Sponsor
- Institut za Rehabilitaciju Sokobanjska Beograd
- Enrollment
- 200
- Locations
- 2
- Primary Endpoint
- functional outcome of cardiovascular and respiratory system
- Status
- Recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
COVID-19 can have different clinical manifestations including myalgia, arthralgia, neurological, cardiac, psychological and other manifestations.These patients are at greater risk of developing consequences of prolonged bed rest. Therefore physical medicine and rehabilitation could have an important role in the multidisciplinary treatment of these issues. Early respiratory and neuromuscular rehabilitation is necessary to improve functional physical limitations, performance, muscle strength, endurance as well as cognitive and emotional domains. Some studies proposed that rehabilitation protocols in the inpatient setting include early mobilisation, strength and endurance training with the aim of reducing weakness and dependency. This Study aimed to detect the effects of rehabilitation in patients with Covid-19 who were admitted in temporary Covid hospital in Serbia. Furthermore, to emphasize the importance of functional assessment of the patients, in identifying their problems and selections of priorities in planning the best therapeutic protocol.
Investigators
Tamara Filipovic
Teaching assistant
Institut za Rehabilitaciju Sokobanjska Beograd
Eligibility Criteria
Inclusion Criteria
- •Positive pharyngeal or nasal swab for SARS CoV-2, 3) SP O2\> 94% on admission, 4) body temperature under 37.5 5) Clinical stability defined by ability to perform bedside active mobilization without a reduction of oxygen saturation (SpO2) below 92%;
Exclusion Criteria
- •SP o2 \< 94% on admission, 2) Moderate and severe heart failure (grade III and IV, NY heart Association), 3) Paresis or plegia as a result of CVI or neurodegenerative disease, 4) Impaired cognitive status.
Outcomes
Primary Outcomes
functional outcome of cardiovascular and respiratory system
Time Frame: up to three weeks
six minute walk test (6MWT)
functional outcome of activity of daily living
Time Frame: up to three weeks
Bartel index (BI)
functional outcome of mobility
Time Frame: up to three weeks
"Time Up and Go" test (TUG)
functional outcome of static balance
Time Frame: up to three weeks
"One Leg Stance Test" (OLST)
functional outcome for assesing dyspnea
Time Frame: up to three weeks
Borg scale for dyspnea,
functional outcome of lower limbs strength
Time Frame: up to three weeks
"Sit To Stand" test (STS)