MEDICAL REHABILITATION IN SEVERE POST COVID-19 DECONDITIONING SYNDROME
DOI:
https://doi.org/10.25170/djm.v20i2.2694Keywords:
breathing exercise, COVID-19, deconditioning syndrome, mobilizationAbstract
Introduction: COVID-19 is characterized by complaints of fever, cough, weakness, respiratory, and gastrointestinal disorders. The existence of treatment in the isolation room accompanied by prolonged bed rest will cause the patient to experience deconditioning syndrome.
Case Report: A man, 58 years old, post severe COVID-19 patients with shortness of breath, ineffective cough and feeling weak in all four extremities due to prolonged bed rest (denconditioning syndrome). Deconditioning syndrome is defined as a reduction in anatomical and physiological function caused by disease, age, or physical inactivity. The patient was given active gradual mobilization, range of movement exercise, endurance, strengthening, balance, and coordination exercise. The patient was also given breathing exercise, chest physical therapy, and effective cough. Seven days after rehabilitation, the patient could regulate his breathing pattern and ambulate independently. The patient was discharged and continue self training at home.
Conclusion: Breathing exercise, chest physical therapy, aerobic exercise, muscle strengthening exercises in all four extremities, coordination, balance exercise, and gradual mobilization training are very important in the recovery of post severe COVID-19 patients.
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References
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Wu, Xiaohua, Dawei Dong, Daqing Ma. Thin section computed tomography manifestations during convalescence anad long term follow-up of patients with severe acute respiratory syndrome. Medical science monitor: international medical journal of experimental and clinical research. 22 (2016): 2793
Zhang P, Li J, Liu H, et al. Long term bone and lung consequences associated with hospital acquired severe acute respiratory syndrome: a 15 year follow up from a prospective cohort study. Bone Res 8,8 (2020). Available at: https://www.nature. com/articles/s41413-020-0084-5
Liu K, Zhang W, Yang Y, et al. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study.Complement Ther Clin Pract 2020; 39: 101166. Available at: https://pubmed.ncbi.nlm.nih.gov/32379637/
Tam HJ, Stucki G, Bickenbach J. Covid-19 and Pasca Intensive Care Syndrome; A Cal for Actuin. J Rehab Med. 2020. 52. Available at: https://pubmed.ncbi.nlm.nih.gov/32286675/
Cameron MH, Monroe LG, Chapter 23: deconditioning. Physical rehabilitation for the Physical therapist assistant. Missouri: Elsevier Saunders; 2011. p.359-367.
Christina S, Paulus AFS, Ratnawati A, et al Sindroma Dekondisi. Dalam: Tulaar ABM, Wahyuni LK. (ed) Buku Ajar Ilmu Kedokteran Fisik dan Rehabilitasi. Ed 1. Jakarta: PERDOSRI; 2016. hal.586-88.
Wahyuni L K, Tulaar ABM, Intan AD, et al. Rehabilitasi Sindrom Dekondisi. Dalam: Tulaar ABM, Wahyuni LK. (eds) Buku Ilmu Kedokteran FIsik & Rehabilitasi untuk Dokter di Fasilitas Kesehatan Tingkat Pertama. Ed 1. Jakarta: PERDOSRI; 2016. hal.66-68.
Parry S M, Puthucheary Z. The impact of extended bed rest on the musculoskeletal system in the critical care environment. Extrem Physiology & Medicine. 2015 (4): 1-8. Availabe at: https://www.researchgate.net/publication/282778921_
The_impact_of_extended_bed_rest_on_the_musculoskeletal_system_in_
the_critical_care_environment.
Republique de´mocratique du Congo MdlSSG. Protocole de prise en charge de l’e´pide´mie à coronavirus COVID-19. 2020. 18-3-2020.
Matangila JR, Nyembu RK, Telo GM, Ngoy CD, Sakobo TM, Massolo JM, et al. Clinical characteristics of COVID-19 patients hospitalized at Clinique Ngaliema, a public hospital in Kinshasa, in the Democratic Republic of Congo: A retrospective cohort study. Plos One. 2020 : 1-15. Available at: https:// journals.plos.org/plosone/ article?id=10.1371/journal.pone.0244272
Zhao H-M, Zie Y X, Wang C. Recommendation for respiratory rehabilitation in adults with coronavirus disease 2019. Chinese Medical Journal. 2020; 133: 1595-1601. Available at: https://journals.lww.com/ cmj/fulltext/2020/07050/recommendations_for_
respiratory_rehabilitation_in.11.aspx.
Demeco A, Rehabilitation of patients post-COVID-19 infection: Literature review. The Journal of International Medical Research. 2020 (48): 1-10. Available at: https://pubmed.ncbi.nlm.nih.gov/ 32840156/
Wang T, Chau B, Lui M, Lam GT, Lin N, Humbert S. PM&R and pulmonary rehabilitation for COVID-19. American Journal of Physical Medicine & Rehabilitation. 2020: 1-25.
Sheehy LM, Eysenbach G, Janssen M, Silva E D. Considerations for post acute rehabilitation for survivors of COVID-19. JMIR Public Health Surveill. 2020 (2): 1-25. Available at: https://publichealth.jmir.org/2020/2/e19462/
Kalirathinan D, Guruchandran R, Subramani P. Comprehensive management in COVID-19-A Narrative Review. Scienticia Medica. 2020 (1): 1-9. Available at: https://www.researchgate.net/publica tion/341751328_Comprehensive_physiotherapy_management_in_COVID-19_-_A_narrative_review.
Cucurulo S, Lee J. Effects of extended bedrest: Immobilization and inactivity in Physical Medicine and Rehabilitation Board Review. New York: Demos Medical. 2015.p.647-648.
Liu K, Zhang W, Yang Y, et al. Respiratory rehabilitation in elderly patients with COVID-19: A randomized contolled study. Complement Ther Clin Pract. 2020: 39: 101-166. Available at: https://pubmed.ncbi.nlm.nih.gov/32379637/
Hamzelou J, Can breathing exercises help protect you from covid-19. New Sci. 2020 (3279): 10-11 Available at: https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC7194711/
Tamin TZ, Paulus AFS, Nanda ADIS, Putra HL. Panduan tata laksana rehabilitasi COVID-19. Jakarta: PERDOSRI; 2021. hal. 1-17.
Calabrese M, Garofano M, Palumbo R, Pietro PD, Izzo C, Damato A, et al. Exercis Training and Cardiac Rehabilitation in COVID-19 Patients with Cardiovascular Complications: State of Art. Life. 2021: 1-16. Available at: https://doi.org/10.3390/ life11030259
Tamin TZ, Kusumastuti P, Tinduh D, et al Terapi latihan. Dalam: Tulaar ABM, Wahyuni LK. (ed) Buku Ajar Ilmu Kedokteran Fisik dan Rehabilitasi Medik. Jakarta: PERDOSRI; 2016. hal.342-46.
NHS Oxford Health. Post COVID-19 Patient Information Pack. NHS Foundation Trust. 2020
Auwal A. Safety and efficacy of chest physiotherapy in patients with COVID-19: A critical review. Research Gate. 2020: 1-7. Available at : https://pubmed.ncbi.nlm.nih.gov/32793618/
World Health Organization. Support for Rehabiilitation Self-Management after COVID-19-Related Illness. WHO Regional Office for Europe. 2020
Wu, Xiaohua, Dawei Dong, Daqing Ma. Thin section computed tomography manifestations during convalescence anad long term follow-up of patients with severe acute respiratory syndrome. Medical science monitor: international medical journal of experimental and clinical research. 22 (2016): 2793
Zhang P, Li J, Liu H, et al. Long term bone and lung consequences associated with hospital acquired severe acute respiratory syndrome: a 15 year follow up from a prospective cohort study. Bone Res 8,8 (2020). Available at: https://www.nature. com/articles/s41413-020-0084-5
Liu K, Zhang W, Yang Y, et al. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study.Complement Ther Clin Pract 2020; 39: 101166. Available at: https://pubmed.ncbi.nlm.nih.gov/32379637/
Tam HJ, Stucki G, Bickenbach J. Covid-19 and Pasca Intensive Care Syndrome; A Cal for Actuin. J Rehab Med. 2020. 52. Available at: https://pubmed.ncbi.nlm.nih.gov/32286675/
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Published
2021-11-30
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Ivena I, Sudiyono N, Jim EL, Pohan HT. MEDICAL REHABILITATION IN SEVERE POST COVID-19 DECONDITIONING SYNDROME. DJM [Internet]. 2021 Nov. 30 [cited 2024 Nov. 5];20(2):152-6. Available from: https://ejournal.atmajaya.ac.id/index.php/damianus/article/view/2694
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