Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

Physiotherapy Management for COVID-19

코비드-19와 물리치료적 접근

  • Han, Yun-A (Pulmonary Rehabilitation, Canterbury and Royal Prince Alfred Hospital, Sydney Local Health District) ;
  • Roh, Hyo-Lyun (Department of Physical Therapy, Kangwon National University)
  • 한윤아 (시드니 로컬 헬스 디스트릭 캔터버리 병원과 로얄프린스알프레드 병원 호흡 재활 물리치료) ;
  • 노효련 (강원대학교 물리치료학과)
  • Received : 2020.08.12
  • Accepted : 2020.08.14
  • Published : 2020.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: The purpose of this paper is to provide a review of physiotherapy intervention for patients with COVID-19 during their hospital admission and post-discharge. METHODS: The recommendations and guidelines of physiotherapy management, medical management, and general information of the WHO, Australian Physiotherapist, European Respiratory Society, British Thoracic Society, and American Thoracic Society were reviewed. RESULTS: This paper contains general information on COVID-19, including medical management, and the importance of physiotherapy approaches including an assessment of the patients' function, such as the 6-minute walking test, five sit to stand or sit to stand for one minute to measure their function as their recovery journey. The patients' quality of life, anxiety, and depression should be considered. Physiotherapy management should be based on an assessment of the patient's presenting impairments, including inclusion and exclusion of physiotherapy intervention. The paper also approaches step by step with the disease progress, from an intensive care unit, the general ward in the acute phase, through to the rehabilitation ward if needed, and post-discharge as an outpatient.. CONCLUSION: The paper has a limitation due to the unknown factor of the natural history of COVID-19. Depending on the patients' recovery journey and the rehabilitation needed, any physiotherapy interventions should focus on what the patients' need on their journey to recovery, e.g., pulmonary, cardiac, neurological, and general rehabilitation. In addition, applying personal protection equipment for treating physiotherapists is a mandatory requirement because this protects from the transmission of COVID-19.

Keywords

References

  1. Vitacca M, Carone M, Clini E, et al. Joint statement on the role of respiratory rehabilitation in the COVID-19 crisis: the Italian position paper. On behalf of the Italian thoracic society, association for the rehabilitation of respiratory failure and the Italian respiratory society. 2020.
  2. Royal College of Occupational Therapists. A quick guide for occupational therapists: Rehabilitation for people recovering from COVID-19. Royal College. 2020.
  3. World Health Organisation. Clinical management of severe acute respiratory infection when COVID-19 disease is suspected. 2020.
  4. Charted Society of Physiotherapy. Rehabilitation and COVID-19. A CSP policy statement. 2020.
  5. Spruit MA, Singh SJ, Garvey C, et al. An official American thoracic society/European respiratory society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med. 2013;188(8):e13-64. https://doi.org/10.1164/rccm.201309-1634st
  6. Singh SJ, Barradell A, Greening N, et al. The British thoracic society survey of rehabilitation to support the recovery of the post COVID-19 population. 2020.
  7. Smith JM, Lee AC, Zeleznik H, et al. Home and community-based physical therapist management of adults with post-intensive care syndrome. American physical therapy association. 2020.
  8. https://covid19.who.int/
  9. World Health Organisation, Coronavirus disease 2019(COVID-19) situation report 46, 2020.
  10. Peng QY, Wang XT, Zhang LN. Findings of lung ultrasonography of novel corona virus pneumonia during the 2019-2020 epidemic. Intensive care med. 2020;46(5):849-50. https://doi.org/10.1007/s00134-020-05996-6
  11. Kim SH, Lee MG, Park SM, et al. The SOFA Score to evaluate organ failure and prognosis in the Intensive care unit patients. Tuberculosis and Respiratory Diseases. 2004;57(4):329-35. https://doi.org/10.4046/trd.2004.57.4.329
  12. Yoon SH, Lee KH, Kim JY, et al. Chest radiographic and CT findings of the 2019 novel Coronavirus Disease(COVID-19): analysis of nine patients treated in Korea. Korean J Radiol, 2020;21(4):494-500. https://doi.org/10.3348/kjr.2020.0132
  13. Guan W, Ni Z, Hu Y, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;382:1708-20. https://doi.org/10.1056/NEJMoa2002032
  14. Spruit MA, Holland AE, Singh SJ, et al. Report of an ad-hoc international task force to develop an expert-based opinion on early and short-term rehabilitative interventions (after the acute hospital setting) in COVID-19 survivors. 2020.
  15. Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: Summary of a report of 72314 cases from the Chinese center for disease control and prevention. JAMA. 2020;323(13):1329-42.
  16. British Society of Rehabilitation Medicine. Rehabilitation in the wake of Covid-19-A phoenix from the ashes. 2020.
  17. Li TS, Gomersall CD, Joynt GM, et al. Long-term outcome of acute respiratory distress syndrome caused by severe acute respiratory syndrome(SARS): an observational study. Crit Care Resusc. 2006;8(4):302-8.
  18. Thomas P, Baldwin C, Bissett B, et al. Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. J Physiother. 2020;66:73-82. https://doi.org/10.1016/j.jphys.2020.03.011
  19. Alhazzani W, Moller M, Arabi Y, et al. Surviving sepsis campaign: Guidelines of the management of critically Ill adults with Coronavirus disease 2019(COVID-19), Crit Care Med. 2020.
  20. Liu K, Zhang W, Yang Y, et al. Respiratory rehabilitation in elderly patients with COVID-19: A randomized controlled study. Complementary Therapies in Clinical Practice. 2020;39:101-66.
  21. The policy of pulmonary rehabilitation guideline of COVID-19, Sydney local health district (royal prince alfred hospital, concord hospital, canterbury hospital and balmain hospital). NSW Australia. 2020.