Physiotherapy Department, Health Sciences Centre Winnipeg - Shared Health, RR136 - 820 Sherbrook St, Winnipeg, Manitoba, Canada R3A 1R9.
Department of Physical Therapy, College of Rehabilitation Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Phys Ther. 2020 Oct 30;100(11):1917-1929. doi: 10.1093/ptj/pzaa156.
Physical therapists play an important role in responding to pandemic and physical disaster situations. Existing literature can provide guidance to health care leadership teams to appropriately and safely leverage physical therapy resources and skill sets during the COVID-19 pandemic. The purpose of this study was to provide a review of the pandemic and physical disaster management literature to summarize physical therapy-specific operational considerations to assist hospital-based leadership teams in planning and response efforts during the COVID-19 pandemic.
A rapid review was conducted over a 4-week time frame (April-May 2020). The review team included 3 physical therapist clinician researchers, a health librarian, and a member of the physical therapy leadership team. The initial search strategy identified 303 articles, 80 of which were retained for full-text screening. Twenty articles were included in the review.
Five main categories of operational considerations for physical therapy during the COVID-19 pandemic were identified: (1) organizational actions, (2) staffing considerations, (3) physical therapist roles, (4) physical resources, and (5) other considerations. Additional relevant information from physical therapists' experiences in physical disaster situations was also summarized.
The evidence presented within this review can be used to inform facility-based and regional planning efforts during the current COVID-19 pandemic and in general preparedness planning.
Physical therapists have an important role to play in response efforts related to major events that impact health and wellness, including the COVID-19 pandemic. Evidence-informed, facility-based, and regional planning during the current COVID-19 pandemic will help physical therapists enhance their role in treating patients in physical therapy and rehabilitation settings.
物理治疗师在应对大流行和自然灾害情况方面发挥着重要作用。现有文献可以为医疗保健领导团队提供指导，以便在 COVID-19 大流行期间适当、安全地利用物理治疗资源和技能。本研究的目的是对大流行和自然灾害管理文献进行综述，总结物理治疗的具体操作注意事项，以协助医院领导团队在 COVID-19 大流行期间进行规划和应对工作。
在四周的时间内（2020 年 4 月至 5 月）进行了快速审查。审查小组包括 3 名物理治疗临床研究人员、一名健康图书馆员和一名物理治疗领导团队成员。最初的搜索策略确定了 303 篇文章，其中 80 篇被保留进行全文筛选。有 20 篇文章被纳入审查。
确定了 COVID-19 大流行期间物理治疗的五个主要操作注意事项类别：（1）组织行动；（2）人员配备考虑因素；（3）物理治疗师角色；（4）物理资源；（5）其他考虑因素。还总结了物理治疗师在自然灾害情况下的经验中获得的其他相关信息。
本综述中提出的证据可用于为当前 COVID-19 大流行期间以及一般备灾规划中的基于设施和区域的规划提供信息。
物理治疗师在应对影响健康和健康的重大事件方面发挥着重要作用，包括 COVID-19 大流行。当前 COVID-19 大流行期间基于证据、基于设施和基于区域的规划将帮助物理治疗师在物理治疗和康复环境中增强其治疗患者的作用。
