Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, Italy. E-mail:
J Rehabil Med. 2021 Jan 5;53(1):jrm00141. doi: 10.2340/16501977-2776.
The aim of this review is to identify the best evidence to define rehabilitative approaches to acute and post-acute phases of coronavirus 2019 (COVID-19) disease.
A literature search (of PubMed, Google Scholar, PEDro and Cochrane databases) was perform-ed for relevant publications from January to April 2020.
A total of 2,835 articles were retrieved, and the search resulted in a final total 31 published arti-cles. A narrative synthesis of the selected articles was then performed. Some studies examine the effect of the pandemic on rehabilitation services and provide suggestions for a new reorganization of these services. Other studies focus on COVID-19 sequelae, formulating recommendations for rehabilitative interventions.
For COVID-19 patients, an integrated rehabilitative process is recommended, involving a multidisciplinary and multi-professional team provid-ing neuromuscular, cardiac, respiratory, and swallowing interventions, and psychological support, in order to improve patients' quality of life. The intervention of a physician expert in rehabilitation should assess the patient, and a dedicated intervention set up after thorough assessment of the patient's clinical condition, in collaboration with all rehabilitation team professionals.
本综述旨在确定针对 2019 年冠状病毒病(COVID-19)急性和亚急性期的最佳康复方法。
对 2020 年 1 月至 4 月的相关文献进行了检索(PubMed、Google Scholar、PEDro 和 Cochrane 数据库)。
共检索到 2835 篇文章,搜索结果最终共有 31 篇已发表的文章。对所选文章进行了叙述性综合分析。一些研究探讨了大流行对康复服务的影响,并为这些服务的新重组提供了建议。其他研究则侧重于 COVID-19 的后遗症,为康复干预措施制定了建议。
对于 COVID-19 患者,建议采用综合康复治疗方法,涉及多学科和多专业团队,提供神经肌肉、心脏、呼吸和吞咽干预措施以及心理支持,以提高患者的生活质量。应由康复医学专家的医生进行干预,在对患者的临床状况进行全面评估后,与所有康复团队专业人员一起设立专门的干预措施。