Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Universidade Federal De Sao Carlos, Sao Carlos, SP, Brazil.
Department of the Human Movement Sciences, Universidade Federal De São Paulo - UNIFESP, Santos, SP, Brazil.
Expert Rev Anti Infect Ther. 2021 Nov;19(11):1385-1396. doi: 10.1080/14787210.2021.1917994. Epub 2021 Apr 28.
: The coronavirus disease-2019 (COVID-19) is a highly contagious respiratory viral disease for both the general population and healthcare professionals caring for infected patients. Of particular concern is the potential for significant respiratory, cardiovascular, physical, and psychological dysfunctions.: In this context, the current review will focus on the following areas: 1) staying physically active during the COVID-19 pandemic; 2) highlighting the importance of understanding COVID-19 mechanisms; 3) preventing infections for healthcare workers by using personal protective equipment; 4) highlighting importance of respiratory care and physical therapy during hospitalization in patients with COVID-19; and 5) facilitating referral to a rehabilitation program in patients recovering from COVID-19.: We recommend daily physical exercise, outdoors or at home, as physical exercise increases the synthesis of anti-inflammatory cytokines; Patients with COVID-19 may develop severe acute respiratory syndrome, hypoxemia, diffuse alveolar damage, ACE2 reduction in the cardiovascular system and muscle weakness acquired through a prolonged hospital stay; The role of the physiotherapist in the hospital environment is of fundamental importance-early mobilization is highly recommended in severe cases of COVID-19.
新型冠状病毒病(COVID-19)是一种高度传染性的呼吸道病毒疾病,对普通人群和照顾感染患者的医护人员都有影响。特别值得关注的是,它可能导致严重的呼吸、心血管、身体和心理功能障碍。
在这种情况下,本次综述将重点关注以下几个方面:1)在 COVID-19 大流行期间保持身体活跃;2)强调了解 COVID-19 机制的重要性;3)通过使用个人防护设备预防医护人员感染;4)强调 COVID-19 患者住院期间呼吸护理和物理治疗的重要性;5)为从 COVID-19 中康复的患者提供康复计划转诊。
我们建议每天进行身体锻炼,无论是在户外还是在家里,因为身体锻炼会增加抗炎细胞因子的合成;COVID-19 患者可能会出现严重急性呼吸综合征、低氧血症、弥漫性肺泡损伤、心血管系统中 ACE2 减少以及因长时间住院而导致的肌肉无力;物理治疗师在医院环境中的作用至关重要——强烈建议在 COVID-19 严重病例中进行早期动员。