From the Department of Rehabilitation Medicine, Hannover Medical School, Hannover, Germany.
Am J Phys Med Rehabil. 2021 Jun 1;100(6):533-538. doi: 10.1097/PHM.0000000000001762.
Since the beginning of the COVID-19 pandemic in early 2020, many papers have highlighted the need for the rehabilitation of patients with SARS-CoV-2 infection. Most papers refer to the need for respiratory rehabilitation in the acute phase; however, the fact that the infection also affects other organ systems has to be considered in rehabilitation interventions. Long-term symptoms in many cases severely limit activity and participation and alter quality of life, leading to rehabilitation needs. This article proposes a phase-adapted model of linking the acute, postacute, and long-term symptoms of COVID-19 with the well-established matrix of acute, postacute, and long-term rehabilitation services. A review of currently available recommendations for phase-adapted rehabilitation strategies, including the relevance of prehabilitation within this context, is provided.
自 2020 年初 COVID-19 大流行开始以来，许多论文都强调了对 SARS-CoV-2 感染患者进行康复治疗的必要性。大多数论文都提到了在急性期需要进行呼吸康复；然而，在康复干预中必须考虑到感染还会影响其他器官系统的事实。在许多情况下，长期症状严重限制了活动和参与，并改变了生活质量，导致需要康复。本文提出了一种适应阶段的模型，将 COVID-19 的急性、亚急性和长期症状与既定的急性、亚急性和长期康复服务矩阵联系起来。本文还回顾了目前适应阶段的康复策略建议，包括在这方面预康复的相关性。
