Fundació Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Badalona, Spain.
Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Spain.
Disabil Rehabil. 2022 Nov;44(22):6833-6840. doi: 10.1080/09638288.2021.1977398. Epub 2021 Sep 24.
This prospective, observational cohort study investigated the effects of multidisciplinary rehabilitation of post Covid-19 sequelae and persistent symptoms and their impact on patients' functioning and quality of life.
From 58 patients referred for neurorehabilitation, 43 were eligible for and participated in the present study. Before and after 8 weeks of rehabilitation, patients underwent physical, neuropsychological and respiratory evaluations and assessment of functional independence, impact of fatigue and quality of life.
Forty of 43 individuals (52 ± 11.4 years, 24 male) completed the rehabilitation program. Fatigue (87.5%), dyspnea and/or shortness of breath (62.5%), and cognitive impairment (37.5%) were reported by both previously hospitalized and home-confined patients. Neurological sequelae (35.5%) were present only in hospitalized patients. After 8 weeks of rehabilitation, patients reported significant improvements in motor functional independence, upper and lower limb functionality, impact of fatigue on daily activities, respiratory muscle strength, cognitive performance, and quality of life.
Post Covid-19 patients present with heterogeneous neurological, physical, and respiratory impairments requiring a multidisciplinary rehabilitation approach to reduce disability and improve functionality and quality of life. A comprehensive assessment of clinical profiles and responses to rehabilitation may facilitate the identification of rehabilitation candidates and help to design effective rehabilitation interventions.Implication for rehabilitationPost Covid-19 patients present multiple, heterogeneous neurological, physical and respiratory impairments that are observed in both previously hospitalized and home-confined patients.Eight weeks of multidisciplinary rehabilitation may significantly reduce disability and improve functionality and quality of life.A comprehensive assessment of their clinical profile and response to rehabilitation may facilitate the identification of rehabilitation candidates and help to design more effective rehabilitation interventions.
本前瞻性观察队列研究旨在探讨多学科康复治疗新冠后遗症和持续性症状的效果及其对患者功能和生活质量的影响。
从 58 名转诊至神经康复科的患者中，有 43 名符合条件并参与了本研究。在康复前和康复 8 周后，患者接受了身体、神经心理学和呼吸评估以及功能独立性、疲劳影响和生活质量评估。
43 名个体中有 40 名（52±11.4 岁，24 名男性）完成了康复计划。既往住院和居家隔离的患者均报告存在疲劳（87.5%）、呼吸困难和/或呼吸急促（62.5%）和认知障碍（37.5%）。神经系统后遗症（35.5%）仅见于住院患者。康复 8 周后，患者报告运动功能独立性、上下肢功能、疲劳对日常活动的影响、呼吸肌力量、认知表现和生活质量显著改善。
新冠患者存在多种神经、身体和呼吸功能障碍，需要多学科康复方法来减轻残疾，提高功能和生活质量。对临床特征和康复反应的全面评估有助于确定康复候选人，并有助于设计有效的康复干预措施。
新冠患者存在多种神经、身体和呼吸功能障碍，这些障碍在既往住院和居家隔离的患者中均有观察到。8 周的多学科康复治疗可能显著减轻残疾，提高功能和生活质量。对其临床特征和康复反应的全面评估有助于确定康复候选人，并有助于设计更有效的康复干预措施。
