Maki Yoshinori, Kobayashi Misuzu, Kusumoto Masami, Katsura Junichi, Yanagibashi Ken
Rehabilitation, Hikari Hospital, Otsu, JPN.
Neurosurgery, Biwako Ohashi Hospital, Otsu, JPN.
Cureus. 2021 Sep 3;13(9):e17677. doi: 10.7759/cureus.17677. eCollection 2021 Sep.
Although coronavirus disease 2019 can cause immobility syndrome in the patients positive for coronavirus disease 2019 and the survivors of coronavirus disease 2019, it is not described in elderly patients who are not positive for coronavirus disease 2019. A 90-year-old female with motor weakness of the lower extremities was admitted in the chronic care hospital. She had rehabilitation therapy for independent ambulation and toilet activities. Though she complained of irregular pulse related to atrial fibrillation during rehabilitation therapy, the symptom disappeared within a few minutes. Her ambulation and toilet activities became better with rehabilitation therapy. However, three weeks after initiating rehabilitation therapy, a cluster of coronavirus disease 2019 infections occurred. The patient was not infected, but rehabilitation therapy was discontinued for 25 days. The patient exhibited ambulation difficulty with shortness of breath and persistent irregular pulse, especially when rehabilitation therapy was reinitiated. These symptoms did not appear while the patient was outside of rehabilitation therapy. At the time of writing, she started to recover her declined ambulation with rehabilitation therapy, but was still dependent in toileting. Immobility syndrome in elderly patients negative for coronavirus disease 2019 can be aggravated following the occurrence of a low-level cluster of coronavirus disease 2019 infections. Medical workers should, therefore, always consider this hidden risk and should plan an adequate program in the early period of rehabilitation therapy for the elderly patients.
尽管2019冠状病毒病可在2019冠状病毒病检测呈阳性的患者以及2019冠状病毒病幸存者中引发活动受限综合征，但在2019冠状病毒病检测呈阴性的老年患者中并未有相关描述。一名90岁下肢运动无力的女性入住了一家慢性病护理医院。她接受了康复治疗以实现独立行走和如厕活动。尽管她在康复治疗期间抱怨与房颤相关的心律不齐，但症状在几分钟内就消失了。通过康复治疗，她的行走和如厕活动能力有所改善。然而，在开始康复治疗三周后，发生了一起2019冠状病毒病聚集性感染事件。该患者未被感染，但康复治疗中断了25天。当重新开始康复治疗时，患者出现了行走困难、呼吸急促和持续的心律不齐，尤其是在康复治疗期间。在患者未进行康复治疗时并未出现这些症状。在撰写本文时，她通过康复治疗开始恢复下降的行走能力，但在如厕方面仍有依赖。2019冠状病毒病检测呈阴性的老年患者的活动受限综合征在发生低水平的2019冠状病毒病聚集性感染后可能会加重。因此，医护人员应始终考虑到这种潜在风险，并应为老年患者在康复治疗早期制定适当的方案。
