Department of Biological Sciences, Federal University of Pernambuco, Recife, Brazil.
Department of Electronics and Systems, Federal University of Pernambuco, Recife, Brazil.
BMC Infect Dis. 2023 Aug 16;23(1):535. doi: 10.1186/s12879-023-08313-w.
In 2019, the Coronavirus (SARS-CoV-2) virus was identified, also defined as novel coronavirus or severe acute respiratory syndrome coronavirus 2. The Corona VIrus Disease (COVID-19) pandemic generated several changes in society in 2020 as a result of its rapid spread in humans. The main symptoms are high fever (≥ 37.8 °C), dry cough, dyspnea, upper respiratory symptoms, myalgia, fatigue and diarrhea in the most uncommon cases. Considering the emergency situation caused by the COVID-19 pandemic and the effects attributed to it, rehabilitation professionals have a fundamental role in the functional recovery of patients, independence and improvement of quality of life. This is a systematic review of the literature, with the aim of discussing the main findings on physical therapy management in functional changes in post-COVID-19 patients. Pubmed, Scielo, Sciencedirect, BVS and PEDro databases were used. The terms MESH/DECs used for the searches were: Rehabilitation, Physical Therapy Modalities, Covid-19, Post-acute Syndromes COVID-19 and Physical Fitness, the keywords were also used: rehabilitation, physiotherapy, Covid-19, post- acute syndrome COVID-19 and functional capacity. To cross the terms, Boolean operators (AND and OR) were used. Randomized trials, recommendations, quasi-randomized or prospective controlled trials, reports, guidelines, and field updates were included. As for the selected population, studies were included in individuals of both sexes, with no age restriction, that evaluated physiotherapeutic interventions in patients who had COVID-19. Literature reviews, case studies, conferences, abstracts of articles published in conference proceedings and letters to the editor were excluded from the research. To measure methodological quality, the PEDro scale was used.Searches for articles were performed restricting the period of publication between the years 2019 to 2022. The electronic search strategy identified a total of 364 records from the selected databases. After screening for duplicates, 14 articles were excluded, followed by screening by titles and abstracts, another 298 articles were excluded, of these 47 potentially relevant records were submitted to full text review and of these 5 randomized clinical trials were included in this review. In view of the findings of this study, it can be concluded that physical therapy rehabilitation should continue after hospital discharge, with the aim of improving physical performance and activities of daily living (ADL) in post-COVID-19 patients.
2019 年，冠状病毒（SARS-CoV-2）被鉴定出来，也被定义为新型冠状病毒或严重急性呼吸系统综合征冠状病毒 2。由于其在人类中的快速传播，2020 年冠状病毒病（COVID-19）大流行给社会带来了多方面的变化。主要症状是高热（≥37.8°C）、干咳、呼吸困难、上呼吸道症状、肌痛、乏力和腹泻（极罕见）。考虑到 COVID-19 大流行引起的紧急情况及其影响，康复专业人员在患者的功能恢复、独立性和生活质量提高方面发挥着至关重要的作用。这是一篇对文献的系统综述，旨在讨论 COVID-19 后患者功能变化中物理治疗管理的主要发现。使用了 Pubmed、Scielo、Sciencedirect、BVS 和 PEDro 数据库。用于搜索的 MESH/DECs 术语是：康复、物理治疗方式、Covid-19、COVID-19 后急性综合征和身体健康，关键词也是：康复、物理治疗、Covid-19、COVID-19 后急性综合征和功能能力。为了交叉术语，使用了布尔运算符（AND 和 OR）。纳入了随机试验、建议、准随机或前瞻性对照试验、报告、指南和领域更新。对于所选人群，研究包括了无年龄限制的男女两性个体，评估了患有 COVID-19 的患者的物理治疗干预措施。文献综述、病例研究、会议、会议论文集发表的文章摘要和给编辑的信件都被排除在研究之外。为了测量方法学质量，使用了 PEDro 量表。对文章的检索限制了发表年份在 2019 年至 2022 年之间。从选定的数据库中总共检索到 364 条记录。在对重复记录进行筛选后，排除了 14 篇文章，随后通过标题和摘要进行筛选，又排除了 298 篇文章，其中 47 篇潜在相关记录提交全文审查，其中 5 项随机临床试验被纳入本综述。鉴于本研究的结果，可以得出结论，物理治疗康复应该在出院后继续进行，以提高 COVID-19 后患者的身体表现和日常生活活动（ADL）能力。
