Issue №20-2, 2021

Rehabilitation of Patients with Severe Disability after COVID-19 in Rehabilitation Department. Multiple Case Study

¹ Yuliya M. Getmanskaya, ¹ Iuly Treger

¹ Medical University Center Soroka, Beer Sheva, Israel

ABSTRACT

The COVID-19 pandemic has significantly affected all aspects of life around the world including both the medical system as a whole and individual medical specialties. Understandably, medical rehabilitation was forced to adapt to the new disease, to develop adequate algorithms and technologies that can increase the level of independence and quality of life being disrupted as a result of coronavirus infection.

AIM. To analyze, organize and present the results of in-patient rehabilitation of patients after severe forms of COVID-19 infection by reporting the real cases from the clinical practice.

MATERIAL AND METHODS. COVID-19 infection is a multi-systemic disease, which, in many cases requires for inpatient multidisciplinary rehabilitation program. Patients after severe forms of infection suffer different symptoms in variable combinations. According to main disabling signs we can classify all our patients in 3 groups: (1) general weakness or deconditioning, (2) respiratory disorders due to lung disease, and (3) patients with different neurological complications. Patients in all groups demonstrate serious psychological compliances which indefinitely have negative influence on rehabilitation process. The paper presents clinical cases specific to each of the groups.

RESULTS. All hospitalized patients showed good functional improvement through quite standard length of stay in the department all patients were discharged home with the opportunity to return to relatively normal daily activities.

CONCLUSION. Patients after severe COVID-19 infection require professional multidisciplinary in-patient rehabilitation. All of them demonstrate good functional improvement and, after quite short period of hospitalization, can be discharged home.

KEYWORDS: Medical rehabilitation, inpatient rehabilitation, severe functional decline, COVID-19 infection

Acknowledgments: The study had no sponsorship.

Conflict of interest:: The authors declare no apparent or potential conflicts of interest related to the publication of this article.

For citation: Getmanskaya Yu.M., Treger I. Rehabilitation of Patients with Severe Disability after COVID-19 in Rehabilitation Department. Multiple Case Study. Bulletin of Rehabilitation Medicine. 2021; 20 (2): 4-10. https://doi.org/10.38025/2078-1962-2021-20-2-4-10

For correspondence: Iuly Treger, e-mail: treiuly@yandex.ru

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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.