Issue 20-4, 2021
Review article
Medical Rehabilitation of Children after a New Coronavirus Infection COVID-19
1 Maria S. Petrova, 1,2,3
Maya A. Khan
1 Central State Medical Academy of the Presidential Administration of the Russian Federation, Moscow, Russian Federation
2 Moscow Scientific Practical Center for Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russian Federation
3 Filatov Children’s City Clinical Hospital, Moscow, Russian Federation
ABSTRACT
The article is about medical rehabilitation of children who have suffered from the coronavirus infection COVID-19, which is an acute infectious disease caused by a new strain of the coronavirus SARS CoV-2.
The authors present current information about epidemiology and clinical course of this disease in children. It is known that complications and adverse outcomes of COVID-19 in children are observed much less frequently than in adults. At the same time, the clinical experience of monitoring children who have had a new coronavirus infection showed that all patients need medical rehabilitation, including those who had the disease in asymptomatic or mild form. Data on the possibility of functional disorders not only in the respiratory organs but also in other systems of the body determines the necessity of stage-by-stage medical rehabilitation of these children.
The article defines the main principles and stages of their rehabilitation, proves the necessity of indications for different stages. Medical rehabilitation of children after a new coronavirus infection at all stages is provided by specialists of a multidisciplinary rehabilitation team which includes a pediatrician, a physiotherapist, an exercise therapist, a medical rehabilitation doctor, a reflexologist, a medical psychologist, a speech therapist, an instructor-methodologist, etc.
This article presents a wide range of modern techniques of apparatus physiotherapy and kinesotherapy indicated for children who have undergone COVID-19, with the description of the main therapeutic effects and the mechanism of therapeutic action of physical factors. Psychological rehabilitation is of great importance in the complex of rehabilitation measures for children with COVID-19. Special attention is paid to the issues of sanatorium-resort treatment of children after a new coronavirus infection. The spectrum of nonmedicamentous technologies for inclusion in the individual program of sanatorium-resort treatment of such patients with the use of natural healing resources (mineral waters, therapeutic mud, therapeutic climate, other natural conditions used for treatment and prevention of diseases); nonmedicamentous therapy, therapeutic exercises, massage, physiotherapy, hydrotherapy, reflexotherapy, psychotherapy is determined. The article presents criteria for evaluating the effectiveness of rehabilitation measures.
KEYWORDS: COVID-19, children, medical rehabilitation, physiotherapy, kinesotherapy, physical therapy, therapeutic exercises, sanatorium-resort treatment
FUNDING: 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: Petrova M.S., Khan M.A. Medical Rehabilitation of Children after a New Coronavirus Infection COVID-19. Bulletin of Rehabilitation Medicine. 2021; 20 (4): 4-12. https://doi.org/10.38025/2078-1962-2021-20-4-4-12
FOR CORRESPONDENCE:
Maria S. Petrova, e-mail: petrova_ms@gov.ru
References:
- Vremennye metodicheskie rekomendacii. Profilaktika, diagnostika i lechenie novoj koronavirusnoj infekcii COVID-19 [Temporary methodological recommendations. Prevention, diagnosis and treatment of a new coronavirus infection COVID-19]. Ministry of Health of the Russian Federation. Version 11. 07.05.2021. 224 p. (In Russ.).
- Vremennye metodicheskie rekomendacii. Medicinskaya reabilitaciya pri novoj koronavirusnoj infekcii (COVID-19) [Temporary methodological recommendations. Medical rehabilitation for a new coronavirus infection (COVID-19)]. Ministry of Health of the Russian Federation. Version 2. 31.07.2020. 150 p. (In Russ.).
- Morand A., Fabre A., Minodier P., Boutin A., Vanel N., Bosdure E., Fournier P.E. COVID-19 virus and children: What do we know? Archives de Pediatrie. 2020; 27(3): 117-118. https://doi.org/10.1016/j.arcped.2020.03.001
- Rajapakse N., Dixit D. Human and novel coronavirus infections in children: a review. Paediatrics and International Child Health. 2021; 41(1): 36-55.
- Cui X., Zhao Z., Zhang T., Guo W., Guo W., Zheng J., Zhang J., Dong C., Na R., Zheng L., Li W., Liu Z., Ma J., Wang J., He S., Xu Y., Si P., Shen Y., Cai C. A systematic review and meta-analysis of children with coronavirus disease 2019 (COVID-19). Journal of Medical Virology. 2021; 93(2): 1057-1069. https://doi.org/10.1002/jmv.26398
- Ludvigsson J.F. Systematic review of COVID-19 in children shows milder cases and a better prognosis than adults. Acta Paediatrica. 2020; 109(6): 10881095. https://doi.org/10.1111/apa.15270
- Shen K., Yang Y., Wang T. et al. Diagnosis, treatment, and prevention of 2019 novel coronavirus infection in children: experts’ consensus statement. World Journal of Pediatrics. 2020; (16): 223-231. https://doi.org/10.1007/s12519-020-00343-7
- Verbovoj D.N., Petrova M.S., Boyarincev V.V. Medicinskaya reabilitaciya i sanatorno-kurortnoe lechenie detej, perenesshih novuyu koronavirusnuyu infekciyu COVID-19: Vremennye metodicheskie rekomendacii dlya podvedomstvennyh Upravleniyu delami Prezidenta Rossijskoj Federacii lechebnyh i sanatorno-kurortnyh organizacij [Medical rehabilitation and sanatorium-resort treatment of children after a new coronavirus infection CAVID-19: Temporary methodological recommendations for medical and sanatorium-resort organizations subordinate to the Office of the President of the Russian Federation]. Moscow. Central State Medical Academy of the Presidential Administration of the Russian Federation. 2021: 120 p. (In Russ.).
- Lobzin Yu.V., Cherkashina I.V., Samojlova I.G. Medicinskaya reabilitaciya detej, perenesshih COVID-19 [Medical rehabilitation of children who have suffered COVID-19]. Journal of Infectology. 2020; 12(S3): 64-74. https://doi.org/10.22625/2072-6732-2020-12-3-64-74 (In Russ.).
- Valiullina S.A., Pogonchenkova I.V. Medicinskaya reabilitaciya detej s COVID-19 v Moskve (regional’nye osobennosti): Vremennye metodicheskie reko-mendacii (Versiya 1) [Medical rehabilitation of children with COVID-19 in Moscow (regional features): Temporary methodological recommendations (Version 1)]. Moscow. Moscow Scientific and Practical Center for Medical Rehabilitation, Rehabilitation and Sports Medicine of the Department of Health of the City of Moscow. 2020: 89 p. (In Russ.).
- Panda P.K., Gupta J., Chowdhury S.R., Kumar R., Meena A.K., Madaan P., Sharawat I.K., Gulati S. Psychological and Behavioral Impact of Lockdown and Quarantine Measures for COVID-19 Pandemic on Children, Adolescents and Caregivers: A Systematic Review and Meta-Analysis. Journal of Tropical Pediatrics. 2021; 67(1): fmaa122 p. https://doi.org/10.1093/tropej/fmaa122
- Okuyama J., Seto S., Fukuda Y., Funakoshi S., Amae S., Onobe J., Izumi S., Ito K., Imamura F. Mental Health and Physical Activity among Children and Adolescents during the COVID-19 Pandemic. The Tohoku Journal of Experimental Medicine. 2021; 253(3): 203-215. https://doi.org/10.1620/tjem.253.203
- Lobzin Yu.V., Cherkashina I.V., Samojlova I.G., Achkasov E.E. Sovremennye tekhnologii reabilitacii detej s zabolevaniyami bronholegochnoj sistemy, associirovannymi s novoj koronavirusnoj infekciej [Modern technologies of rehabilitation of children with diseases of the bronchopulmonary system associated with a new coronavirus infection]. Questions of Practical Pediatrics. 2020; 15(3): 116-121. https://doi.org/10.20953/1817-7646-2020-3-116-121 (In Russ.).
- Abuseva G.R., Antipenko P.V., Arkov V.V. Fizicheskaya i reabilitacionnaya medicina: nacional’noe rukovodstvo [Physical and rehabilitation medicine: national guidelines]. Interregional Scientific Society of Physical and Rehabilitation Medicine. Moscow. GEOTAR-Media. 2020: 688 p. (In Russ.).
- Khan M.A., Razumov A.N., Korchazhkina N.B. Fizicheskaya i reabilitacionnaya medicina v pediatrii [Physical and rehabilitation medicine in pediatrics]. Moscow. “GEOTAR-Media”. 2018: 408 p. (In Russ.).
- Korchazhkina N.B., Khan M.A., Chervinskaya A.V. Sochetannye metody galoterapii v medicinskoj reabilitacii detej s zabolevaniyami organov dyhaniya [Combined methods of halotherapy in the medical rehabilitation of children with respiratory diseases]. Bulletin of Rehabilitation Medicine. 2018; 3(85): 58-62 (In Russ.).
- Khan M.A., Rumyanceva M.V., Dedurina A.V., Mikitchenko N.A. Sovremennye tekhnologii medicinskoj reabilitacii v pediatrii [Modern technologies of medical rehabilitation in pediatrics]. Physiotherapist. 2020; (2): 52-57. https://doi.org/10.33920/med-14-2004-07 (In Russ.).
- Nikityuk Yu.V., Khan M.A., Mikitchenko N.A. Primenenie suhih uglekislyh vann v medicinskoj reabilitacii detej s razlichnymi zabolevaniyami [The use of dry carbon dioxide baths in the medical rehabilitation of children with various diseases]. Bulletin of Rehabilitation Medicine. 2020; 4(98): 62-70. https://doi.org/10.38025/2078-1962-2020-98-4-62-70 (In Russ.).
- Makarova M.R., Lyamina N.P., Somov D.A., Turova E.A., Rassulova M.A., Pogonchenkova I.V., Shchikota A.M. Fizicheskaya reabilitaciya pri pnevmonii, associirovannoj s COVID-19. Uchebno-metodicheskoe posobie [Physical rehabilitation for pneumonia associated with COVID-19. Training manual]. Moscow. 2020: 84 p. (In Russ.).

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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.