Original article

https://doi.org/10.38025/2078-1962-2022-21-1-6-16

The Effectiveness of Rehabilitation in a Day Hospital for Patients Previously Suffered from Covid Pneumonia

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1,2 ORCIDEvgenya A. Guryanova, 1 ORCIDAnna F. Kuzminykh, 1 ORCIDAlexandra K. Peredreeva

1 I.N. Ulyanov Chuvash State University, Cheboksary, Russian Federation
2 Institute for Postgraduate Medical Education of the Ministry of Health of the Chuvash Republic, Cheboksary, Russian Federation


Abstract:

Aim. To research the effectiveness of the third stage of rehabilitation in patients who have had pneumonia caused by the Covid-19 virus.

Material and methods. A retrospective study of medical records was carried out on the basis of a medical rehabilitation department of the Sanatorium “Chuvashiyakurort” day hospital (Cheboksary, Chuvash Republic). The research included 124 people admitted to stage 3 of rehabilitation after suffering pneumonia associated with a new coronavirus infection in the period from April 2021 to September 2021. The rehabilitation included physical exercise therapy, dry carbon dioxide baths, low-frequency magnetotherapy, mud applications,halotherapy and massage procedures as well as psychotherapy methods.

Results and discussion. As a result of rehabilitation, an improvement was achieved among all groups of patients: the median of the rehabilitation routing scale decreased from moderate (3 points) to mild (2 points). According to the results of the six-minute walk test after rehabilitation, an increase in distance from 100.00 m to 220.00 m was recorded among all groups of patients, the maximum increase in distance for both men and women was observed in the age group of 50-59 years, the minimum — in men and women of 60–69 years. In the group of patients with the comorbid diseases, the six-minute walk test scores were lower than in other group. In all age groups, the tolerance of physical activity on the Borg scale decreased from 2 to 1 in both women and men, except for women in the age group of 60–69 years, and men of 60–79 years (from 3 to 2). According to the BDI and TDI scales, an increase in the degree of necessary efforts was recorded: the indicators before rehabilitation were 3, after — 4 among all groups of patients. The severity of dyspnea on the mMRC scale had a positive trend: the median before rehabilitation was 1, after — 0 among men and women of all ages. The combination of physiotherapy exercises and physiotherapy procedures is the most effective in the process of rehabilitation. It is necessary to motivate patients to continue rehabilitation activities at home or in the sanatorium and resort environment because of persistent symptoms of breath shortness , sleep disorders, incomplete restoration of exercise tolerance.

Conclusion. Comprehensive rehabilitation of patients after pneumonia associated with the new coronavirus infection caused by SARS-CoV-2 improves the general condition, increases exercise tolerance and helps to restore activity in everyday life, and improvesthe quality of life. 

Keywords: new coronavirus infection caused by SARS-CoV-2, COVID-19, rehabilitation, sanatorium, third stage of rehabilitation

For citation: Guryanova E.A., Kuzminykh A.F., Peredreeva A.K. The Effectiveness of Rehabilitation in a Day Hospital for Patients Previously Suffered from Covid Pneumonia. Bulletin of Rehabilitation Medicine. 2022; 21 (1): 6-16. https://doi.org/10.38025/2078-1962-2022-21-1-6-16



References:

  1. World Health Organization (WHO). WHO statement on cases of COVID-19 surpassing 100.000. Geneva: WHO. Available at: https://www.who.int/news/item/07–03–2020-who-statement-on-cases-of-covid-19-surpassing-100–000 (accessed 12.03.2020) 
  2. Huang C., Wang Y., Li X., Ren L., Zhao J., Hu Y., Zhang L., Fan G., Xu J., Gu X., Cheng Z., Yu T., Xia J., Wei Y., Wu W., Xie X., Yin W., Li H., Liu M., Xiao Y., Gao H., Guo L., Xie J., Wang G., Jiang R., Gao Z., Jin Q., Wang J., Cao B. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet. 2020; 395(10223): 497-506. https://doi.org/10.1016/S0140-6736(20)30183-5
  3. Mao L., Jin H., Wang M., Hu Y., Chen S., He Q., Chang J., Hong C., Zhou Y., Wang D., Miao X., Li Y., Hu B. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurology. 2020; 77(6): 683–690. https://doi.org/10.1001/jamaneurol.2020.1127
  4. Klok F.A., Boon G., Barco S., Endres M., Miranda Geelhoed J. J., Knauss S., Rezek S. A., Spruit M. A., Vehreschild J., Siegerink B. The Post-COVID-19 Functional Status (PCFS) Scale: a tool to measure functional status over time after COVID-19. European Respiratory Journal. 2020; 56(1): 2001494 p. https://doi.org/10.1183/13993003.01494-2020
  5. Hellemons M.E., Huijts S., Bek L., Berentschot J., Nakshbandi G., Schurink C. A.M., Vlake J., van Genderen M. E., van Bommel J., Gommers D., Odink A., Ciet P., Shamier M. C., Geurts van Kessel C., Baart S. J., Ribbers G. M., van den Berg- Emons H.G., Heijenbrok- Kal M.H., Aerts J. G.J.V. Persistent Health Problems beyond Pulmonary Recovery up to 6 Months after Hospitalization for SARS-CoV-2; A Longitudinal Study of Respiratory, Physical and Psychological Outcomes. ATS Journals. 2021. https://doi.org/10.1513/AnnalsATS.202103-340OC
  6. Boldrini P., Bernetti A., Fiore P. SIMFER Executive Committee and SIMFER Committee for international aff airs. Impact of COVID-19 outbreak on rehabilitation services and Physical and Rehabilitation Medicine (PRM) physicians’ activities in Italy. An offi cial document of the Italian PRM Society (SIMFER). European Journal of Physical and Rehabilitation Medicine. 2020; 56(3): 316–318. https://doi.org/10.23736/S1973-9087.20.06256-5
  7. Machado C.L., Pinto R. S., Brusco C. M., Cadore E. L., Radaelli R. COVID-19 pandemic is an urgent time for older people to practice resistance exer- cise at home. Experimental Gerontology. 2020; 141(111101): 6 p. https://doi.org/10.1016/j.exger.2020.111101
  8. Inoue S., Hatakeyama J., Kondo Y., Hifumi T., Sakuramoto H., Kawasaki T., Taito S., Nakamura K., Unoki T., Kawai Y., Kenmotsu Y., Saito M., Yamakawa K., Nishida O. Post-intensive care syndrome: its pathophysiology, prevention, and future directions. Acute Medicine & Surgery. 2019; 6(3): 233–246. https://doi.org/10.1002/ams2.415
  9. Vremennyye metodicheskiye rekomendatsii. Meditsinskaya reabilitatsiya pri novoy koronavirusnoy infektsii (COVID-19). Versiya 2 [Temporary Methodological Recommendations. Medical rehabilitation for the new coronavirus infection COVID-19. Ministry of Health of the Russian Federa- tion. Version 2]. 2020: 151 p. (In Russ.).
  10. Vremennyye metodicheskiye rekomendatsii profi laktika, diagnostika i lecheniye novoy koronavirusnoy infektsii (COVID-19). Versiya 13 [Temporary Methodological Recommendations. «Prevention, diagnosis and treatment of new coronavirus infection COVID-19. Ministry of Health of the Russian Federation. Version 11»]. 2021: 225 c. (In Russ.).
  11. Makarova N.I., Tsygina T. Yu., Makarova A. V., Yablonskiy P. K. Rezul’taty ozdorovitel’nogo lecheniya pacientov, perenesshih novuyu koronavirusnuyu infekciyu COVID-19, v usloviyah ftiziopul’monologicheskogo sanatoriya [Results of wellness treatment of patients with new coronavirus in- fection COVID-19 in a phthisiopulmonary sanatorium]. MedAlliance. 2020; 8(3): 15–24 (In Russ.).
  12. Brugliera L., Spina A., Castellazzi P., Cimino P., Tettamanti A., Houdayer E., Arcuri P., Alemanno F., Mortini P., Iannaccone S. Rehabilitation of COVID-19 patients. Journal of Rehabilitation Medicine. 2020; 52(4): jrm00046 p. https://doi.org/10.2340/16501977-2678
  13. Ambrosino N., Makhabah D. N. Comprehensive physiotherapy management in ARDS. Minerva Anestesiologica. 2013; 79(5): 554–63.
  14. Singh S.J., Barradell A. C., Greening N. J., Bolton C., Jenkins G., Preston L., Hurst J. R. British Thoracic Society survey of rehabilitation to support re- covery of the post- COVID-19 population. BMJ Open. 2020; 10(12): e040213 p. https://doi.org/10.1136/bmjopen-2020-040213
  15. Agostini F., Mangone M., Ruiu P., Paolucci T., Santilli V., Bernetti A. Rehabilitation settings during and after COVID-19: An overview of recommen- dations. Journal of Rehabilitation Medicine. 2021; 53(1): jrm00141 p. https://doi.org/10.2340/16501977-2776
  16. Zhao, Hong- Mei; Xie, Yu- Xiao; Wang, Chen. Recommendations for respiratory rehabilitation in adults with COVID-19. Chinese Medical Journal. 2020; 133(13): 1595–1602. https://doi.org/10.1097/CM9.0000000000000848
  17. Prikaz Ministerstva zdravoohraneniya RF ot 31.07.2020 № 788n «Ob utvezhdenii Poryadka organizacii medicinskoj reabilitacii vzroslyh» [Ministry of Health Order No. 788n of 31.07.2020 «On Approval of the Procedure for Organising Medical Rehabilitation for Adults”]. 2020: 122 с. (In Russ.).
  18. Vremennyye metodicheskiye rekomendatsii «Profi laktika, diagnostika i lecheniye novoy koronavirusnoy infektsii (COVID-19). Versiya 13» [Temporary Methodological Recommendations. «Prevention, diagnosis and treatment of new coronavirus infection COVID-19. Ministry of Health of the Russian Federation. Version 13»]. 2021: 237 с. (In Russ.).
  19. Opasich C., De Feo S., Pinna G. D., Furgi G., Pedretti R., Scrutinio D., Tramarin R. Dis-tance Walked in the 6-Minute Test Soon after Cardiac Surgery: Toward an Efficient Use in the Individual Patient. CHEST Journal. 2004; 126(6): 1796–801. https://doi.org/10.1378/chest.126.6.1796
  20. Shakula A. V. Perspektivy ispol’zovaniya «sukhikh» uglekislykh vann (SUV) v kom-pleksnykh programmakh meditsinskoy reabilitatsii i sanatorno-kurortnogo lecheniya patsiyentov, perenesshikh COVID-19 [Prospects for the use of dry carbon dioxide baths (DCBs) in comprehensive medical rehabilitation and spa treatment programmes for COVID-1 patients]. Problems of Balneology, Physiotherapy and Exercise Therapy. 2020; 97(6–2): 135 p. (In Russ.).
  21. Bodrova R.A., Kuchumova T. V., Zakamyrdina A. D., Yunusova E. R., Fadeyev G.YU. Ef-fektivnost’ nizkochastotnoy magnitoterapii u patsiyentov, perenesshikh pnevmoniyu, vyzvannuyu COVID-19 [Effectiveness of low-frequency magnetotherapy in patients with COVID-19-induced pneumonia]. Problems of Balneology, Physiotherapy and Exercise Therapy. 2020; 97(6): 11–16. https://doi.org/10.17116/kurort20209706111 (In Russ.).
  22. Vasil’yeva A. V. Psikhicheskiye narusheniya, svyazannyye s pandemiyey COVID-19 (mezh-dunarodnyy opyt i podkhody k terapii) [Mental disorders associated with the COVID-19 pandemic (international experience and approaches to therapy)]. S. S. Korsakov Journal of Neurology and Psychiatry. 2020; 120(9): 121–129. https://doi.org/10.17116/jnevro2020120091121 (In Russ.).
  23. Halle M., Bloch W., Niess A. M., Predel H. G., Reinsberger C., Scharhag J., Steinacker J., Wolfarth B., Scherr J., Niebauer J. Exercise and sports after COVID‐19 — Guidance from a clinical perspective. Translational Sports Medicine. 2021; 4(3): 310–318. https://doi.org/10.1002/tsm2.247
  24. Maccarone M.C., Masiero S. Spa therapy interventions for post respiratory rehabilitation in COVID-19 subjects: does the review of recent evidence suggest a role? Environmental Science and Pollution Research. 2021; 28(33): 46063–46066. https://doi.org/10.1007/s11356-021-15443-8
  25. Ruan Q., Yang K., Wang W., Jiang L., Song J. Clinical predictors of mortality due to COVID-19 based on an analysis of data of 150 patients from Wuhan, China. Intensive Care Medicine. 2020; 46(5): 846–848. https://doi.org/10.1007/s00134-020-05991-x
  26. Guan W-J., Liang W-H., Zhao Y., Liang H. R., Chen Z. S., Li Y. M., Liu X. Q., Chen R. C., Tang C. L., Wang T., Ou C. Q., Li L., Chen P. Y., Sang L., Wang W., Li J. F., Li C. C., Ou L. M., Cheng B., Xiong S., Ni Z. Y., Xiang J., Hu Y., Liu L., Shan H., Lei C. L., Peng Y. C., Wei L., Liu Y., Hu Y. H., Peng P., Wang J. M., Liu J. Y., Chen Z., Li G., Zheng Z. J., Qiu S. Q., Luo J., Ye C. J., Zhu S. Y., Cheng L. L., Ye F., Li S. Y., Zheng J. P., Zhang N. F., Zhong N. S., He J. X., China Medical Treat- ment Expert Group for COVID-19. Comorbidity and its impact on 1590 patients with Covid-19 in China: A Nationwide Analysis. European Respira- tory Journal. 2020; 55(5): 2000547 p. https://doi.org/10.1183/13993003.00547-2020
  27. Kravchuk E.N., Neimark A. E., Babenko A. Yu. Ozhireniye i COVID-19 [Obesity and COVID-19.]. Arterial Hypertension. 2020; 26(4): 440–446. https:// doi.org/10.18705/1607-419X-2020-26-4-440-446 (In Russ.).
  28. Bubnova M.G., Persiyanova- Dubrova A.L., Lyamina N. P., Aronov D. M. Reabilitatsiya posle novoy koronavirusnoy infektsii (COVID-19): printsipy i podkhody [Rehabilitation after a new coronavirus infection (COVID-19): principles and approaches.]. CardioSomatics. 2020; 11(4): 6–14. https:// doi.org/10.26442/22217185.2020.4.200570 (In Russ.).



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