Rehabilitation: Substan- tiation of Effective Constituents of a Comprehensive Rehabilitation Interference
DOI:
https://doi.org/10.29038/2220-7481-2021-03-76-82Keywords:
Covid-19, physical rehabilitationAbstract
Topicality of the Research. The research focuses its attention on the necessity and importance of rehabilitation measures of patients who experienced coronavirus disease (COVID-19) of a various degree of severity. Convincing evidence is presented on the basis of both the own studies and the data of the current medicine concerning an effective influence of various means of restoration treatment on the course of COVID-19. The aim of a comprehensive rehabilitation of patients with COVID-19 is to improve the dyspnea, to eliminate anxiety, to reduce complications, to minimize disability, to maintain functions and to improve the quality of life. The Purpose of the Research – to determine methodical bases and key aspects of a comprehensive use of physical therapy means for COVID-19 patients. Methods of the Research. Analysis of scientific and methodical literature sources, abstracting method, as well as methods of synthesis and generalization have been used during the study. The Research Results. Physical rehabilitation is found to be an essential constituent in the treatment of patients including effects on different parts of pathogenic disorders. Physical activity of a post-COVID patient possesses an evidenced effect. Physical activity should be indicated according to the functional status and physical possibilities. It is long and requires patient’s self-discipline. The basis of the rehabilitation program is selection of strictly dosed muscle loading with prevailing active elements. Their aim is making a motion regimen of a patient wider, also increasing patient’s mobility, adjusting to occupational and everyday domestic load, and preventing complications. Other constituents of restoration treatment have been analyzed (physiotherapeutic effect, dietary correction, psychological rehabilitation), which in combination with physical therapy will enable to obtain maximum valuable results. Conclusions. Rehabilitation interference is found to be reasonable at different stages of the disease. Selection of constituents, dosing of manipulations, the choice of methods are carried out individually considering severity and period of the disease, concomitant pathology, and physical status of a patient. A combination of various methods of physical influence inter-potential action is rather effective.
References
Wang, T. J, Chau, B., Lui, M., Lam, G.-T., Lin, N., Humbert, S. (2020). Physical Medicine and Rehabilitation and Pulmonary Rehabilitation for COVID-19. Am J Phys Med, 99(9), 769–774. doi: 10.1097/PHM.000000 0000001505.
Holubovska, O. A. (2021). Postkovidnyi syndrom: patohenez ta osnovni napriamy reabilitatsii [Post-Covid syndrome: pathogenesis and main rehabilitation directions]. Medychna hazeta «Zdorovia Ukrainy 21 storichchia», 3(496). URL: https://health-ua.com/article/64069-postkovdnij-sindrom-patogenez--ta-osnovn napry- ami-reabltatc.
Paz, L. E, Silva Bezerra, B. J., Melo, Pereiram, T. M, Silva W. E. (2021). COVID-19: the importance of physi- cal therapy in the recovery of workers health. Rev Bras Med Trab, 19(1), 94–106. doi: 10.47626/1679-4435- 2021-709.
Nakaz Ministerstva okhorony zdorovia Ukrainy vid 20.04.2021, No. 771. Protokol nadannia reabilitatsiinoi dopomohy patsiientam z koronavirusnoiu khvoroboiu (COVID-19) ta rekonvalestsentam [Protocol for the provision of rehabilitation care to patients with coronavirus disease (COVID-19) and convalescents].
Ziuz, V., Babych, T., Balukhtina, V. (2020). Fizychna aktyvnist – zasib zmitsnennia ta reabilitatsii pid chas pandemii COVID-19 [Physical activity as a mean of strengthening and rehabilitation during the COVID-19 pandemic]. Naukovyi chasopys Natsionalnoho pedahohichnoho universytetu imeni M. P. Drahomanova, Seriia 15. Naukovo-pedahohichni problemy fizychnoi kultury (fizychna kultura i sport), 8(128), 74–79. doi.org/10.31392/NPU-nc.series15.2020.8(128).17
Iannaccone, S., Castellazzi, P., Tettamanti, A., Houdayer, E,, Brugliera, L,, Blasio, F., et al. (2020). Role of Rehabilitation Department for Adult Individuals with COVID-19: The Experience of the San Raffaele Hospital of Milan. Arch Phys Med Rehabil, 101(9), 1656–1661. doi: 10.1016/j.apmr.2020.05.015.
Sheehy, L. M. (2020). Considerations for Postacute Rehabilitation for Survivors of COVID-19. JMIR Public Health Surveill, 6(2), 19462. doi: 10.2196/19462.
Carda, S., Invernizzi, M., Bavikatte, G., Bensmal, D., Bianchi, F., Deltombe, T, et al. (2020). COVID-19 pandemic. What should Physical and Rehabilitation Medicine specialists do? A clinicians’ perspective. Eur J Phys Rehabil Med, 56(4), 515–524. doi: 10.23736/S1973-9087.20.06317-0.
Simonelli, C., Paneroni, M., Georges Fokom, A, Saleri, M,, Speltoni, I., Favero, I,, et al. (2020). How the COVID-19 infection tsunami revolutionized the work of respiratory physiotherapists: an experience from Northern Italy. Monaldi Arch Chest Dis, 90(2). doi: 10.4081/monaldi.2020.1085.
Ponomarenko, V. I., Lysenko, V. I., Mylytsia, K. M., Baklanov, M. S. (2017). Skladannia reabilitatsiinykh prohram [Rehabilitation programs` preparation]. Melitopol. TOV «Drukarnia «Drukarskyi svit», 529.
Mokmeli, S,, Vetrici, M. (2020). Low level laser therapy as a modality to attenuate cytokine storm at multiple levels, enhance recovery, and reduce the use of ventilators in COVID-19. Can J Respir Ther, 56, 25–31. doi: 10.29390/cjrt-2020-015.
Vergallo, C. (2021). Infusion of HLA-matched and static magnetic field-exposed allogenic lymphocytes treating lymphocytopenia and cytokine storm syndrome: A treatment proposal for COVID-19 patients. Electromagn Biol Med, 40(1), 11–25. doi: 10.1080/15368378.2020.1830290.
Soares, M. J., Müller, M. J. (2020). Editorial: Nutrition and COVID-19. Eur J Clin Nutr, 74(6), 849. doi: 10.1038/s41430-020-0647-y.
Coelho-Ravagnani, C. F, Corgosinho, F. C, Ziegler, Sanche, F. F, Prado, C. M, Laviano, A., Mota, J. F. (2021). Dietary recommendations during the COVID-19 pandemic. Nutr Rev., 79(4), 382–393. doi: 10.1093/nutrit/ nuaa067.
Clemente-Suárez, V. J., Ramos-Campo, D. J., Mielgo-Ayuso, J. A., Dalamitros, A. A., Nikolaidis, P., Hor- meño-Holgado, A. et al. (2021). Nutrition in the Actual COVID-19 Pandemic. A Narrative Review. Nutrients, 13(6), 19–24. doi: 10.3390/nu13061924.
Coelho-Ravagnani, C. F, Corgosinho, F. C, Ziegler, Sanches, F. F, Prado C. M, Laviano, A., Mota, J. F. (2021). Dietary recommendations during the COVID-19 pandemic. Nutr Rev., 79(4), 382–393. doi: 10.1093/ nutrit/nuaa067.
Vindegaard, N., Benros, M. E. (2020). COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun, 89, 531–542. doi: 10.1016/j.bbi.2020.05.048.
Weiner, L., Berna, F., Nourry, N., Severac, F., Vidailhe, P., Mengin, A. C. (2020). Efficacy of an online cognitive behavioral therapy program developed for healthcare workers during the COVID-19 pandemic: the REduction of STress (REST) study protocol for a randomized controlled trial. Trials, 21(1), 870. doi: 10.1186/ s13063-020-04772-7.