COVID-19 Pandemic: A Physiotherapy Update

Paolo Pedersini; Jorge Hugo Villafañe; Camilo Corbellini; Marcos Roberto Tovani-Palone

doi:10.29333/ejgm/8574

Full Text (PDF)

Paolo Pedersini ¹ ^* , Jorge Hugo Villafañe ¹ , Camilo Corbellini ² ³ , Marcos Roberto Tovani-Palone ⁴ ^*

More Detail

¹ IRCCS Fondazione Don Carlo Gnocchi, Milan, ITALY² Casa di Cura Villa Serena, Piossasco, ITALY³ LUNEX International University of Health, Exercise and Sports, Department of Physiotherapy, LUXEMBOURG⁴ Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, BRAZIL^* Corresponding Author

Abstract

Physiotherapists have an essential role in the recovery of patients who require hospital care and/or in intensive care units. However, so far, there is little discussion in literature about the interventions by physiotherapists together with multidisciplinary teams in hospital units that receive COVID-19 patients. In this perspective article, we discuss the role and importance of physiotherapy in the management of COVID-19 cases with focus on patients admitted to hospitals.

Keywords

coronavirus
rehabilitation
pandemics
physical therapists
hospitals
critical care

License

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Perspective Article

ELECTRON J GEN MED, Volume 18, Issue 1, February 2021, Article No: em264

https://doi.org/10.29333/ejgm/8574

Publication date: 07 Oct 2020

Article Views: 3808

Article Downloads: 4684

Open Access References How to cite this article

References

Johns Hopkins Coronavirus Resource Center. World Map. Baltimore. Availabe at: https://coronavirus.jhu.edu/map.html (Accessed: 14 June 2020).
Serdan TDA, Masi LN, Gorjao R, Pithon-Curi TC, Curi R, Hirabara SM. COVID-19 in Brazil: historical cases, disease milestones, and estimated outbreak peak. Travel Med Infect Dis. 2020;101733. https://doi.org/10.1016/j.tmaid.2020.101733 PMid:32407892 PMCid:PMC7214305
Oliveira WK, Duarte E, França GVA, Garcia LP. How Brazil can hold back COVID-19. Epidemiol Serv Saude. 2020;29(2):e2020044. https://doi.org/10.5123/S1679-49742020000200023
Brazil. Ministry of Health. Health Surveillance Secretariat. Epidemiological bulletin 19 [Boletim epidemiológico 19]. Brasília: Ministry of Health; 2020. Available at: https://www.saude.gov.br/images/pdf/2020/April/16/Boletim-epidemiologico-SVS-16.pdf (Accessed: 1 June 2020).
Brazil. Ministry of Health. Public Health Emergency Operations Center. Daily epidemiological bulletin [Boletim epidemiológico diário]. Brasília: Ministry of Health; 2020. Available at: https://www.saude.gov.br/images/pdf/2020/April/20/20.04.2020_COVID1.pdf (Accessed: 1 June 2020).
Nafees M, Khan F. Pakistan’s response to COVID-19 pandemic and efficacy of quarantine and partial lockdown: a review. Electron J Gen Med. 2020;17(6): em240. https://doi.org/10.29333/ejgm/7951
Santacroce L, Charitos IA, Del Prete R. COVID-19 in Italy: an overview from the first case to date. Electron J Gen Med. 2020;17(6):em235. https://doi.org/10.29333/ejgm/7926
Yezli S, Khan A. COVID-19 social distancing in the Kingdom of Saudi Arabia: bold measures in the face of political, economic, social and religious challenges. Travel Med Infect Dis. 2020;101692. https://doi.org/10.1016/j.tmaid.2020.101692 PMid:32330561 PMCid:PMC7172679
Jang MH, Shin MJ, Shin YB. Pulmonary and physical rehabilitation in critically ill patients. Acute Crit Care. 2019;34(1):1-13. https://doi.org/10.4266/acc.2019.00444 PMid:31723900 PMCid:PMC6849048
Pascarella G, Strumia A, Piliego C, et al. COVID-19 diagnosis and management: a comprehensive review. J Intern Med. 2020. https://doi.org/10.1111/joim.13091 PMid:32348588 PMCid:PMC7267177
Pedersini P, Corbellini C, Villafañe JH. Italian physical therapists’ response to the novel COVID-19 emergency. Phys Ther. 2020;pzaa060. https://doi.org/10.1093/ptj/pzaa060 PMid:32280973 PMCid:PMC7184495
World Health Organization. Country & technical guidance - coronavirus disease (COVID-19). Genebra: World Health Organization; 2020. Available at: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance (Accessed: 14 June 2020).
Stiller K. Physiotherapy in intensive care: towards an evidence-based practice. Chest. 2000;118(6):1801-13. https://doi.org/10.1378/chest.118.6.1801 PMid:11115476
Santamarina MG, Boisier D, Contreras R, Baque M, Volpacchio M, Beddings I. COVID-19: a hypothesis regarding the ventilation-perfusion mismatch. Crit Care. 2020;24(1):395. https://doi.org/10.1186/s13054-020-03125-9 PMid:32631389 PMCid:PMC7338110
Thomas P, Baldwin C, Bissett B, et al. Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. J Physiother. 2020;66(2):73-82. https://doi.org/10.1016/j.jphys.2020.03.011 PMid:32312646 PMCid:PMC7165238
Devlin JW, Skrobik Y, Gélinas C, et al. Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Crit Care Med. 2018;46(9):e825-e873.
Frat JP, Thille AW, Mercat A, et al. High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure. N Engl J Med. 2015;372(23):2185-96. https://doi.org/10.1056/NEJMoa1503326 PMid:25981908
Andrews PL, Shiber JR, Jaruga-Killeen E, et al. Early application of airway pressure release ventilation may reduce mortality in high-risk trauma patients: a systematic review of observational trauma ARDS literature. J Trauma Acute Care Surg. 2013; 75(4): 635-41. https://doi.org/10.1097/TA.0b013e31829d3504 PMid:24064877
Sun X, Liu Y, Li N, You D, Zhao Y. The safety and efficacy of airway pressure release ventilation in acute respiratory distress syndrome patients: a PRISMA-compliant systematic review and meta-analysis. Medicine (Baltimore). 2020 ;99(1):e18586.
https://doi.org/10.1097/MD.0000000000018586 PMid:31895807 PMCid:PMC6946469
Lazzeri M, Lanza A, Bellini R, et al. Respiratory physiotherapy in patients with COVID-19 infection in acute setting: a position paper of the Italian Association of Respiratory Physiotherapists (ARIR). Monaldi Arch Chest Dis. 2020;90(1). https://doi.org/10.4081/monaldi.2020.1285
Tovani-Palone MR, Storari L, Barbari V. Could preventing thromboembolism be a new hope for COVID-19 patients? Electron J Gen Med. 2020;17(6):em250. https://doi.org/10.29333/ejgm/8244
Sheehy LM. Considerations for postacute rehabilitation for survivors of COVID-19. JMIR Public Health Surveill. 2020;6(2):e19462. https://doi.org/10.2196/19462 PMid: 32369030 PMCid:PMC7212817
Hillegass E, Puthoff M, Frese EM, et al. Role of physical therapists in the management of individuals at risk for or diagnosed with venous thromboembolism: evidence-vased clinical practice guideline. Phys Ther. 2016;96(2):143-66. https://doi.org/10.2522/ptj.20150264 PMid:26515263
Hashem MD, Nelliot A, Needham DM. Early mobilization and rehabilitation in the ICU: moving back to the future. Respir Care. 2016;61(7):971-9. https://doi.org/10.4187/respcare.04741 PMid:27094396
Smith JM, Lee AC, Zeleznik H, et al. Home and community-based physical therapist management of adults with post-intensive care syndrome. Phys Ther. 2020;pzaa059. [Epub ahead of print]
Tipping CJ, Harrold M, Holland A, Romero L, Nisbet T, Hodgson CL. The effects of active mobilisation and rehabilitation in ICU on mortality and function: a systematic review. Intensive Care Med. 2017;43(2):171-83. https://doi.org/10.1007/s00134-016-4612-0 PMid:27864615
Herridge MS, Chu LM, Matte A, et al. The RECOVER program: disability risk groups and 1-Year outcome after 7 or more days of mechanical ventilation. Am J Respir Crit Care Med. 2016;194(7):831-44. https://doi.org/10.1164/rccm.201512-2343OC PMid:26974173
Stam HJ, Stucki G, Bickenbach J. Covid-19 and post intensive care syndrome: a call for action. J Rehabil Med. 2020;52(4):jrm00044. https://doi.org/10.2340/16501977-2677 PMid:32286675
Thomas S, Mehrholz J, Bodechtel U, Elsner B. Effect of physiotherapy on regaining independent walking in patients with intensive-care-unit-acquired muscle weakness: a cohort study. J Rehabil Med. 2019;51(10):797-804. https://doi.org/10.2340/16501977-2606 PMid: 31544216
Connolly B, Salisbury L, O’Neill B, et al. Exercise rehabilitation following intensive care unit discharge for recovery from critical illness. Cochrane Database Syst Rev. 2015;2015(6):CD008632. https://doi.org/10.1002/14651858.CD008632.pub2 PMid:26098746 PMCid:PMC6517154
Verceles AC, Wells CL, Sorkin JD, et al. A multimodal rehabilitation program for patients with ICU acquired weakness improves ventilator weaning and discharge home. J Crit Care. 2018;47:204-10. https://doi.org/10.1016/j.jcrc.2018.07.006 PMid:30025227 PMCid:PMC6143437
Walsh NP, Gleeson M, Shephard RJ, et al. Position statement. part one: immune function and exercise. Exerc Immunol Rev. 2011;17:6-63.
Simpson R Robinson L. Rehabilitation after critical illness in people with COVID-19 infection. Am J Phys Med Rehabil. 2020;99(6):470-4. https://doi.org/10.1097/PHM.0000000000001443 PMid:32282359 PMCid:PMC7253039
Pancera S, Galeri S, Porta R, et al. Feasibility and efficacy of the pulmonary rehabilitation program in a rehabilitation center: case report of a young patient developing severe COVID-19 acute respiratory distress syndrome. J Cardiopulm Rehabil Prev. 2020;40(4):205-8. https://doi.org/10.1097/HCR.0000000000000529 PMid:32609464
Torales J, O’Higgins M, Castaldelli-Maia JM, Ventriglio A. The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Soc Psychiatry. 2020 ;66(4):317-20. https://doi.org/10.1177/0020764020915212 PMid: 32233719

How to cite this article

Vancouver

Pedersini P, Villafañe JH, Corbellini C, Tovani-Palone MR. COVID-19 Pandemic: A Physiotherapy Update. ELECTRON J GEN MED. 2021;18(1):em264. https://doi.org/10.29333/ejgm/8574

APA

Pedersini, P., Villafañe, J. H., Corbellini, C., & Tovani-Palone, M. R. (2021). COVID-19 Pandemic: A Physiotherapy Update. Electronic Journal of General Medicine, 18(1), em264. https://doi.org/10.29333/ejgm/8574

AMA

Pedersini P, Villafañe JH, Corbellini C, Tovani-Palone MR. COVID-19 Pandemic: A Physiotherapy Update. ELECTRON J GEN MED. 2021;18(1), em264. https://doi.org/10.29333/ejgm/8574

Chicago

Pedersini, Paolo, Jorge Hugo Villafañe, Camilo Corbellini, and Marcos Roberto Tovani-Palone. "COVID-19 Pandemic: A Physiotherapy Update". Electronic Journal of General Medicine 2021 18 no. 1 (2021): em264. https://doi.org/10.29333/ejgm/8574

Harvard

Pedersini, P., Villafañe, J. H., Corbellini, C., and Tovani-Palone, M. R. (2021). COVID-19 Pandemic: A Physiotherapy Update. Electronic Journal of General Medicine, 18(1), em264. https://doi.org/10.29333/ejgm/8574

MLA

Pedersini, Paolo et al. "COVID-19 Pandemic: A Physiotherapy Update". Electronic Journal of General Medicine, vol. 18, no. 1, 2021, em264. https://doi.org/10.29333/ejgm/8574