Rehabilitation care during the new COVID-19 coronavirus infection epidemic at first, second and third medical rehabilitation phases

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  • Authors: Ivanova G.E.1,2, Shmonin A.A.3,4, Maltseva M.N.3,4, Mishina I.E.5, Melnikova E.V.3,4,6, Bodrova R.A.7, Tsykunov M.B.1,8, Bakhtina I.S.9, Kalinina S.A.9, Balandina I.N.9, Soloveva L.N.6, Ivanova N.E.10, Suvorov A.Y.1,2, Didur M.D.3
  • Affiliations:
    1. Federal State Autonomous Educational Institution of Higher Education “Pirogov Russian National Research Medical University” of the Ministry of Health of Russia
    2. Federal State Budgetary Institution «Federal center of brain research and neurotechnologies» of the Federal Medical Biological Agency
    3. Federal State Budgetary Educational Institution of Higher Education “Academician I.P. Pavlov First St. Petersburg State Medical University” of the Ministry of Health of Russian Federation
    4. Autonomous non-profi t organization “Scientifi c Research Institute of Rehabilitation named aft er N.A. Bernstein”
    5. Federal State Budgetary Educational Institution of Higher Education “Ivanovo State Medical Academy” of the Ministry of Health of the Russian Federation
    6. Saint Petersburg State Budgetary Institution of Health “City Hospital № 26”
    7. Kazan State Medical Academy — Branch of Federal State Budgetary Educational Institution of Additional Professional Education “Russian Medical Academy of Continuous Education” of the Ministry of Health of the Russian Federation
    8. Federal State Budgetary Institution “Priorov Central Institute for Trauma and Orthopedics” of the Ministry of Health of the Russian Federation
    9. State Educational Institution of Continuing/Additional Professional Education “St. Petersburg Centre of Postgraduate Education for Specialists with the Higher Medical and Pharmaceutical Professional Education of non University’s level” Federal Medico-Biological Agency
    10. Federal State Budgetary Institution “Almazov National Medical Research Centre” of the Ministry of Health of the Russian Federation
  • Issue: Vol 2, No 2 (2020)
  • Pages: 98-117
  • Section: EDITORIAL
  • URL: https://journal-vniispk.ru/2658-6843/article/view/34148
  • DOI: https://doi.org/10.36425/rehab34148
  • ID: 34148

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Abstract

Patients with the new coronavirus infection (COVID-19) may need rehabilitation. Approaches to rehabilitation of patients with other conditions also have to be revised under the conditions of the SARS-CoV-2 epidemic. There is a need in clinical recommendations for delivery of rehabilitation care to patients with COVID-19 and other diseases during the pandemic. A group of experts analyzed real life reports on rehabilitation in COVID-19, along with earlier studies on rehabilitation in Post-intensive care syndrome (PICS) and acute respiratory distress syndrome of non-coronavirus etiology, and used them to develop the main points for clinical recommendations. We discuss the major rehabilitation problems in COVID-19 patients determining their needs in care, in particular, the structural and functional impairments leading to limitations of self-care, mobility, everyday life, communication, interpersonal relations, and professional activities. We provide general recommendations on managing medical rehabilitation in the pandemic at all three phases, including patients routing and safeguarding medical personnel and patients against the infection. We identify essential components of individual rehabilitation program for COVID-19 patients at all phases of rehabilitation, including patient examination, correction of nutritional deficiencies, improvement of respiratory function, exercise tolerance, and muscle strength, self-monitoring and training in new movement conditions; recovery of psychoemotional state and cognitive functions, as well as independence in everyday life. Medical rehabilitation during the COVID-19 epidemic should include all components of rehabilitation care and help in optimizing vital functions, preventing complications and improving the patient’s life quality.

About the authors

Galina E. Ivanova

Federal State Autonomous Educational Institution of Higher Education “Pirogov Russian National Research Medical University” of the Ministry of Health of Russia; Federal State Budgetary Institution «Federal center of brain research and neurotechnologies» of the Federal Medical Biological Agency

Email: reabilivanova@mail.ru
ORCID iD: 0000-0003-3180-5525

MD, PhD, Professor

Russian Federation, Moscow

Alexey A. Shmonin

Federal State Budgetary Educational Institution of Higher Education “Academician I.P. Pavlov First St. Petersburg State Medical University” of the Ministry of Health of Russian Federation; Autonomous non-profi t organization “Scientifi c Research Institute of Rehabilitation named aft er N.A. Bernstein”

Email: langendorff@gmail.com
ORCID iD: 0000-0003-2232-4332

MD, PhD, PRM

Russian Federation, Saint Petersburg

Maria N. Maltseva

Federal State Budgetary Educational Institution of Higher Education “Academician I.P. Pavlov First St. Petersburg State Medical University” of the Ministry of Health of Russian Federation; Autonomous non-profi t organization “Scientifi c Research Institute of Rehabilitation named aft er N.A. Bernstein”

Email: mmn.ktherapy@yandex.ru
ORCID iD: 0000-0002-1698-4038

PhD

Russian Federation, Saint Petersburg

Irina E. Mishina

Federal State Budgetary Educational Institution of Higher Education “Ivanovo State Medical Academy” of the Ministry of Health of the Russian Federation

Email: mishina-irina@mail.ru
ORCID iD: 0000-0002-7659-8008

MD, PhD, Professor

Russian Federation, Ivanovo

Elena V. Melnikova

Federal State Budgetary Educational Institution of Higher Education “Academician I.P. Pavlov First St. Petersburg State Medical University” of the Ministry of Health of Russian Federation; Autonomous non-profi t organization “Scientifi c Research Institute of Rehabilitation named aft er N.A. Bernstein”; Saint Petersburg State Budgetary Institution of Health “City Hospital № 26”

Email: melnikovae2002@mail.ru
ORCID iD: 0000-0002-2076-4062

MD, PhD, Professor

Russian Federation, Saint Petersburg

Rezeda A. Bodrova

Kazan State Medical Academy — Branch of Federal State Budgetary Educational Institution of Additional Professional Education “Russian Medical Academy of Continuous Education” of the Ministry of Health of the Russian Federation

Email: RABodrova@kpfu.ru
ORCID iD: 0000-0003-3540-0162

MD, PhD, Professor

Russian Federation, Kazan

Mikhail B. Tsykunov

Federal State Autonomous Educational Institution of Higher Education “Pirogov Russian National Research Medical University” of the Ministry of Health of Russia; Federal State Budgetary Institution “Priorov Central Institute for Trauma and Orthopedics” of the Ministry of Health of the Russian Federation

Email: vto-priorov@mail.ru
ORCID iD: 0000-0002-0994-8602

MD, PhD, Professor

Russian Federation, Moscow

Irina S. Bakhtina

State Educational Institution of Continuing/Additional Professional Education “St. Petersburg Centre of Postgraduate Education for Specialists with the Higher Medical and Pharmaceutical Professional Education of non University’s level” Federal Medico-Biological Agency

Email: ibakhtina@yandex.ru
ORCID iD: 0000-0002-4046-0605

PhD

Russian Federation, Saint Petersburg

Svetlana A. Kalinina

State Educational Institution of Continuing/Additional Professional Education “St. Petersburg Centre of Postgraduate Education for Specialists with the Higher Medical and Pharmaceutical Professional Education of non University’s level” Federal Medico-Biological Agency

Email: kalinina@spbcpo.ru

Kalinina

Russian Federation, Saint Petersburg

Irina N. Balandina

State Educational Institution of Continuing/Additional Professional Education “St. Petersburg Centre of Postgraduate Education for Specialists with the Higher Medical and Pharmaceutical Professional Education of non University’s level” Federal Medico-Biological Agency

Email: irinabalandi@yandex.ru
ORCID iD: 0000-0002-9654-6387
Russian Federation, Saint Petersburg

Liudmila N. Soloveva

Saint Petersburg State Budgetary Institution of Health “City Hospital № 26”

Email: milastukova@gmail.com
ORCID iD: 0000-0002-2299-6609

PhD

Russian Federation, Saint Petersburg

Natalia E. Ivanova

Federal State Budgetary Institution “Almazov National Medical Research Centre” of the Ministry of Health of the Russian Federation

Email: ivamel@yandex.ru
ORCID iD: 0000-0003-2790-0191

MD, PhD, Professor

Russian Federation, Saint Petersburg

Andrey Yu. Suvorov

Federal State Autonomous Educational Institution of Higher Education “Pirogov Russian National Research Medical University” of the Ministry of Health of Russia; Federal State Budgetary Institution «Federal center of brain research and neurotechnologies» of the Federal Medical Biological Agency

Author for correspondence.
Email: dr_suvorov@mail.ru
ORCID iD: 0000-0003-4901-2208

PhD

Russian Federation, Moscow

Mikhail D. Didur

Federal State Budgetary Educational Institution of Higher Education “Academician I.P. Pavlov First St. Petersburg State Medical University” of the Ministry of Health of Russian Federation

Email: didour@mail.ru
ORCID iD: 0000-0003-4086-5992

MD, PhD

Russian Federation, Saint Petersburg

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Copyright (c) 2020 Ivanova G.E., Shmonin A.A., Maltseva M.N., Mishina I.E., Melnikova E.V., Bodrova R.A., Tsykunov M.B., Bakhtina I.S., Kalinina S.A., Balandina I.N., Soloveva L.N., Ivanova N.E., Suvorov A.Y., Didur M.D.

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7. Способ отзыва: заявление об отзыве в письменном виде путём его направления на адрес электронной почты Оператора: info@rcsi.science или путем письменного обращения по юридическому адресу: 119991, г. Москва, Ленинский просп., д.32А

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10. Я согласен/согласна квалифицировать в качестве своей простой электронной подписи под настоящим Согласием и под Политикой обработки персональных данных выполнение мною следующего действия на сайте: https://journals.rcsi.science/ нажатие мною на интерфейсе с текстом: «Сайт использует сервис «Яндекс.Метрика» (который использует файлы «cookie») на элемент с текстом «Принять и продолжить».