Table I. Features and main content of the 9
articles included in this rapid review of rehabilitation needs due to Covid-19
outbreak. Publication window: up to March 31st, 2020. |
||||||
N. |
Authors, Journal, Year |
Aim of the study |
Study population or target population |
Study setting or target setting |
Country or geographical area involved |
Main content |
1 |
Boldrini P, et al. Eur J Phys Rehabil Med. 2020.11 |
To provide national recommendations on the rehabilitation
care considering the Covid-19 outbreak in Italy. |
Covid-19 patients, any subject in need of
rehabilitation interventions and rehabilitation professionals. |
Acute care wards, inpatient and outpatient
rehabilitation facilities, and home environment. |
Italy. |
The SIMFER provided recommendations for care of Covid-19
patients (ensuring the adequate interventions in acute care, inpatient
rehabilitation settings, outpatient and home-based rehabilitation settings),
protection of patients and professionals (preventing the spread of the
infection), and activation of a remote support service of
“tele-rehabilitation-medicine” (providing information and advice to persons
with disabling conditions). |
2 |
Chen P, et al. J Sport Health Sci. 2020.12 |
To provide recommendations on the prevention of
complications due to quarantine/ prolonged mobility restriction. |
People quarantined at home or with restricted
mobility due to the lockdown. |
Home-based setting. |
China. |
There is a strong health rationale for continuing
physical activity at home to stay healthy and maintain immune system function
in the current risky environment. Physical training at home should include
strengthening and balance exercises, stretching or a combination of these. |
3 |
Choon-Huat Koh
G & Hoenig H. Arch Phys Med Rehabil. 2020.13 |
To alert and
provide advice to the rehabilitation community so that it understands what to
do to face the Covid-19 pandemics |
Covid-19
patients, any subject in need of rehabilitation interventions and
rehabilitation professionals. |
Acute care
wards, inpatient and outpatient rehabilitation facilities, and home
environment. |
Singapore / United States of America (USA). |
Rehabilitation patients are at higher risk of severe
and fatal Covid-19 infection. Practical advices include: - continuation
of home exercises last prescribed and continued attendance at rehabilitation centres
if well but with stepped-up infection control measures such as patient
screening for fever and flu symptoms at the entrance. - tele-rehabilitation is the first option for people
capable of performing rehabilitation at home with guidance from PRM
specialists. -fever and
flu symptoms should be monitored for patients who need centre-based or
inpatient rehabilitation, to separate the well from the unwell; symptomatic patients
should be quarantined and tested for coronavirus, and isolated and treated if
positive. |
4 |
Cui H-T, et al. Trad Med Res. 2020.14 |
To summarize the Covid-19 pathogenesis, clinical
outcomes, and current applications of traditional Chinese Medicine (TCM) for
the treatment of Covid-19. |
Covid-19 patients. |
Acute care wards, inpatient and outpatient
rehabilitation facilities, and home environment. |
China. |
The use of TCM decoctions is recommended as a means
to reduce fever, cough, expectoration, fatigue and difficulty with breathing
in Covid-19 patients. |
5 |
Jiménez-Pavón
D, et al. Prog Cardiovasc Dis. 2020.15 |
To promote physical activity and exercise in order
to counteract the mental and physical consequences of Covid-19 quarantine in
older people. |
People quarantined at home or with restricted
mobility due to the lockdown. |
Home-based setting. |
Spain. |
A proper exercise program might counteract the
negative consequences of several diseases (diabetes, hypertension, cardio-vascular
diseases, respiratory diseases), to reduce the risk of frailty, sarcopenia,
and dementia, and to prevent the psychological effects of quarantine. A
multicomponent rehabilitative program, including aerobic, resistance,
balance, coordination and mobility training exercises, for 5-7 days/week, at
moderate intensity, could maintain an adequate health status in older people.
|
6 |
Jin X, et al. Engineering. 2020.16 |
To develop a Core Outcome Set for clinical trials on
Covid-19 (COS-Covid). |
Covid-19 patients. |
Acute care wards, inpatient and outpatient
rehabilitation facilities, and home environment. |
China. |
The COS-Covid consists of 8
different outcome measures to be used in the different scenarios of Covid-19
infection: 1. time to 2019-nCoV RT-PCR negativity (mild,
ordinary and severe cases) 2 clinical symptom score (ordinary cases) 3 length of hospital stay (ordinary and severe
cases) 4 composite events ((total number of patients
diagnosed as severe,
critical and all-cause death), (ordinary and severe cases) 5 PaO2/FiO2, (severe cases) 6 duration of mechanical ventilation, (severe cases) 7 all-cause mortality (critical cases) 8 pulmonary function (rehabilitation phase) |
7 |
Lazzeri M, et al. Arch Chest Dis. 2020.17 |
To share information with physical therapists involved in the management of
patients affected by Covid-19 in acute stages, worldwide. |
Covid-19 patients. |
Acute care setting. |
Italy |
The following advices are given to physical
therapists involved in the management of patients affected by Covid-19 in
acute stages: - to monitor the clinical condition closely and
prepare early for invasive mechanical ventilation; - to consider the feasibility of each treatment,
based on available equipment, and adopt shared strategies
performed by a multidisciplinary team; - to monitor patients’ clinical condition carefully
after a postural change, as this event can affect suddenly patients’ ability
to exchange gas; - to reduce any unnecessary manoeuvre, particularly
procedures that can generate a reduction in the positive end-expiratory
pressure and lead to lung de-recruitment; - to check for side effects determined by prolonged
prone position during ventilation; - to perform passive mobilization as early as
possible to avoid immobilization sequelae; - to limit bronchial hygiene techniques to selected
cases; - to reduce unnecessary manoeuvres, particularly
procedures that can generate droplets/aerosol; - to organize job activities so to limit the risk of
personnel contamination as much as possible |
8 |
McNeary L, et al. PM R. 2020.18 |
To develop a Conditions Actions
Needs (CAN) report for Inpatient Rehabilitation Facilities. |
Covid-19 patients. |
Acute care and inpatient rehabilitation settings. |
USA. |
The CAN model is important to prepare for emergency
situations, including the Covid-19 pandemic. Rehabilitation services must
prioritize patients and staff safety. |
9 |
Negrini S, et a. Eur J
Phys Rehabil Med. 2020. 7 |
To define a call for action about the need of timely
answers for clinical questions to PRM clinicians. |
Covid-19 patients, any subject in need of rehabilitation
interventions and rehabilitation professionals. |
Acute care, inpatient rehabilitation, outpatient
rehabilitation, and home-based settings. |
Italy. |
The EJPRM will provide provisional but immediate
responses to PRM community. Because of the urgent need of timely answer, they
will publish a collection of “instant papers”, regarding the result of the
webinars about the first clinical experiences in Italy and trying to give
crucial fast answers to PRM clinicians. |