arthyperАртериальная гипертензия"Arterial’naya Gipertenziya" ("Arterial Hypertension")1607-419X2411-8524Antihypertensive League10.18705/1607-419X-2020-26-3-327-342arthyper-1957Research ArticleПРАКТИЧЕСКИЕ РЕКОМЕНДАЦИИPRACTICAL GUIDELINESПрактические рекомендации по физической реабилитации больных с тяжелым течением COVID-19 в отделениях реанимации и интенсивной терапииPractical recommendations for physical rehabilitation in patients with severe COVID-19 in intensive care unitshttps://orcid.org/0000-0002-7173-0575ДемченкоЕ. А.DemchenkoE. A.

Демченко Елена Алексеевна — доктор медицинских наук, главный научный сотрудник научно-исследовательской лаборатории реабилитации, профессор кафедры внутренних болезней

ул. Аккуратова, д. 2, Санкт-Петербург, 197341

Elena A. Demchenko, MD, PhD, DSc, Head, Rehabilitation Research Laboratory, Professor, Internal Medicine Department

2 Akkuratov, St Petersburg, 197341

demchenko_ea@almazovcentre.ruКрасниковаВ. В.KrasnikovaV. V.

Красникова Варвара Валерьевна — врач по лечебной физкультуре

Санкт-Петербург

Varvara V. Krasnikova, MD, Physiotherapist, Medical Rehabilitation Department

St Petersburg

krasnikova_vv@almazovcentre.ruhttps://orcid.org/0000-0002-6484-286XЯнишевскийС. Н.YanishevskiyS. N.

Янишевский Станислав Николаевич — доктор медицинских наук, заведующий научно-исследовательской лабораторией неврологии и нейрореабилитации

Санкт-Петербург

Stanislav N. Yanishevskiy, MD, PhD, DSc, Head, Neurology and Neurorehabilitation Research Laboratory,

St Petersburg

yanishevskiy_sn@almazovcentre.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research CentreRussian Federation202023052020263327342Copyright © Демченко Е.А., Красникова В.В., Янишевский С.Н., 20202020Демченко Е.А., Красникова В.В., Янишевский С.Н.Demchenko E.A., Krasnikova V.V., Yanishevskiy S.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://htn.almazovcentre.ru/jour/article/view/1957

Авторами представлен обзор литературы по физической реабилитации (ФР) пациентов с новой коронавирусной инфекцией (COVID-19) с крайне тяжелым, тяжелым и среднетяжелым течением заболевания в остром (в отделении реанимации и интенсивной терапии, ОРИТ) и подостром (непосредственно после перевода из ОРИТ) периодах заболевания в условиях пандемии. Определены цели, принципы оказания помощи по медицинской реабилитации, целесообразный объем мероприятий ФР и механизм взаимодействия персонала отделений реабилитации и ОРИТ с учетом повышенного риска инфицирования медперсонала и распространения инфекции. Предложены программы ФР и комплексы лечебной гимнастики для разных клинических ситуаций (моделей пациентов) — в зависимости от тяжести состояния больного, условий оказания медицинской помощи, необходимости и метода респираторной поддержки.

The article presents a literature review on physical rehabilitation (PR) in patients with the new coronavirus infection (COVID-19) of extremely severe, severe and moderate course in acute (in the intensive care unit, ICU) and subacute (immediately after transfer from the ICU) stage of the disease in a pandemic. The authors defined the aims and principles of medical rehabilitation assistance, the appropriate amount of PR exercises, and the mechanism of interaction between the rehabilitation staff and the ICU, in conditions of increased risk of infection of medical personnel. PR programs and therapeutic exercises complexes for different clinical situations (patient models) are proposed, depending on the severity of the patient’s condition, medical care conditions and the need for various respiratory support.

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The authors declare that there are no conflicts of interest present.