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Practical recommendations for physical rehabilitation in patients with severe COVID-19 in intensive care units

https://doi.org/10.18705/1607-419X-2020-26-3-327-342

Abstract

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.

About the Authors

E. A. Demchenko
Almazov National Medical Research Centre
Russian Federation

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

2 Akkuratov, St Petersburg, 197341



V. V. Krasnikova
Almazov National Medical Research Centre
Russian Federation

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

St Petersburg



S. N. Yanishevskiy
Almazov National Medical Research Centre
Russian Federation

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

St Petersburg



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For citations:


Demchenko E.A., Krasnikova V.V., Yanishevskiy S.N. Practical recommendations for physical rehabilitation in patients with severe COVID-19 in intensive care units. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2020;26(3):327-342. (In Russ.) https://doi.org/10.18705/1607-419X-2020-26-3-327-342

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ISSN 1607-419X (Print)
ISSN 2411-8524 (Online)