Experience in the use of physical rehabilitation in patients after pneumonia associated with covid-19, as part of the implementation of the national project “healthcare”


Victoria V. Afanasyeva, head of the Department of physical methods of treatment and rehabilitation of the Clinic of the Scientific and Clinical Research Center, Pavlov First St. Petersburg State Medical University, 6-8 L’va Tolstogo Street, 197022 St. Petersburg, Russian Federation, ORCID 0000-0002-4225-1356.

Potapchuk Alla Askoldovna, Grand PhD in Medical sciences, Professor, head of the Department of medical rehabilitation and adaptive physical culture, Pavlov First St. Petersburg State Medical University, 6-8 L’va Tolstogo Street, 197022 St. Petersburg, Russian Federation, ORCID 0000-0001-6943-8949.

In the heading: Original researches

Year: 2021 Volume: 3 Journal number: 4 

Pages: 49-57

Article type: scientific and practical

UDC: 006.011+578.834.1

DOI: 10.26211/2658-4522-2021-3-4-49-57


Introduction. A generally accepted system of rehabilitation measures has not been created. In this regard, the development of methods for assessing the rehabilitation profile, criteria for the effectiveness of medical rehabilitation of patients who have undergone a new coronavirus infection COVID-19 meets the requirements of the time.

Aim. The aim is to develop a scientifically based medical rehabilitation program for patients who have undergone a new coronavirus infection and to determine its effectiveness from the standpoint of the International Classification of Functioning (ICF).

Materials and methods. A center for the treatment of patients with new coronavirus infection was deployed on the basis of the clinic of the Pavlov State Medical University. Some of the patients treated at the center who suffered a new coronavirus infection in severe and moderate severity were re-hospitalized for the purpose of conducting a course of medical rehabilitation 2-3 months after discharge. 2 groups were formed: control group — 21 people who received only drug therapy, and experimental group — 38 people who received drug therapy, respiratory gymnastics, physical therapy with an emphasis on muscle strength endurance training, Nordic walking and physiotherapy procedures. We have identified the relationship between the severity of functional disorders (categories) in patients who have undergone a new coronavirus infection with changes in the indicators of instrumental, clinical and laboratory studies.

Results and discussion. As a result of the application of the medical rehabilitation program in patients of the experimental group, significant improvements were revealed in b440 Respiratory functions (p<0.005), b455 Exercise tolerance function (p<0.005) and the d450 Walking (p<0.005). In patients from control group, changes in the ICF categories were detected only in b455 Function of exercise tolerance (p<0.005). The greatest importance in the formation of rehabilitation potential in patients with experimental group and control group is the impact on activity and participation (21.9 % in experimental group, 12.6 % in control group). In experimental group, the effect of the medical rehabilitation program on the structures and functions of the respiratory system was 20.9 %, while in control group only 5.4 %. The relative increase in rehabilitation potential in experimental group compared to control group was 79 %. The results of the study indicate the effectiveness of the proposed program of medical rehabilitation of patients who have undergone COVID-19.

Summary. The results of the study and the statistically significant parameter introduced — the potential of patients’ rehabilitation (Pr) — allowed us to evaluate the effectiveness of the proposed program of medical rehabilitation of patients who underwent COVID-19.

Keywords: , , , ,

Download the full text of the article

List of cited literature:

1. European Centre for Disease Prevention and Control. Outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2): increased transmission beyond China — fourth update, 14 February 2020. ECDC. Stockholm. 2020. URL: https://www.ecdc.europa.eu/en/ publications-data/outbreak-severe-acute-respiratory-syndrome-coronavirus-2-sars-cov-2-increased (data obrashcheniya [accessed]: 03.05.2020)

2. Boldrini P, Bernetti A, Fiore P & SIMFER Executive Committee, and SIMFER Committee for international affairs. (2020).Impact of COVID-19 outbreak on rehabilitation services and Physical and Rehabilitation Medicine (PRM) physicians’ activities in Italy. An official document of the Italian PRM Society (SIM-FER). European Journal of Physical Rehabilitataion Medicine. URL: https://doi.org/10.23736 /S1973 -9087.20.06256 -5 (data obrashcheniya [accessed]: 03.05.2020).

3. Clini E, Vitacca M, Carone M, Paneroni M. Joint statement on the role of respiratory rehabilitation in the COVID-19 crisis: the Italian position paper. 2020. URL: link:https:// ers.app.box.com/s/825awayvkl7hh670yxbmzfvcw5med m1d (data obrashcheniya [accessed]: 03.05.2020).

4. Fesyun AD, Lobanov AA, Rachin AP, Yakovlev MYu, Andronov SV, Konchugova TV, Gil’mutdinova IR, Barashkov GN, Mitroshkina EE, Bogdanova EN, Lebedev YaO, Nikitina AM. Vyzovy i podkhody k meditsinskoi reabilitatsii patsientov, perenesshikh oslozhneniya Covid-19 [Challenges and approaches to medical rehabilitation of patients with Covid-19 complications]. Vestnik vosstanovitel’noi meditsiny [Bulletin of restorative medicine]. 2020;97(3):3-13. URL: https://doi.org/10.38025/ 2078-1962-2020-973-3-13 (data obrashcheniya [accessed]: 03.05.2020). (In Russian).

5. Ivanova GE, Balandina IN, Bakhtina IS, Belkin AA, Belyaev AF, Bodrova RA, Builova TV,Grechko AV, Didur MD, Kalinina SA, Kir’yanova VV, Laisheva OA, Mal’tseva MN, Mel’nikova EV, Mishina IE, Petrova MV, Pryanikov IV, Postnikova LB, Suvorov AYu, Solov’eva LN, Tsykunov MB, Shmonin AA. Meditsinskaya reabilitatsiya pri novoi koronavirusnoi infektsii (COVID-19). [Medical rehabilitation for new coronavirus infection (COVID-19)]. Fizicheskaya i reabilitatsionnaya meditsina, meditsinskaya reabilitatsiya [Physical and rehabilitation medicine, medical rehabilitation]. 2020;2(2):140-89. DOI: https://doi.org/10.36425/rehab34231. (In Russian).

6. Razumov AN, Ponomarenko GN, Badtieva VA. Meditsinskaya reabilitatsiya patsientov s pnevmoniyami, assotsiirovannymi s novoi koronavirusnoi infektsiei COVID-19. [Medical rehabilitation of patients with pneumonia associated with the new coronavirus infection COVID-19]. Voprosy kurortologii, fizioterapii i lechebnoi fizicheskoi kul’tury [Questions of balneology, physiotherapy and therapeutic physical culture]. 2020;97(3):5-13. URL: https://doi.org/10.17116/ kurort2020970315 (data obrashcheniya [accessed]: 03.05.2020). (In Russian).

7. 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. DOI:10.1016/j.jphys.2020.03.011.

8. Bodrova RA, Kir’yanova VR, Tsykunov MB, Delyan AM, Sadykov IF, Savina AI, Khusainova EHR. Vozmozhnosti fizicheskoi reabilitatsii pri pnevmonii. [Possibilities of physical rehabilitation in pneumonia]. Vestnik vosstanovitel’noi meditsiny [Bulletin of restorative medicine]. 2020;97(3):31-9. URL: https://doi. org/10.38025/ 2078-1962-2020-97-3-31-39 (data
obrashcheniya [accessed]: 03.05.2020). (In Russian).

9. Zinger MD, Zelentsova TI, Shuraeva EV. Reabilitatsiya patsientov posle perenesennykh pnevmonii i pri zabolevaniyakh dykhatel’nykh putei [Rehabilitation of patients after pneumonia and respiratory diseases]. Glavnyi vrach yuga Rossii [Chief Physician of the South of Russia]. 2020;4(74):40. (In Russian).

10. Richardson CR, Franklin B, Moy ML, et al. Advances in rehabilitation for chronic diseases: improving health outcomes and function. BMJ. 2019;365:12191. URL: https://doi.org/10.1136/bmj.l2191 (data obrashcheniya [accessed]: 03.05.2020).

11. Shmonin AA, Maltseva MN, Melnikova EV, Mishina IE, Ivanova GE. Medicinskaya reabilitaciya pri
koronavirusnoj infekcii: novye zadachi dlya fizicheskoj i reabilitacionnoj mediciny v Rossii [Medical rehabilitation in coronavirus infection: new challenges for physical and rehabilitation medicine in Russia]. Vestnik vosstanovitel’noj mediciny [Bulletin of restorative medicine]. 2020;97(3):14-21. URL: https:// doi.org/10.38025/2078-1962-2020-97-3-14-21 (data obrashcheniya [accessed]: 03.05.2020). (In Russian).

12. International classification of functioning, disability and health. Geneva: WHO; 2001.

13. Ivanova GE, Mel’nikova EV, Shamalov NA, Bodrova RA, Shmonin AA, Suvorov AYu, Nyrkov GV, Tulupov DO. Ispol’zovanie MKF i otsenochnykh shkal v meditsinskoi reabilitatsii [The use of ICF and evaluation scales in medical rehabilitation]. Vestnik vosstanovitel’noi meditsiny [Bulletin of Restorative Medicine]. 2018;3:14-20. (In Russian).

14. Harriet I.Kemp, EveCorner, Lesley A.Colvin, Chronic pain after COVID-19: implications for rehabilitation. British Journal of Anaesthesia. Available online 31 May 2020.

www.xhamaster pornthmovs.com actress priyamani sex videos chuda chudi bangla chuda chudi gotporn.mobi keral sex sex in tamil youtube anythaiporn.com sex between young couple fuckup.xxx jizzman.mobi desi sex scenes sunnyleone hot sex mochito.mobi baglabf
sex movies com pornerbros.mobi hind sexi video desi sexey video justfreeporn.mobi tamil sex video songs mms x faphub.mobi sexihotgirl suny leone porn hdthaimovs.com chennai girl escorts xvideos office erohardcore.info tamil xxxx videos fittrip snyper sobazo.com 6ft in cm
ben 10 sex video hdmovz.mobi videos of boys and girls indian college girl porn videos pornbraze.mobi xnxnxxx desi chudai vedio fuckswille.com hot girl sexy sexgaral pornudetube.mobi nexxx bf videos indaporn.info chodne ka