Modern methods of operational and integrative control in the rehabilitation program for patients after COVID-19

Authors:

Bilichenko Elena Borisovna – Assistant of the Department of Medical Rehabilitation and Adaptive Physical Culture, Pavlov University, 6-8 L’va Tolstogo Street, 197022 Saint Petersburg, Russian Federation; e-mail: bilichenkoelena7@gmail.com; https://orcid.org/0009-0008-5083-4595.

Belash Vasilii Alekseevich – PhD in Medical sciences (Cand. Med. Sci.), Assistant of the Department of Medical Rehabilitation and Adaptive Physical Culture, Pavlov University, 6-8 L’va Tolstogo Street, 197022 Saint Petersburg, Russian Federation; e-mail: aerobelv@gmail.com; https://orcid.org/0000-0001-7979-6811.

Didur Mikhail Dmitrievich – Grand PhD in Medical sciences (Dr. Med. Sci.), Professor, Director of the N.P. Bekhtereva Institute of the Human Brain of the Russian Academy of Sciences, 9 Akademika Pavlova Street, 197376 St. Petersburg, Russian Federation; e-mail: Didour@mail.ru https://orcid.org/0000-0003-4086-5992.

Teplov Vadim Mihailovich – Grand PhD in Medical sciences (Dr. Med. Sci.), Professor, Head of emergency medical department, Pavlov University, 6-8 L’va Tolstogo Street, 197022 Saint Petersburg, Russian Federation; e-mail: vadteplov@mail.ru; https://orcid.org/0000-0002-4299-4379.

Annotation:

Introduction. After suffering from COVID-19, patients need medical and physical rehabilitation aimed at restoring daily activities and developing and maintaining a healthy lifestyle.

Aim. Evaluation of the results of the rehabilitation program for patients after COVID-19 using modern methods of operational and integrative control.

Materials and methods. A total of 33 people were selected for remote 3-month monitoring of patients’ physical activity (heart rate, oxygen saturation, number of steps taken, distance, energy expended) using a fitness tracker upon completion of a 10-day rehabilitation course after COVID-19.

Results. Physical activity in the observed sample increased compared to the level achieved as a result of the rehabilitation course. Total physical activity over 3 months correlated with a decrease in resting heart rate. Patients were identified who were in the “risk zone”: with an abnormally high resting heart rate, desaturation, reduced sleep duration, and low physical activity.

Discussion. Using fitness trackers to monitor physical activity and daily routine in patients who have recovered from COVID-19 helps monitor rehabilitation programs, maintain daily activity and a healthy lifestyle. Some participants (36 %) experienced discomfort when wearing the trackers, but most reported an improvement in their quality of life due to increased physical activity.

Conclusion. The use of fitness trackers in patients who have had COVID-19 allows for effective monitoring of the safety and effectiveness of rehabilitation programs, restoring the level of physical activity and daily routine.

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