Personalized rehabilitation program after COVID-19: dynamics of indicators of the functional state of patients

Authors:

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 St. Petersburg, Russian Federation; e-mail: aerobelv@gmail.com; https://orcid.org/0000-0001-7979-6811.

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

Lamden Julia Adolfovna — PhD in Medical sciences (Cand. Med. Sci.), doctor of physical therapy, Department of Physical Methods of Treatment and Rehabilitation of the Scientific and Clinical Research Center, Pavlov University, 6-8 L’va Tolstogo Street, 197022 St. Petersburg, Russian Federation; e-mail: j.lamden@mail.ru; https://orcid.org/0009-0001-1736-0534.

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, 197022 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 St. Petersburg, Russian Federation; e-mail: vadteplov@mail.ru; https://orcid.org/0000-0002-4299-4379.

Naiman Elizabeth Konstantinovna — trainee doctor, Early Medical Rehabilitation Department, Pavlov University, 6-8 L’va Tolstogo Street, 197022 St. Petersburg, Russian Federation; e-mail: liza77862@mail.ru; https://orcid.org/0009-0007-6996-2215.

Bokinova Veronika Anatolevna — physician, Pavlov University, 6-8 L’va Tolstogo Street, 197022 St. Petersburg, Russian Federation; e-mail: bokinova95@mail.ru; https://orcid.org/0000-0002-9220-9826.

Rabik Julia Dmitrievna — PhD in Medical sciences (Cand. Med. Sci), Assistant of the Department of f Functional Diagnostics, Pavlov University, 6-8 L’va Tolstogo Street, 197022 St. Petersburg, Russian Federation; e-mail: rabjul@yandex.ru; https://orcid.org/0000-0002-7114-8489.

Annotation:

Introduction. The significant growth of patients after COVID-19 requires assessing the need for rehabilitation and creating reproducible, personalized rehabilitation programs.

Aim. The aim was to evaluate the functional status of the post-COVID-19 patients during a reproducible, personalized rehabilitation program based on methods with proven effectiveness.

Materials and methods. 123 patients were selected to conduct a 10-day full-time rehabilitation course in a hospital according to the developed rehabilitation program; the rehabilitation program included breathing exercises, exercises to strengthen the main muscle groups, and therapeutic Nordic walking. Before and after the course of physical rehabilitation, tests recommended for assessing post-COVID-19 patients were performed.

Results. During the implementation of a reproducible personalized rehabilitation program, the next improvements were noted: in flexibility and muscle strength; duration of breath holding, 6-minute walk test, exercise tolerance; reduction in the severity of shortness of breath (mMRC scale) and respiratory symptoms (CAT scale). The achieved level of daily physical activity was maintained for 3 months.

Discussion. The results of rehabilitation of patients after COVID-19 demonstrate improvements in daily activity and exercise tolerance. This emphasizes the need for an integrated approach to solving problems that require discussion during the interaction of a multidisciplinary rehabilitation team.

Conclusion. The use of a physical rehabilitation program with the possibility of personalization has shown safety and effectiveness in patients with COVID-19.

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