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.
In the heading: Original researches
Year: 2024 Volume: 6 Journal number: 2
Pages: 33-40
Article type: scientific and practical
UDC: 578.834.1-008.6-004.9
DOI: 10.26211/2658-4522-2024-6-2-33-40
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.
Keywords: COVID-19, multidisciplinary rehabilitation, physical therapy
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1. Yang L-L, Yang T. Pulmonary rehabilitation for patients with coronavirus disease 2019 (COVID-19). Chronic Dis Transl Med. 2020;6(2):79-86.
2. Vremennie metodicheskie rekomendatsii “Meditsinskaya reabilitatsiya pri novoi koronavirusnoi infektsii (COVID-19). Versiya 3 (01.11.2022)” (utv. Minzdravom Rossii). [Temporary guidelines medical rehabilitation for the new coronavirus infection (COVID-19). Version 3 (01.11.2022) (approved by the Ministry of Health of Russian Federation)]. Available at: https://www. consultant.ru/document/cons_doc_LAW_358669/. (accessed 01.04.2024). (In Russian).
3. Glebov G. COVID-19 ot A do Ya. Versiya 2,0+ [COVID-19 from A to Z. Version 2.0+]. Available at: http://p76om. ru/doc/Metodichka_po_koronavirusu.pdf. (accessed 12.03.2024). (In Russian).
4. Gruppa VOZ. Rekomendatsii dlya podderzhki samostoyatelnoi reabilitatsii posle bolezni, vizvannoi COVID-19. [WHO Group. Recommendations to support self-rehabilitation after illness caused by COVID-19]. Uchebnie materiali [Educational materials]. Available at: https://iris.who.int/handle/10665/333288. (accessed 12.03.2024). (In Russian).
5. Novikova NK. Kompleks dikhatelnoi gimnastiki dlya patsientov s koronavirusnoi infektsiei [A set of breathing exercises for patients with coronavirus infection]. Available at: https://gnicpm.ru/wp-content/uploads/2023/02/dyhatelnaya-gimnastika-s-koronovirusom.pdf. (accessed 12.03.2024). (In Russian).
6. Smirnova YV, Musorina AK. Vosstanovitelnaya dikhatelnaya gimnastika posle perenesennoi kovidnoi pnevmonii [Restorative breathing exercises after suffering from COVID-19 pneumonia]. Available at: https://clck.ru/3B437i. (accessed 12.03.2024). (In Russian).
7. Starenie i dvigatel’naja aktivnost’: per. s angl. / pod red. S. Dzhessi Dzhouns, Debry Dzh. Rouz [Physical activity instruction of older adults: translation from English. Edited by Jones SD, Rose DD]. Kiev: Olimp. lit., 2012. 440 p.
8. Arutyunov AG, et al. Vliyanie IMT na ostrii period COVID-19 i riski, formiruyushchiesya v techenie goda posle vipiski. Nakhodki subanaliza registrov AKTIV i AKTIV 2 [The impact of BMI on the course of the acute SARS-COV-2 infection and the risks that emerge during the first year after the hospital discharge. Subanalysis
evidence of the AKTIV and AKTIV 2 registries]. Problemi endokrinologii [Problems of Endocrinology]. 2022;68(6):89-109. (In Russian).
9. Ivanova GE, Balandina IN, Bakhtina IS, Belkin AA, et al. Meditsinskaya reabilitatsiya pri novoi koronavirusnoi infektsii (COVID-19). [Medical rehabilitation at a new coronavirus Infection (COVID-19)]. Fizicheskaya i reabilitatsionnaya meditsina, meditsinskaya reabilitatsiya. [Physical and rehabilitation medicine, medical rehabilitation]. 2020;2(2):140-89. (In Russian).
10. Ponomarenko GN. Fizicheskaya i reabilitatsionnaya meditsina. Natsionalnoe rukovodstvo [Physical and rehabilitation medicine. National guidelines]. Moskva: GEOTAR-MEDIA [Moscow: GEOTAR-MEDIA], 2023. 912 p. (In Russian).
11. Kattan A E, AlHemsi H B, AlKhawashki A M, et al. Patient Compliance With Physical Therapy Following Orthopedic Surgery and Its Outcomes. Cureus. 2023;15(4): e37217.
12. Shmonin AA, Maltseva MN, Melnikova EV, Ivanova GE. Problemi priverzhennosti lekarstvennoi terapii v meditsinskoi reabilitatsii [Issues of compliance with drug treatment in medical rehabilitation]. Doktor.Ru [Doctor.Ru]. 2017;11(140):19-26. (In Russian).
13. Bergman P, Grjibovski AM, Hagstromer M, et al. Adherence to physical activity recommendations and the influence of socio-demographic correlates — a population-based cross-sectional study. BMC Public Health. 2008;8:367.