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European Journal of Physical and Rehabilitation Medicine 2020 Jun 16

DOI: 10.23736/S1973-9087.20.06435-7


language: English

Systematic rapid living review on rehabilitation needs due to Covid-19: update to May 31st 2020

Elisa ANDRENELLI 1, Francesco NEGRINI 2, Alessandro DE SIRE 3, 4 , Chiara ARIENTI 5, Michele PATRINI 5, Stefano NEGRINI 2, 6, Maria Gabriella CERAVOLO 1, and the International Multiprofessional Steering Committee of Cochrane Rehabilitation RECOVER action 

1 Department of Experimental and Clinical Medicine, “Politecnica delle Marche” University, Ancona, Italy; 2 IRCCS Istituto Ortopedico Galeazzi, Milan, Italy; 3 Department of Health Sciences, Physical and Rehabilitative Medicine, University of Eastern Piedmont, Novara, Italy; 4 Rehabilitation Unit, Mons. L. Novarese Hospital, Moncrivello, Vercelli, Italy; 5 IRCCS Fondazione Don Gnocchi, Milan, Italy; 6 Department of Biomedical, Surgical and Dental Sciences, University “La Statale”, Milan, Italy

BACKGROUND: This paper adds to the series of systematic rapid living reviews, started in April 2020, to provide the rehabilitation community with updates on the latest scientific literature on rehabilitation needs due to the Covid-19 pandemic.
OBJECTIVES: To present the results of a systematic search performed on papers published from May 1st to May 31st, 2020.
METHODS: An extensive search on the main medical literature databases for articles published (including Epub), in English, from May 1st to May 31st, 2020 was performed, according to the methodology already described in the previous 2 rapid reviews, with 2 important improvements: first, we made the search string more comprehensive; second, we relied on accredited terminologies to describe the study designs and report the rehabilitation settings.
RESULTS: Fifty-eight out of 618 articles were finally included for qualitative analysis. The number of primary studies has increased, with respect to the previous months, although still around 60% papers are just expert opinions. Six papers report on the prevalence and /or characteristics of emerging disability after COVID-19, 12 on rehabilitation approaches to COVID-19 patients, up to 25 on the organization of rehabilitation services after COVID-19, 13 papers on the impact of COVID-19 on health conditions of rehabilitative interest and only 2 on late complications due to COVID-19 that may be of rehabilitative interest.
CONCLUSIONS: Nowadays, all patients with disability, regardless of COVID-19 infection, are suffering because of restrictions imposed to rehabilitation service delivery. Neurological involvement is often present during acute and post-acute stage, conveying the risk of a long-lasting disability. Accordingly, careful neurological monitoring should be granted. Although new therapies are under development, the main gap in the available scientific literature is the lack of high-quality primary studies, so experimental studies on the effects of rehabilitation are still warranted.

KEY WORDS: COVID-19; Severe acute respiratory syndrome coronavirus 2; Coronavirus; Rehabilitation; Physical and rehabilitation medicine

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