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Minerva Pediatrica 2020 Oct 27

DOI: 10.23736/S0026-4946.20.06100-9

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Clinical features and physiotherapy management for Covid-19 in children

Paulo F. MAGALHÃES 1, 2, 3 , Fernanda C. LANZA 4, Bárbara BERNARDO FIGUEIREDO 1

1 Research Group of Neonatal and Pediatric Physical Therapy, Baby GrUPE, Petrolina, Pernambuco, Brazil; 2 Department of Physical Therapy, Universidade de Pernambuco, Petrolina, Pernambuco, Brazil; 3 Postgraduate Program in Rehabilitation and Functional Performance, Petrolina, Pernambuco, Brazil; 4 Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil


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BACKGROUND: COVID-19 has quickly become a worldwide threat to health, travel, and commerce. Studies adressing the clinical-functional presentation of viral infection and physiotherapy management in children are scarce. The purpose statement was to provide current perspectives on the physiotherapy interventions for managing children based on COVID-19 evidences.
METHODS: In this review, databases were searched between 1th January and 26 th March 2020. The following descriptors were considered: (novel coronavirus); (novel corona virus); Coronavirus; (corona vírus); 2019-nCoV; nCovor; COVID-19; SARSCoV-2; in the electronic databases National Library of Medicine (PubMed/Medline), Scientific Electronic Library Online (SciELO) and Physiotherapy Evidence Database (PEDro). The results were described through the International Classification of Functioning, Disability and Health.
RESULTS: 16 papers were included in this review. COVID-19 seems to lead to restriction of participation and interfere in tasks, such as recreation and leisure activities, respiratory muscle function and exercise tolerance. Personal protective equipments and contact precautions are important part of treatment. Effective oxygen therapy should be given immediately in presence of hypoxia. Nasal high-flow oxygen therapy, non-invasive ventilation, lung-protective ventilation strategies and prone position, should be undertaken when necessary under appropriate conditions. Airway clearance techniques should be administered only strictly needed and early activities must be encouraged.
CONCLUSIONS: Potential physiotherapy interventions for children with COVID-19/SARS-CoV-2 consist on ventilatory management, airway clearance techniques and early activities and mobilization.


KEY WORDS: Physiotherapy; COVID-19; Children; Mechanical ventilation; Early mobilization

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