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European Journal of Physical and Rehabilitation Medicine 2020 Oct 01

DOI: 10.23736/S1973-9087.20.06406-0

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Early rehabilitation in a critically ill inpatient with coronavirus disease 2019: a case report

Jaewon BEOM 1, Jongtak JUNG 2, In-Chang HWANG 2, Young-Jae CHO 2, Eu Suk KIM 2, Hong Bin KIM 2, Jae-Young LIM 1, Kyoung-Ho SONG 2

1 Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do, Republic of Korea; 2 Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Gyeonggi-do, Republic of Korea


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BACKGROUND: Survivors of critical coronavirus disease 2019 (COVID-19) suffer from severe physical functional disability. Recent reports from several countries suggest that rehabilitative intervention is needed to improve physical functional decline in the challenging situation of COVID-19.
CASE REPORT: A 58-year-old woman, previously without gait difficulty, was diagnosed with COVID-19 requiring endotracheal intubation and mechanical ventilation. She also developed stress-induced cardiomyopathy. After management in intensive care unit for 15 days, she could not sit on a bed without back support. After receiving short-term inpatient rehabilitation therapy, lower limb muscle strength, balance function, and gait speed had rapidly and significantly improved at the time of hospital discharge and at 1-month follow-up.
CLINICAL REHABILITATION IMPACT: As COVID-19 tends to progress rapidly in the acute phase, early rehabilitation is necessary, despite challenges to its implementation. Feasible inpatient rehabilitation for patients with critical COVID-19 will pave the way to improve physical functional disability.


KEY WORDS: Rehabilitation; Recovery of function; Critical illness; Coronavirus disease 2019 (COVID-19); Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)

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