Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challenges
Abstract Covid-19 is a novel infectious disease whose spectrum of presentation ranges from absence of symptoms to widespread interstitial pneumonia associated with severe acute respiratory syndrome (SARS), leading to significant mortality. Given the systemic pattern of Covid-19, there are many factors that can influence patient's functional capacity after acute infection and the identification of such factors can contribute to the development of specific rehabilitation strategies. Pulmonary impairment is the primary cause of hospitalization due to Covid-19, and can progress to SARS as well as increase length of hospitalization. Moreover, cardiac involvement is observed in approximately 30% of hospitalized patients, with an increased risk of acute myocarditis, myocardial injury, and heart failure, which may compromise functional capacity in the long-term. Thromboembolic complications have also been reported in some patients with Covid-19 and are associated with a poor prognosis. Musculoskeletal complications may result from long periods of hospitalization and immobility, and can include fatigue, muscle weakness and polyneuropathy. Studies that address the functional capacity of patients after Covid-19 infection are still scarce. However, based on knowledge from the multiple systemic complications associated with Covid-19, it is reasonable to suggest that most patients, especially those who underwent prolonged hospitalization, will need a multiprofessional rehabilitation program. Further studies are needed to evaluate the functional impact and the rehabilitation strategies for patients affected by Covid-19.
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Sociedade Brasileira de Medicina Tropical - SBMT
2021
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oai:scielo:S0037-868220210001002002021-01-26Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challengesFrota,Aline XavierVieira,Marcelo CarvalhoSoares,Carla Cristiane SantosSilva,Paula Simplício daSilva,Gilberto Marcelo Sperandio daMendes,Fernanda de Souza Nogueira SardinhaMazzoli-Rocha,FlaviaVeloso,Henrique HortaCosta,Ananda Dutra daLamas,Cristiane da CruzValete-Rosalino,Claudia MariaGonçalves,Tatiana RehderCosta,Henrique SilveiraRodrigues Junior,Luiz FernandoMediano,Mauro Felippe Felix Coronavirus infection Covid-19 Exercise therapy Complications Comprehensive care Rehabilitation Abstract Covid-19 is a novel infectious disease whose spectrum of presentation ranges from absence of symptoms to widespread interstitial pneumonia associated with severe acute respiratory syndrome (SARS), leading to significant mortality. Given the systemic pattern of Covid-19, there are many factors that can influence patient's functional capacity after acute infection and the identification of such factors can contribute to the development of specific rehabilitation strategies. Pulmonary impairment is the primary cause of hospitalization due to Covid-19, and can progress to SARS as well as increase length of hospitalization. Moreover, cardiac involvement is observed in approximately 30% of hospitalized patients, with an increased risk of acute myocarditis, myocardial injury, and heart failure, which may compromise functional capacity in the long-term. Thromboembolic complications have also been reported in some patients with Covid-19 and are associated with a poor prognosis. Musculoskeletal complications may result from long periods of hospitalization and immobility, and can include fatigue, muscle weakness and polyneuropathy. Studies that address the functional capacity of patients after Covid-19 infection are still scarce. However, based on knowledge from the multiple systemic complications associated with Covid-19, it is reasonable to suggest that most patients, especially those who underwent prolonged hospitalization, will need a multiprofessional rehabilitation program. Further studies are needed to evaluate the functional impact and the rehabilitation strategies for patients affected by Covid-19.info:eu-repo/semantics/openAccessSociedade Brasileira de Medicina Tropical - SBMTRevista da Sociedade Brasileira de Medicina Tropical v.54 20212021-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100200en10.1590/0037-8682-0789-2020 |
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Frota,Aline Xavier Vieira,Marcelo Carvalho Soares,Carla Cristiane Santos Silva,Paula Simplício da Silva,Gilberto Marcelo Sperandio da Mendes,Fernanda de Souza Nogueira Sardinha Mazzoli-Rocha,Flavia Veloso,Henrique Horta Costa,Ananda Dutra da Lamas,Cristiane da Cruz Valete-Rosalino,Claudia Maria Gonçalves,Tatiana Rehder Costa,Henrique Silveira Rodrigues Junior,Luiz Fernando Mediano,Mauro Felippe Felix |
spellingShingle |
Frota,Aline Xavier Vieira,Marcelo Carvalho Soares,Carla Cristiane Santos Silva,Paula Simplício da Silva,Gilberto Marcelo Sperandio da Mendes,Fernanda de Souza Nogueira Sardinha Mazzoli-Rocha,Flavia Veloso,Henrique Horta Costa,Ananda Dutra da Lamas,Cristiane da Cruz Valete-Rosalino,Claudia Maria Gonçalves,Tatiana Rehder Costa,Henrique Silveira Rodrigues Junior,Luiz Fernando Mediano,Mauro Felippe Felix Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challenges |
author_facet |
Frota,Aline Xavier Vieira,Marcelo Carvalho Soares,Carla Cristiane Santos Silva,Paula Simplício da Silva,Gilberto Marcelo Sperandio da Mendes,Fernanda de Souza Nogueira Sardinha Mazzoli-Rocha,Flavia Veloso,Henrique Horta Costa,Ananda Dutra da Lamas,Cristiane da Cruz Valete-Rosalino,Claudia Maria Gonçalves,Tatiana Rehder Costa,Henrique Silveira Rodrigues Junior,Luiz Fernando Mediano,Mauro Felippe Felix |
author_sort |
Frota,Aline Xavier |
title |
Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challenges |
title_short |
Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challenges |
title_full |
Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challenges |
title_fullStr |
Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challenges |
title_full_unstemmed |
Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challenges |
title_sort |
functional capacity and rehabilitation strategies in covid-19 patients: current knowledge and challenges |
description |
Abstract Covid-19 is a novel infectious disease whose spectrum of presentation ranges from absence of symptoms to widespread interstitial pneumonia associated with severe acute respiratory syndrome (SARS), leading to significant mortality. Given the systemic pattern of Covid-19, there are many factors that can influence patient's functional capacity after acute infection and the identification of such factors can contribute to the development of specific rehabilitation strategies. Pulmonary impairment is the primary cause of hospitalization due to Covid-19, and can progress to SARS as well as increase length of hospitalization. Moreover, cardiac involvement is observed in approximately 30% of hospitalized patients, with an increased risk of acute myocarditis, myocardial injury, and heart failure, which may compromise functional capacity in the long-term. Thromboembolic complications have also been reported in some patients with Covid-19 and are associated with a poor prognosis. Musculoskeletal complications may result from long periods of hospitalization and immobility, and can include fatigue, muscle weakness and polyneuropathy. Studies that address the functional capacity of patients after Covid-19 infection are still scarce. However, based on knowledge from the multiple systemic complications associated with Covid-19, it is reasonable to suggest that most patients, especially those who underwent prolonged hospitalization, will need a multiprofessional rehabilitation program. Further studies are needed to evaluate the functional impact and the rehabilitation strategies for patients affected by Covid-19. |
publisher |
Sociedade Brasileira de Medicina Tropical - SBMT |
publishDate |
2021 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100200 |
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