Physical Rehabilitation Therapy for Long COVID-19 Patient with Respiratory Sequelae: A Systematic Review

Authors

  • I Made Yoga Prabawa Department of Physical and Medical Rehabilitation, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia
  • Dedi Silakarma Department of Physical and Medical Rehabilitation, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia
  • I Putu Yuda Prabawa Department of Clinical Pathology, Faculty of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia
  • Ida Bagus Amertha Putra Manuaba Medical and Health Education Development, Faculty of Medicine, Universitas Udayana, Bali, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.9899

Keywords:

Long COVID-19 syndrome, Physical rehabilitation, Post-acute COVID-19 syndrome, Rehabilitation therapy, Respiratory sequelae

Abstract

Background. Coronavirus disease 19 (COVID-19) infection has been a global pandemic since late 2019. Clinical manifestation ranges from mild to severe. Even though most COVID-19 patients recover fully from the disease, approximately 5–10% experience prolonged symptoms for several months following the acute COVID-19 phase, defined as long COVID-19 syndrome. Rehabilitation therapy is needed for them to overcome their symptoms and improve their functional capacity. This systematic review aims to discuss rehabilitation therapy for a patient with long COVID-19 syndrome.  

Method. A systematic review using PubMed and Google Scholar was conducted based on PRISMA guidelines. Inclusion criteria were study about rehabilitation therapy for long COVID-19 patients. Exclusion criteria were letters to the editor, editorial or commentary reports, and studies not available in full-text and not in English or Bahasa. 

Result. Nine studies are included in this systematic review consisting of two consensus statements or recommendations, one cohort retrospective study, two case studies or case reports, one review and three experimental studies. The recommended rehabilitation program pathway using a three-tier model depends on the severity of the disease. Several rehabilitation exercises for long COVID patients include cardiorespiratory rehabilitation, breathing exercise, therapeutic exercise, and even traditional Chinese fitness models such as Liuzijue exercise.    

Conclusion. Rehabilitation therapy exercise helps to improve the patient's breathing effort, improving dyspnea and muscle strength. 

Keywords: long COVID-19 syndrome, physical rehabilitation, post-COVID-19 infection, rehabilitation therapy  

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References

World Health Organization. Coronavirus Disease (COVID-19): Situation: Report, No. 171. Geneva: World Health Organization; 2020. Available from: https://apps.who.int/iris/bitstream/handle/10665/333151/nCoVsitrep09Jul2020-eng.pdf [Last accessed on 2022 Mar 23].

World Health Organization. Coronavirus Disease 2019 (COVID-19) Situation Report, No. 65. Geneva: World Health Organization; 2019. Available from: https://cdn.who.int/media/docs/default-source/searo/indonesia/covid19/external-situation-report-65_25-march-2022-final.pdf?sfvrsn=a7697f51_5 [Last accessed on 2022 Mar 25].

Kementerian Kesehatan Republik Indonesia. Situasi Terkini Perkembangan Novel Coronavirus (Covid-19). Indonesia: Kementerian Kesehatan Republik Indonesia; 2022. Available in: https://covid19.kemkes.go.id/situasi-infeksi-emerging/infocoronavirus/situasi-terkiniperkembangan-coronavirusdiseasecovid-19-25-maret2021/#.X0y2bNwzZxQ [Last accessed on 2022 Mar 25]. https://doi.org/10.31219/osf.io/dqrke DOI: https://doi.org/10.31219/osf.io/dqrke

Venkatesan P. NICE guideline on long COVID. Lancet Respir Med. 2021;9(2):129. https://doi.org/10.1016/S2213-2600(21)00031-X PMid:33453162 DOI: https://doi.org/10.1016/S2213-2600(21)00031-X

Murray E, Goodfellow H, Bindman J, Blandford A, Bradbury K, Chaudhry T, et al. Development, deployment and evaluation of digitally enabled, remote, supported rehabilitation for people with long COVID-19 (living with COVID-19 recovery): Protocol for a mixed-methods study. BMJ Open. 2022;12(2):e057408. https://doi.org/10.1136/bmjopen-2021-057408 DOI: https://doi.org/10.1136/bmjopen-2021-057408

Iqbal A, Iqbal K, Ali SA, Azim D, Farid E, Baig MD, et al. The COVID-19 sequelae: A cross-sectional evaluation of post-recovery symptoms and the need for rehabilitation of COVID-19 survivors. Cureus. 2021;13(2):1-13. https:/doi.org/10.7759/cureus.13080 PMid:33680620 DOI: https://doi.org/10.7759/cureus.13080

Wade DT. Rehabilitation after COVID-19: An evidence-based approach. Clin Med. 2020;20(4):359. https:/doi.org/10.7861/clinmed.2020-0353 PMid:32518105 DOI: https://doi.org/10.7861/clinmed.2020-0353

Kim SY, Kumble S, Patel B, Pruski AD, Azola A, Tatini AL, et al. Managing the rehabilitation wave: Rehabilitation services for COVID-19 survivors. Archives of physical medicine and rehabilitation. 2020;101(12):2243-9. https://doi.org/10.1016/j.apmr.2020.09.372 PMid:32971100 DOI: https://doi.org/10.1016/j.apmr.2020.09.372

Pane RV. Rehabilitasi Medik Pasca Menderita Covid-19. Surabaya, Indonesia: Airlangga University Press; 2021. p. 37-51.

Barker-Davies RM, O’Sullivan O, Senaratne KP, Baker P, Cranley M, Dharm-Datta S, et al. The Stanford hall consensus statement for post-COVID-19 rehabilitation. Br J Sports Med. 2020;54(16):949-59. https:/doi.org/10.1136/bjsports-2020-102596 PMid:32475821 DOI: https://doi.org/10.1136/bjsports-2020-102596

Benzarti W, Toulgui E, Prefaut C, Chamari K, Saad HB. General practitioners should provide the cardiorespiratory rehabilitation minimum advice for long COVID-19 patients. Libyan J Med. 2022;17(1):2009101. https://doi.org/10.1080/19932820.2021.2009101 PMid:34839808 DOI: https://doi.org/10.1080/19932820.2021.2009101

Hermann M, Pekacka-Egli AM, Witassek F, Baumgaertner R, Schoendorf S, Spielmanns M. Feasibility and efficacy of cardiopulmonary rehabilitation following COVID-19. Am J Phys Med Rehabil. 2020;99(10):865-9. https:/doi.org/10.1097/PHM.0000000000001549 PMid:32732746 DOI: https://doi.org/10.1097/PHM.0000000000001549

Kokhan S, Romanova E, Nadina L, Baatar B, Shagdarsuren O, Purevdorj D. Effect of physical rehabilitation on the functional state of post covid-19 patients. Laplace Em Rev. 2021;7(3A):675-81. https://doi.org/10.24115/S2446-6220202173A1475p.675-681 DOI: https://doi.org/10.24115/S2446-6220202173A1475p.675-681

Parkin A, Davison J, Tarrant R, Ross D, Halpin S, Simms A, et al. A multidisciplinary NHS COVID-19 service to manage post-COVID-19 syndrome in the community. J Prim Care Community Health. 2021;12. https://doi.org/10.1177/21501327211010994 PMid:33880955 DOI: https://doi.org/10.1177/21501327211010994

Tang Y, Jiang J, Shen P, Li M, You H, Liu C, et al. Liuzijue is a promising exercise option for rehabilitating discharged COVID-19 patients. Medicine (Baltimore). 2021;100(6):1-6. https://doi.org/10.1097/MD.0000000000024564 PMid:33578552 DOI: https://doi.org/10.1097/MD.0000000000024564

Tozato C, Ferreira BF, Dalavina JP, Molinari CV, Alves VL. Cardiopulmonary rehabilitation in post-COVID-19 patients: Case series. Rev Bras Ter Intensive. 2021;33(1):167-71. https:/doi.org/10.5935/0103-507X.20210018 PMid:33886866

Udina C, Ars J, Morandi A, Vilaró J, Cáceres C, Inzitari M. Rehabilitation in adult post-COVID-19 patients in post-acute care with therapeutic exercise. J Frailty Aging. 2021;10(3):297-300. https://doi.org/10.14283/jfa.2021.1 PMid:34105716 DOI: https://doi.org/10.14283/jfa.2021.1

Yan Z, Yang M, Lai CL. Long COVID-19 syndrome: A comprehensive review of its effect on various organ systems and recommendation on rehabilitation plans. Biomedicines. 2021;9(8):966. https://doi.org/10.3390/biomedicines9080966 PMid:34440170 DOI: https://doi.org/10.3390/biomedicines9080966

Jordan Z, Lockwood C, Munn Z, Aromataris E. The updated Joanna Briggs institute model of evidence-based healthcare. Int J Evid Based Healthc. 2019;17(1):58-71. https://doi.org/10.1097/xeb.0000000000000155 PMid:30256247 DOI: https://doi.org/10.1097/XEB.0000000000000155

Wise J. Long Covid: WHO Calls on Countries to Offer Patients more Rehabilitation. Geneva: World Health Organization; 2021. p. 1. https://doi.org/10.1136/bmj.n405 DOI: https://doi.org/10.1136/bmj.n405

Nugraha B, Wahyuni LK, Laswati H, Kusumastuti P, Tulaar AB, Gutenbrunner C. COVID-19 pandemic in Indonesia: Situation and challenges of rehabilitation medicine in Indonesia. Acta Med Indones. 2020;52(3):299-305. PMid:33020342

Prabawa IM, Silakarma D, Manuaba IB, Widnyana M, Jeviana A. Chest therapy and breathing exercise in COVID-19 patient: A case report. Bali Med J 2021;10:495-8. https://doi.org/10.15562/bmj.v10i2.2403. DOI: https://doi.org/10.15562/bmj.v10i2.2403

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Published

2022-06-06

How to Cite

1.
Prabawa IMY, Silakarma D, Prabawa IPY, Manuaba IBAP. Physical Rehabilitation Therapy for Long COVID-19 Patient with Respiratory Sequelae: A Systematic Review. Open Access Maced J Med Sci [Internet]. 2022 Jun. 6 [cited 2024 Apr. 26];10(F):468-74. Available from: https://oamjms.eu/index.php/mjms/article/view/9899

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Systematic Review Article

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