Case Report of a COVID-19 Sub-acute Patient with Rehabilitation Therapy

Kazumi Kashiwabara; Toru Takekawa; Midori Hama; Naoki Yamada; Shu Watanabe; Gentaro Hashimoto; Masahiro Abo; Kyota Shinfuku

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Case Report of a COVID-19 Sub-acute Patient with Rehabilitation Therapy

VernacularTitle:COVID-19回復期患者のリハビリテーション治療経験
Author: Kazumi KASHIWABARA ¹ ; Toru TAKEKAWA ¹ ; Midori HAMA ¹ ; Naoki YAMADA ¹ ; Shu WATANABE ¹ ; Gentaro HASHIMOTO ¹ ; Masahiro ABO ¹ ; Kyota SHINFUKU ²
Author Information

1. Department of Rehabilitation Medicine, The Jikei University, School of Medicine
2. Department of Respiratory Medicine, The Jikei University Daisan Hospital
Keywords: COVID-19; nutrition therapy; muscle weakness; exercise; extracorporeal membrane oxygenation
From:The Japanese Journal of Rehabilitation Medicine 2022;59(3):329-336
CountryJapan
Language:Japanese
Abstract: COVID-19 spread from Wuhan City, People's Republic of China, in December 2019, followed by an explosion of infections worldwide. The number of infected people has also risen dramatically in Japan and has become a major social problem. Patients with severe disease require a long period to return to society due to significant physical weakness even after recovery. We report a patient in his 40s with a history of nephrectomy who was infected with COVID-19 and became critically ill.After being diagnosed with COVID-19 by PCR test, the patient was admitted to our hospital. His respiratory status rapidly worsened and he was temporarily managed by ECMO in the intensive care unit. At the time of his first contact with us (day 31 post-hospitalization), he was unable to hold himself in a standing position for a long time and required a walker. Initially, from the perspective of preventing the spread of infection, we instructed him in self-directed training rather than individual therapy. From day 49, he began to receive physical therapy. He was discharged on day 53 with independence in outdoor walking. He was instructed to consume protein after exercising and he was managed on an outpatient basis. He returned to work. His skeletal muscle mass increased by BIA and his respiratory and motor functions were restored.He received instructions on recovering from severe illness after COVID-19 infection, which focused on nutrition, voluntary training, and monitored individual therapy in accordance with rehabilitation therapy. He was able to return to society with no sequelae.