Effect of Acute Rehabilitation Treatment for Patients with Severe COVID-19

Keisuke Hirota; Shunji Koya; Tatsuya Fukushima; Takahiro Sugimoto; Hiroo Matsuse; Ryuki Hashida; Souhei Iwanaga; Masanobu Matsuoka; Osamu Takasu; Tomoaki Hoshino; Naoto Shiba

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Effect of Acute Rehabilitation Treatment for Patients with Severe COVID-19

VernacularTitle:重症COVID-19患者に対する急性期リハビリテーション治療の効果
Author: Keisuke HIROTA ¹ ; Shunji KOYA ¹ ; Tatsuya FUKUSHIMA ¹ ; Takahiro SUGIMOTO ¹ ; Hiroo MATSUSE ¹ ; Ryuki HASHIDA ² ; Souhei IWANAGA ¹ ; Masanobu MATSUOKA ³ ; Osamu TAKASU ⁴ ; Tomoaki HOSHINO ³ ; Naoto SHIBA ²
Author Information

1. Division of Rehabilitation, Kurume University Hospital
2. Department of Orthopedics, Kurume University School of Medicine
3. Division of Respirology, Neurology, and Rheumatology, Kurume University School of Medicine
4. Department of Emergency and Critical Care Medicine, Kurume University School of Medicine
Keywords: rehabilitation program; muscle mass; muscle strength; coronavirus disease 2019; acute rehabilitation treatment
From:The Japanese Journal of Rehabilitation Medicine 2022;59(10):1045-1055
CountryJapan
Language:Japanese
Abstract: Patients with severe coronavirus disease 2019 (COVID-19) have poor prognosis, with many cases being difficult to treat and many reports of neurological complications in patients who have been in the intensive care unit for a long time. Rehabilitation of patients with severe COVID-19 is important；however, no rehabilitation program has shown effectiveness. Thus, this study aimed to investigate the effects of a rehabilitation program developed and used at our hospital for patients with severe COVID-19. We enrolled 28 patients with severe COVID-19 (age 61［23-88］years；female/male, 9/19, body mass index, 25.0［18.0-33.6］kg/m2). We assessed the medical research council scoring (MRC) of the patients at the time of entry and exit from the ordinary ward using Wilcoxon signed-rank tests. MRC was significantly improved after exiting the ordinary ward compared with that on entering the ordinary ward (43 vs. 50 points；P＜.001). Moreover, Barthel index improved significantly after exiting the ordinary (32.5 vs. 77.5 points, P＜.001). Therefore, our acute rehabilitation treatment for patients with severe COVID-19 may be effective in improving their muscle strength and daily living.