1.Early Physical Therapy Intervention for Frail Patients Isolated with COVID-19
Keisuke INOUE ; Yuma NAKAMURA ; Masaki HAKOMORI ; Kazunori TOYODA ; Tomoyuki OGATA ; Shouichirou ISHIHARA ; Shinichi OGAWA ; Ayako KOUZU ; Masashi TAKAHASHI
Journal of the Japanese Association of Rural Medicine 2021;70(1):53-61
Few reports have described assessment methods or exercise interventions in detail for patients isolated with COVID-19. Here, we report our experience of providing physical therapy to these patients based on motor assessment with consideration of infection control. This study involved 4 patients with COVID-19 who needed physical therapy due to a fall or frailty during isolation. The assessment method used was intended to minimize physical contact, to be easily performed, and to reflect muscle strength and balance. Based on the assessment, we created exercise programs and provided exercise intervention to the patients in cooperation with nurses. One patient was discharged early; the other 3 patients showed improved motor function and activities of daily living as a result of the intervention in the acute ward. However, they needed ongoing rehabilitation in the rehabilitation ward. No physical therapists showed signs of COVID-19 infection. Performing motor assessments and providing exercise intervention to these patients isolated with COVID-19 contributed to motor improvement and enabled us to promptly determine whether they needed ongoing rehabilitation.
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