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2023, Number 3-4

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Rev Mex Med Fis Rehab 2023; 35 (3-4)

Effectiveness of a rehabilitation program in patients recovered from critical COVID-19

García-Viveros MR, García-Ochoa EA, Reyes-Ruiz JM

Language: Spanish
References: 17
Page: 52-57
PDF size: 202.14 Kb.


ABSTRACT

Introduction: the muscular strength and physical function in patients without previous disability, who recover from critical coronavirus disease 2019 (COVID-19), have been poorly studied. The objective of this study is to determine the effectiveness of a rehabilitation program through grip strength and the SF-36 questionnaire. Material and methods: a prospective, longitudinal, observational, quasi-experimental study was performed in patients recovered from critical COVID-19. Grip strength and physical function were assessed using the SF-36 questionnaire and hand dynamometry before and after these patients received a physical rehabilitation program. Results: a total of 32 patients recovered from critical COVID-19 were included in the study. The mean age of the patients was 51.75 ± 11.86 and 53% of these were female. The dynamometry results revealed that males started with 19.18 ± 8.77 and at the culmination of rehabilitation reached a value of 26.46 ± 9.54 (p < 0.009). On the other hand, women before rehabilitation obtained 24.96 ± 9.97 and after rehabilitation achieved a value of 32.37 ± 6.58 (p < 0.050). The Spearman correlation value between hand dynamometry values and physical function was positive (r = 0.528, p < 0.005). Conclusions: taken together, our results suggest that patients recovered from critical COVID-19 improved hand grip and functionality after receiving a rehabilitation program.


REFERENCES

  1. Esakandari H, Nabi-Afjadi M, Fakkari-Afjadi J, Farahmandian N, Miresmaeili SM, Bahreini E. A comprehensive review of COVID-19 characteristics. Biol Proced Online. 2020; 22 (1): 19.

  2. Machhi J, Herskovitz J, Senan AM, Dutta D, Nath B, Oleynikov MD et al. The natural history, pathobiology, and clinical manifestations of SARS-CoV-2 infections. J Neuroimmune Pharmacol. 2020; 15 (3): 359-386.

  3. Gao Y. COVID-19: risk factors for critical illness. EClinicalMedicine. 2020; 25 (100507): 100507.

  4. Jaffri A, Jaffri UA. Post-intensive care syndrome and COVID-19: crisis after a crisis? Heart Lung. 2020; 49 (6): 883-884.

  5. Woods JA, Hutchinson NT, Powers SK, Roberts WO, Gomez-Cabrera MC, Radak Z et al. The COVID-19 pandemic and physical activity. Sports Med Health Sci. 2020; 2 (2): 55-64.

  6. Bienvenu OJ, Friedman LA, Colantuoni E, Dinglas VD, Sepulveda KA, Mendez-Tellez P et al. Psychiatric symptoms after acute respiratory distress syndrome: a 5-year longitudinal study. Intensive Care Med. 2018; 44 (1): 38-47.

  7. Falvey JR, Ferrante LE. Flattening the disability curve: rehabilitation and recovery after COVID-19 infection. Heart Lung. 2020; 49 (5): 440-441.

  8. Ekiz T, Kara M, Ozcakar L. Measuring grip strength in COVID-19: a simple way to predict overall frailty/impairment. Heart Lung. 2020; 49 (6): 853-854.

  9. Sánchez Aragón R, García Meraz M, Dolores Martínez Trujillo B. Encuesta de Salud SF-36: Validación en tres contextos culturales de México. RIDEP. 2017; 45 (3): 5-16.

  10. Fess EE. The need for reliability and validity in hand assessment instruments. J Hand Surg Am. 1986; 11 (5): 621-623.

  11. Giampaoli S, Ferrucci L, Cecchi F, Lo Noce C, Poce A, Dima F et al. Hand-grip strength predicts incident disability in non-disabled older men. Age Ageing. 1999; 28 (3): 283-288.

  12. Hosey MM, Needham DM. Survivorship after COVID-19 ICU stay. Nat Rev Dis Primers. 2020; 6 (1): 60.

  13. Welch C, Greig C, Masud T, Wilson D, Jackson TA. COVID-19 and acute sarcopenia. Aging Dis. 2020; 11 (6): 1345-1351.

  14. Tuzun S, Keles A, Okutan D, Yildiran T, Palamar D. Assessment of musculoskeletal pain, fatigue and grip strength in hospitalized patients with COVID-19 [Internet]. Research Square. 2020. Available in: http://dx.doi.org/10.21203/rs.3.rs-56548/v1

  15. Bohannon RW. Grip strength: An indispensable biomarker for older adults. Clin Interv Aging. 2019; 14: 1681-1691.

  16. Meskers CGM, Reijnierse EM, Numans ST, Kruizinga RC, Pierik VD, van Ancum JM et al. Association of handgrip strength and muscle mass with dependency in (Instrumental) Activities of Daily Living in hospitalized older adults -the EMPOWER study. J Nutr Health Aging. 2019; 23 (3): 232-238.

  17. Hockele LF, Sachet Affonso JV, Rossi D, Eibel B. Pulmonary and functional rehabilitation improves functional capacity, pulmonary function and respiratory muscle strength in post COVID-19 patients: pilot clinical trial. Int J Environ Res Public Health. 2022; 19 (22): 14899. doi: 10.3390/ijerph192214899.




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