Practical aspects of using exercise therapy methods for the rehabilitation of patients with COVID-19

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In the article it is discussed about the approved methods of using physical therapy on patients with different forms of COVID-19 at the stage of inpatient treatment. The study involved 86 patients with varying degrees of lung tissue damage (CT2–CT4), the main group included 49 patients, and the control group included 37 patients. A scheme of rehabilitation measures that can be used in patients with SARS-CoV-19 is proposed. Methods of therapeutic and respiratory gymnastics for both passive and active work with patients to restore muscle strength, improve sputum outflow, prevent deep vein thrombosis and bedsores with various degrees of lung tissue damage are described. The importance of performing physical therapy techniques in the early stages, when the patient is still in bed, is shown. Using the modified Questionnaire "quality of life" (GAD-9), the effectiveness of respiratory and therapeutic exercises was confirmed.

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作者简介

Alexandr Samoilov

State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Email: sveta-nazaryan@yandex.ru
SPIN 代码: 3771-4848
Scopus 作者 ID: 57200643078

Dr. Sci. (Med.), Professor

俄罗斯联邦, Moscow

Alexey Khan

State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Email: sveta-nazaryan@yandex.ru
ORCID iD: 0000-0002-4796-7038
SPIN 代码: 7241-3983
俄罗斯联邦, Moscow

Svetlana Nazaryan

State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

编辑信件的主要联系方式.
Email: sveta-nazaryan@yandex.ru
ORCID iD: 0000-0002-6199-872X
SPIN 代码: 7981-8752
俄罗斯联邦, Moscow

Vasiliy Pustovoit

State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Email: sveta-nazaryan@yandex.ru
ORCID iD: 0000-0003-3396-5813
SPIN 代码: 2079-1027

Associate

俄罗斯联邦, Moscow

Mariya Petrova

Central State Medical Academy of Department of Presidential Affairs

Email: sveta-nazaryan@yandex.ru
ORCID iD: 0000-0002-9702-5487
SPIN 代码: 2316-1306
俄罗斯联邦, Moscow

Anastasiya Novikova

State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Email: sveta-nazaryan@yandex.ru
ORCID iD: 0000-0002-7592-051X
SPIN 代码: 5679-0630
俄罗斯联邦, Moscow

参考

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  2. Razinkin SM, Petrova VV, Fomin PA, et al. Justification of the method for evaluating the effectiveness of management of the psychophysiological state of a person. Bulletin of Neurology, Psychiatry, and Neurosurgery. 2017;(7):13–23. (In Russ).
  3. Nikiforov VV, Suranova TG, Mironov AYu, et al. New coronavirus infection (COVID-19): etiology, epidemiology, clinic, diagnosis, treatment and prevention. Moscow; 2020. 48 р. (In Russ).
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  8. Lau HM, Ng GY, Jones AY, et al. A randomised controlled trial of the effectiveness of an exercise training program in patients recovering from severe acute respiratory syndrome. Aust J Physiother. 2005;51(4):213–219. doi: 10.1016/s0004-9514(05)70002-7
  9. Nazaryan SE, Petrova MS, Khan AV, Smirnova A.V. Experience of combining rehabilitation measures with the pre-competition period of the training process on the example of track and field athletics. Questions of Balneology, Physiotherapy and Physical Therapy. 2016;93(2):122–123. (In Russ).
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  12. Guan WJ, Ni ZY, Hu Y, et al. Clinical characteristics of Coronavirus disease 2019 in China. N Engl J Med. 2020;382(18):1708–1720. doi: 10.1056/NEJMoa2002032
  13. Baig AM, Khaleeq A, Ali U, Syeda H. Evidence of the COVID-19 Virus Targeting the CNS: Tissue distribution, host-virus interaction, and proposed neurotropic mechanisms. ACS Chem Neurosci. 2020;11(7):995–998. doi: 10.1021/acschemneuro.0c00122
  14. Ding L, Wang L, Ma W, He H. Efficacy and safety of early prone positioning combined with HFNC or NIV in moderate to severe ARDS: a multi-center prospective cohort study. Crit Care. 2020;24(1):28. doi: 10.1186/s13054-020-2738-5
  15. An algorithm for the application of methods of physical therapy in patients who have undergone COVID-19, after viral pneumonia and its complications. Methodological recommendations, Moscow: A.I. Burnazyan FMBC; 2020.

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2. Fig. 1. Scheme of rehabilitation measures that can be used in patients with SARS-CoV-19.

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3. Fig. 2. Subjective assessment of physical condition, in points. Exercise therapy - remedial physical culture; DG - breathing exercises.

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4. Fig. 3. Subjective assessment of the quality of life, in points. Exercise therapy - remedial physical culture; DG - breathing exercises.

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