Early rehabilitation in a critically ill inpatient with COVID-19

Eur J Phys Rehabil Med. 2020 Dec;56(6):858-861. doi: 10.23736/S1973-9087.20.06406-0. Epub 2020 Oct 1.

Abstract

Background: Survivors of critical coronavirus disease 2019 (COVID-19) suffer from severe physical functional disability. Recent reports from several countries suggest that rehabilitative intervention is needed to improve physical functional decline in the challenging situation of COVID-19.

Case report: A 58-year-old woman, previously without gait difficulty, was diagnosed with COVID-19 requiring endotracheal intubation and mechanical ventilation. She also developed stress-induced cardiomyopathy. After management in intensive care unit for 15 days, she could not sit on a bed without back support. After receiving short-term inpatient rehabilitation therapy, lower limb muscle strength, balance function, and gait speed had rapidly and significantly improved at the time of hospital discharge and at 1-month follow-up.

Clinical rehabilitation impact: As COVID-19 tends to progress rapidly in the acute phase, early rehabilitation is necessary, despite challenges to its implementation. Feasible inpatient rehabilitation for patients with critical COVID-19 will pave the way to improve physical functional disability.

Publication types

  • Case Reports

MeSH terms

  • COVID-19 / epidemiology*
  • COVID-19 / rehabilitation
  • Comorbidity
  • Critical Care / methods*
  • Critical Illness / epidemiology
  • Critical Illness / rehabilitation*
  • Female
  • Humans
  • Intensive Care Units*
  • Middle Aged
  • Pandemics
  • SARS-CoV-2