Peculiarities of physical rehabilitation of patients with a severe COVID-19

At present, physical rehabilitation of coronavirus patients is considered to be one of the most important tasks in the practice of maintaining and increasing the functional state and physical working capacity of the population. Meanwhile, the features of patients' recovery depending on the severity of the previous COVID-pneumonia have not been fully studied. The objective of the study. Improving individual approaches to physical rehabilitation of persons who have had COVID-19 with severe lung lesion (CT-3, CT-4). Material and methods. Two groups of male patients (n=34) who underwent outpatient rehabilitation after COVID-19 virus infection were examined at the Chita polyclinic (Russia). Nineteen patients in the first group (KT-3) were diagnosed with moderate severe lung lesion (50-75 per cent) and 15 patients in the second group (CT-4) with severe lung lesion (>75 per cent). There was a study of somatometric and functional indicators of patients, measuring an individual’s effort and exertion, breathlessness and fatigue during physical work by The Borg Rating of Perceived Exertion (Borg RPE) scale and the 6-min walk distance test (6 MWD). Based on the monitoring results, a physical rehabilitation plan in the post-COVID period was drawn up. Results. After three months of physical rehabilitation, statistically significant differences in oxygen saturation (SpO2)recovery rates compared to the initials values were found in the groups studied (p<0.05). After the completion of the rehabilitation course in both groups, the values of the Borg Rating of Perceived Exertion and the 6-min walk distance test, hand-held dynamometry significantly increased, the level of blood oxygen saturation increased. SpO2 in the first group (CT-3) on average reached 97.7 ± 0.7% and were significantly higher than SpO2in the second CT-4 group (96.4 ± 0.7%). The breath-hold time increased in Stange and Genchi’s tests results. Conclusions. The results of our outpatient research confirmed the effectiveness of using a three-month physical rehabilitation program for patients with severe lung lesion (CT-3-4) after COVID-19. Non-informative parameters (pulsometry in dynamics, Stange and Genchi’s tests results) have been identified to assess the effectiveness of physical rehabilitation of a given contingent of patients

Postcovid physical rehabilitation at the sanatorium

New coronavirus infection caused by SARS-CoV-2 with severe complications was wide spread among the world's population and requires not only the improvement of treatment and prevention measures of the disease, but also the effective physical rehabilitation of post-COVID patients in a sanatorium. Research aim: to evaluate the effective-ness of early complex physical rehabilitation of persons with a post-COVID state in the sanatorium. Research materials and methods. The research project was carried out in «Darasun» sanatorium (Zabaikalsky Region, Russia). 33 people participated, including women 52.8±9.2 years old (n=16), men 51.5±9.0 year sold (n=17), who underwent a three-week course of early complex rehabilitation immediately after discharge from a medical institutions. The milestone testing of the functional indicators of the cardiorespiratory system, physical performance was carried out, anthropometric parameters, the level of quality of life and the degree of exercise tolerance were determined. Research results. At the end of the complex health-improving and rehabilitation measures, a positive change in the activity of the cardiovascular and respiratory systems was found in all project participants. Every week there was a positive increase in the level of exercise tolerance in the 6MWD test. At the end of the third week, the number of all participants’ steps increased by 50%, respiratory rate at rest decreased by 20%, blood oxygen saturation increased, blood pressure stabilized and quality of life improved by 52.5% in men and 34.8% in women, the exercise tolerance on the Borg scale became significantly higher. Conclusions. The use of an early comprehensive post-COVID program according to the proposed sanatorium physical rehabilitation protocol reduces the recovery time for people who have had a COVID infection and it is an effective method for returning patients to society