ABSTRACT
INTRODUCTION: In the post-infection stage by SARS-CoV-2, the functional capacity of the person may be reduced, requiring admission to rehabilitation units. OBJECTIVE: To describe an occupational therapy program to improve the level of autonomy in the rehabilitation of individuals after the infection by SARS-CoV-2. MATERIAL AND METHODS: Longitudinal observational study of 36 patients admitted between April and June 2020 to an intermediate care facility for functional rehabilitation after SARS-CoV-2 infection. Participants received an occupational therapy program and their autonomy in activities of daily living was evaluated at admission and discharge. RESULTS: Patients improved their autonomy in basic (P<.001) and instrumental (P<.001) activities of daily living after the treatment. However, patients but did not return to their baseline levels, especially in instrumental activities. CONCLUSIONS: Rehabilitation programs that include occupational therapy are effective to improve the level of autonomy in individuals post-infection by SARS-CoV-2.
Subject(s)
COVID-19 , Occupational Therapy , Activities of Daily Living , Humans , Patient Discharge , SARS-CoV-2ABSTRACT
Introducción: En el estadio posinfección por SARS-CoV-2 la persona puede ver reducida su capacidad funcional, precisando el ingreso en unidades de rehabilitación. Objetivo: Describir un programa de Terapia Ocupacional para la mejora del nivel de autonomía en personas posinfección por SARS-CoV-2. Material y métodos: Estudio observacional longitudinal de 36 personas ingresadas en una unidad de hospitalización intermedia, entre abril y junio 2020, para la recuperación funcional posinfección por SARS-CoV-2. Los participantes recibieron un programa de Terapia Ocupacional y se evaluó la autonomía en las actividades de la vida diaria al ingreso y alta. Resultados: Los pacientes mejoraron su autonomía en las actividades básicas (p < 0,001) e instrumentales (p < 0,001) de la vida diaria pero no retornaron a los niveles previos, especialmente en las actividades instrumentales. Conclusiones: Un programa de rehabilitación que incluya terapia ocupacional es efectivo para mejorar el nivel de autonomía en personas posinfección por SARS-CoV-2.
ABSTRACT
COVID-19 patients may experience disability related to Intensive Care Unit (ICU) admission or due to immobilization. We assessed pre-post impact on physical performance of multi-component therapeutic exercise for post-COVID-19 rehabilitation in a post-acute care facility. A 30-minute daily multicomponent therapeutic exercise intervention combined resistance, endurance and balance training. Outcomes: Short Physical Performance Battery; Barthel Index, ability to walk unassisted and single leg stance. Clinical, functional and cognitive variables were collected. We included 33 patients (66.2±12.8 years). All outcomes improved significantly in the global sample (p<0.01). Post-ICU patients, who were younger than No ICU ones, experienced greater improvement in SPPB (4.4±2.1 vs 2.5±1.7, p<0.01) and gait speed (0.4±0.2 vs 0.2±0.1 m/sec, p<0.01). In conclusion, adults surviving COVID-19 improved their functional status, including those who required ICU stay. Our results emphasize the need to establish innovative rehabilitative strategies to reduce the negative functional outcomes of COVID-19.