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Exercise-Based Stroke Rehabilitation: Clinical Considerations Following the COVID-19 Pandemic.
Moncion, Kevin; Rodrigues, Lynden; MacKay-Lyons, Marilyn; Eng, Janice J; Billinger, Sandra A; Ploughman, Michelle; Bailey, Damian M; Trivino, Michael; Bayley, Mark; Thiel, Alexander; Roig, Marc; Tang, Ada.
  • Moncion K; School of Rehabilitation Science, Faculty of Health Sciences, 3710McMaster University, Hamilton, ON, Canada.
  • Rodrigues L; Memory and Motor Rehabilitation Laboratory, Feil and Oberfeld Research Centre, 60387Jewish Rehabilitation Hospital, Montreal Centre for Interdisciplinary Research in Rehabilitation, Laval, QC, Canada.
  • MacKay-Lyons M; School of Physical and Occupational Therapy, Faculty of Medicine, 3710McGill University, Montreal, QC, Canada.
  • Eng JJ; School of Physiotherapy, Faculty of Health, 3688Dalhousie University, Halifax, NS, Canada.
  • Billinger SA; Department of Physical Therapy, 8166University of British Columba and Rehabilitation Research Program, GF Strong Rehab Centre, Vancouver, BC, Canada.
  • Ploughman M; Department of Physical Therapy and Rehabilitation Science, 21638University of Kansas Medical Center, Kansas City, KS, USA.
  • Bailey DM; Department of Physical Therapy and Rehabilitation Science, 21638University of Kansas Medical Center, Kansas City, KS, USA.
  • Trivino M; University of Kansas Alzheimer's Disease Center, Fairway, KS, USA.
  • Bayley M; Department of Neurology, 21638University of Kansas Medical Center, Kansas City, KS, USA.
  • Thiel A; Recovery and Performance Laboratory, BioMedical Sciences, Faculty of Medicine, 7512Memorial University of Newfoundland, St. John's, NL, Canada.
  • Roig M; Neurovascular Research Laboratory, 102493University of South Wales Faculty of Life Sciences and Education, Pontypridd, UK.
  • Tang A; 60387Jewish Rehabilitation Hospital, Montreal Centre for Interdisciplinary Research in Rehabilitation, Laval, QC, Canada.
Neurorehabil Neural Repair ; 36(1): 3-16, 2022 01.
Article in English | MEDLINE | ID: covidwho-1488373
ABSTRACT
Background. The COVID-19 pandemic attributable to the severe acute respiratory syndrome virus (SARS-CoV-2) has had a significant and continuing impact across all areas of healthcare including stroke. Individuals post-stroke are at high risk for infection, disease severity, and mortality after COVID-19 infection. Exercise stroke rehabilitation programs remain critical for individuals recovering from stroke to mitigate risk factors and morbidity associated with the potential long-term consequences of COVID-19. There is currently no exercise rehabilitation guidance for people post-stroke with a history of COVID-19 infection. Purpose. To (1) review the multi-system pathophysiology of COVID-19 related to stroke and exercise; (2) discuss the multi-system benefits of exercise for individuals post-stroke with suspected or confirmed COVID-19 infection; and (3) provide clinical considerations related to COVID-19 for exercise during stroke rehabilitation. This article is intended for healthcare professionals involved in the implementation of exercise rehabilitation for individuals post-stroke who have suspected or confirmed COVID-19 infection and non-infected individuals who want to receive safe exercise rehabilitation. Results. Our clinical considerations integrate pre-COVID-19 stroke (n = 2) and COVID-19 exercise guidelines for non-stroke populations (athletic [n = 6], pulmonary [n = 1], cardiac [n = 2]), COVID-19 pathophysiology literature, considerations of stroke rehabilitation practices, and exercise physiology principles. A clinical decision-making tool for COVID-19 screening and eligibility for stroke exercise rehabilitation is provided, along with key subjective and physiological measures to guide exercise prescription. Conclusion. We propose that this framework promotes safe exercise programming within stroke rehabilitation for COVID-19 and future infectious disease outbreaks.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stroke / Exercise Therapy / Stroke Rehabilitation / COVID-19 Type of study: Prognostic study Topics: Long Covid Limits: Humans Language: English Journal: Neurorehabil Neural Repair Journal subject: Neurology / Rehabilitation Year: 2022 Document Type: Article Affiliation country: 15459683211054175

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Stroke / Exercise Therapy / Stroke Rehabilitation / COVID-19 Type of study: Prognostic study Topics: Long Covid Limits: Humans Language: English Journal: Neurorehabil Neural Repair Journal subject: Neurology / Rehabilitation Year: 2022 Document Type: Article Affiliation country: 15459683211054175