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Rehabilitation of a Patient with COVID-19 Who Underwent Right Transfemoral Amputation Due to Acute Limb Ischemia: A Case Report.
Wada, Yoshitaka; Hirano, Satoshi; Kumagai, Ayaka; Takeuchi, Kaori; Inagaki, Ryosuke; Hosokawa, Hiroshi; Maeda, Hirofumi; Shibata, Seiko; Otaka, Yohei.
  • Wada Y; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan.
  • Hirano S; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan.
  • Kumagai A; Department of Rehabilitation, Fujita Health University Hospital, Toyoake, Japan.
  • Takeuchi K; Department of Rehabilitation, Fujita Health University Hospital, Toyoake, Japan.
  • Inagaki R; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan.
  • Hosokawa H; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan.
  • Maeda H; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan.
  • Shibata S; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan.
  • Otaka Y; Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Japan.
Prog Rehabil Med ; 7: 20220052, 2022.
Article in English | MEDLINE | ID: covidwho-2065376
ABSTRACT

Background:

Coronavirus disease 2019 (COVID-19) is associated with an increased risk of thrombotic complications. Nonetheless, there is a paucity of clinical knowledge regarding rehabilitation of patients with COVID-19 after lower-limb amputation. Case A 74-year-old woman with COVID-19 was admitted to a university hospital. During hospitalization, she underwent right transfemoral amputation due to acute limb ischemia. Three months after admission, the patient was transferred to a convalescent rehabilitation ward in the same hospital. A femoral prosthesis was prescribed 2 weeks after her transfer to the rehabilitation ward. It featured ischial-ramal containment with a soft liner and belt suspension, 668-g multiple linkage-type safety knee joint (Imasen Engineering; M0781 SwanS), and a solid-ankle cushioned-heel foot. The total rehabilitation time during the patient's stay in the acute-care and rehabilitation wards was 65.5 h (0.99 h/day, 66 days) and 275.0 h (3.02 h/day, 91 days), respectively. In the rehabilitation ward, the patient underwent 54.4 h (19.8%) of muscle strength training, 48.1 h (17.5%) of comprehensive assessments, and 47.1 h (17.1%) of gait training. The patient was discharged home 6 months after admission, with a total Functional Independence Measure score of 120. The patient could walk slowly [44.2 s (0.23 m/s) in the 10 m-walk test] with a femoral prosthesis and a quad cane but exhibited limited endurance (75.0 m in the 6-min walk test).

Discussion:

Following appropriate rehabilitation, a patient was able to walk independently after lower-limb amputation despite the complication of COVID-19, although her walking ability was limited.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Language: English Journal: Prog Rehabil Med Year: 2022 Document Type: Article Affiliation country: Prm.20220052

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Prognostic study Language: English Journal: Prog Rehabil Med Year: 2022 Document Type: Article Affiliation country: Prm.20220052