Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challenges
Abstract Covid-19 is a novel infectious disease whose spectrum of presentation ranges from absence of symptoms to widespread interstitial pneumonia associated with severe acute respiratory syndrome (SARS), leading to significant mortality. Given the systemic pattern of Covid-19, there are many facto...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Medicina Tropical (SBMT)
2021-01-01
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| Series: | Revista da Sociedade Brasileira de Medicina Tropical |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100200&tlng=en |
| _version_ | 1828811701209792512 |
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| author | Aline Xavier Frota Marcelo Carvalho Vieira Carla Cristiane Santos Soares Paula Simplício da Silva Gilberto Marcelo Sperandio da Silva Fernanda de Souza Nogueira Sardinha Mendes Flavia Mazzoli-Rocha Henrique Horta Veloso Ananda Dutra da Costa Cristiane da Cruz Lamas Claudia Maria Valete-Rosalino Tatiana Rehder Gonçalves Henrique Silveira Costa Luiz Fernando Rodrigues Junior Mauro Felippe Felix Mediano |
| author_facet | Aline Xavier Frota Marcelo Carvalho Vieira Carla Cristiane Santos Soares Paula Simplício da Silva Gilberto Marcelo Sperandio da Silva Fernanda de Souza Nogueira Sardinha Mendes Flavia Mazzoli-Rocha Henrique Horta Veloso Ananda Dutra da Costa Cristiane da Cruz Lamas Claudia Maria Valete-Rosalino Tatiana Rehder Gonçalves Henrique Silveira Costa Luiz Fernando Rodrigues Junior Mauro Felippe Felix Mediano |
| author_sort | Aline Xavier Frota |
| collection | DOAJ |
| description | Abstract Covid-19 is a novel infectious disease whose spectrum of presentation ranges from absence of symptoms to widespread interstitial pneumonia associated with severe acute respiratory syndrome (SARS), leading to significant mortality. Given the systemic pattern of Covid-19, there are many factors that can influence patient's functional capacity after acute infection and the identification of such factors can contribute to the development of specific rehabilitation strategies. Pulmonary impairment is the primary cause of hospitalization due to Covid-19, and can progress to SARS as well as increase length of hospitalization. Moreover, cardiac involvement is observed in approximately 30% of hospitalized patients, with an increased risk of acute myocarditis, myocardial injury, and heart failure, which may compromise functional capacity in the long-term. Thromboembolic complications have also been reported in some patients with Covid-19 and are associated with a poor prognosis. Musculoskeletal complications may result from long periods of hospitalization and immobility, and can include fatigue, muscle weakness and polyneuropathy. Studies that address the functional capacity of patients after Covid-19 infection are still scarce. However, based on knowledge from the multiple systemic complications associated with Covid-19, it is reasonable to suggest that most patients, especially those who underwent prolonged hospitalization, will need a multiprofessional rehabilitation program. Further studies are needed to evaluate the functional impact and the rehabilitation strategies for patients affected by Covid-19. |
| first_indexed | 2024-12-12T09:31:34Z |
| format | Article |
| id | doaj.art-114431f23f4a419185344af165d19348 |
| institution | Directory Open Access Journal |
| issn | 1678-9849 |
| language | English |
| last_indexed | 2024-12-12T09:31:34Z |
| publishDate | 2021-01-01 |
| publisher | Sociedade Brasileira de Medicina Tropical (SBMT) |
| record_format | Article |
| series | Revista da Sociedade Brasileira de Medicina Tropical |
| spelling | doaj.art-114431f23f4a419185344af165d193482022-12-22T00:28:50ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492021-01-015410.1590/0037-8682-0789-2020Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challengesAline Xavier FrotaMarcelo Carvalho VieiraCarla Cristiane Santos SoaresPaula Simplício da SilvaGilberto Marcelo Sperandio da SilvaFernanda de Souza Nogueira Sardinha MendesFlavia Mazzoli-RochaHenrique Horta VelosoAnanda Dutra da CostaCristiane da Cruz LamasClaudia Maria Valete-RosalinoTatiana Rehder GonçalvesHenrique Silveira CostaLuiz Fernando Rodrigues JuniorMauro Felippe Felix Medianohttps://orcid.org/0000-0001-6369-3631Abstract Covid-19 is a novel infectious disease whose spectrum of presentation ranges from absence of symptoms to widespread interstitial pneumonia associated with severe acute respiratory syndrome (SARS), leading to significant mortality. Given the systemic pattern of Covid-19, there are many factors that can influence patient's functional capacity after acute infection and the identification of such factors can contribute to the development of specific rehabilitation strategies. Pulmonary impairment is the primary cause of hospitalization due to Covid-19, and can progress to SARS as well as increase length of hospitalization. Moreover, cardiac involvement is observed in approximately 30% of hospitalized patients, with an increased risk of acute myocarditis, myocardial injury, and heart failure, which may compromise functional capacity in the long-term. Thromboembolic complications have also been reported in some patients with Covid-19 and are associated with a poor prognosis. Musculoskeletal complications may result from long periods of hospitalization and immobility, and can include fatigue, muscle weakness and polyneuropathy. Studies that address the functional capacity of patients after Covid-19 infection are still scarce. However, based on knowledge from the multiple systemic complications associated with Covid-19, it is reasonable to suggest that most patients, especially those who underwent prolonged hospitalization, will need a multiprofessional rehabilitation program. Further studies are needed to evaluate the functional impact and the rehabilitation strategies for patients affected by Covid-19.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100200&tlng=enCoronavirus infectionCovid-19Exercise therapyComplicationsComprehensive careRehabilitation |
| spellingShingle | Aline Xavier Frota Marcelo Carvalho Vieira Carla Cristiane Santos Soares Paula Simplício da Silva Gilberto Marcelo Sperandio da Silva Fernanda de Souza Nogueira Sardinha Mendes Flavia Mazzoli-Rocha Henrique Horta Veloso Ananda Dutra da Costa Cristiane da Cruz Lamas Claudia Maria Valete-Rosalino Tatiana Rehder Gonçalves Henrique Silveira Costa Luiz Fernando Rodrigues Junior Mauro Felippe Felix Mediano Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challenges Revista da Sociedade Brasileira de Medicina Tropical Coronavirus infection Covid-19 Exercise therapy Complications Comprehensive care Rehabilitation |
| title | Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challenges |
| title_full | Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challenges |
| title_fullStr | Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challenges |
| title_full_unstemmed | Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challenges |
| title_short | Functional capacity and rehabilitation strategies in Covid-19 patients: current knowledge and challenges |
| title_sort | functional capacity and rehabilitation strategies in covid 19 patients current knowledge and challenges |
| topic | Coronavirus infection Covid-19 Exercise therapy Complications Comprehensive care Rehabilitation |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100200&tlng=en |
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