Telemedicine platform COVIDREHAB for remote rehabilitation of patients after COVID-19
https://doi.org/10.4081/ejtm.2021.9783
Accepted: 21 April 2021
HTML: 2
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
The world's practice has shown the importance of medical rehabilitation, which allows increasing the effectiveness of treatment of patients with COVID-19, and also significantly reduce the risks of developing complications after COVID-19. Moreover, timely medical rehabilitation reduces the frequency of disability retirement. We developed and investigated the effectiveness of the telemedicine platform “COVIDREHAB” in order to enhance the effectiveness of the recovery period during self-isolation, as well as to provide access to rehabilitation for patients residing in remote areas or unable to undergo in-person medical rehabilitation. This pilot open clinical study includes 178 patients (108 women and 70 men) aged 32 to 82 years [mean age 50 (33-56) years] who had a moderate disease of COVID-19. We used the specialised platform COVIDREHAB for remote monitoring of the rehabilitation efficiency of patients who suffered from COVID-19. During the study, the supervising doctor assigned the patient a set of specialised questionnaires, which were filled in online. The questionnaires distributed to the patient included questions specifically designed for the COVIDREHAB remote platform as well as the mMRC (Modified Medical Research Council) questionnaire. Patients who completed the remote rehabilitation programme were found to have positive dynamics of indicators of the respiratory system functional state, and complaints.Pulmonary rehabilitation is an important part of case management for patients with respiratory diseases and plays an active role in improving lung function and general well-being of patients. Patients who completed the comprehensive medical rehabilitation program using the information and analytical system COVIDREHAB, were found to have positive dynamics of indicators of the respiratory system functional state, and complaints. Hence, at the end of the course the shortness of breath severity decreased (from 34.8% to 12.4%, as well as the feeling of lack of oxygen from 32% to 17.4%, p <0.05). We anticipate the online approach to rehabilitation will improve the functioning of the respiratory and cardiovascular systems, restore physical function, reduce anxiety and depression, and restore quality of life. An essential benefit of this program is the prevention of secondary complications and reduction of serious adverse effects of COVID-19 treatment."
Khan F, Amatya B. Medical Rehabilitation in Pandemics: Towards a New Perspective. J Rehabil Med. 2020 Apr 14;52(4):jrm00043. DOI: https://doi.org/10.2340/16501977-2676
Kedor С, Freitag H, MeyerArndt L, Wittke K, Zoller T, Steinbeis F, Haffke M, Rudolf G, Heidecker B, Volk HD, Skurk C, Paul F, Bellmann-Strobl J, Scheibenbogen C. Chronic COVID-19 Syndrome and Chronic Fatigue Syndrome (ME/CFS) following the first pandemic wave in Germany – a first analysis of a prospective observational study. MedRxiv. 2021 Feb 06. 21249256 DOI: https://doi.org/10.1101/2021.02.06.21249256
Fesyun AD, Lobanov AA, Rachin AP, Yakovlev MYu, Andronov SV, Konchugova TV, Gilmutdinova IR, Barashkov GN, Mitroshkina EE, Bogdanova EN, Lebedev YaO, Nikitina AM. Challenges and Approaches to Medical Rehabilitation of Patients With COVID-19 Complications. Bulletin of Rehabilitation Medicine. 2020 June 97(3):3-13. DOI: https://doi.org/10.38025/2078-1962-2020-97-3-3-13
Chinese Thoracic Society; Chinese Association of Chest Physicians. [Guide for the prevention and treatment of coronavirus disease 2019]. Zhonghua Jie He He Hu Xi Za Zhi. 2020 Jun 12;43(6):473-489. Chinese.
Delorey TM, Ziegler CGK, Heimberg G, Normand R, Yang Y, Segerstolpe Å, Abbondanza D, Fleming SJ, Subramanian A, Montoro DT, Jagadeesh KA, Dey KK, Sen P, Slyper M, Pita-Juárez YH, Phillips D, Biermann J, Bloom-Ackermann Z, Barkas N, Ganna A, Gomez J, Melms JC, Katsyv I, Normandin E, Naderi P, Popov YV, Raju SS, Niezen S, Tsai LT-Y, Siddle KJ, Sud M, Tran VM, Vellarikkal SK, Wang Y, Amir-Zilberstein L, Atri DS, Beechem J, Brook OR, Chen J, Divakar P, Dorceus P, Engreitz JM, Essene A, Fitzgerald DM, Fropf R, Gazal S, Gould J, Grzyb J, Harvey T, Hecht J, Hether T, Jané-Valbuena J, Leney-Greene M, Ma H, McCabe C, McLoughlin DE, Miller EM, Muus, C Niemi M, Padera R, Pan L, Pant D, Pe'er C, Pfiffner-Borges J, Pinto CJ, Plaisted J, Reeves J, Ross M, Rudy M, Rueckert EH, Siciliano M, Sturm A, Todres E, Waghray A, Warren S, Zhang S, Zollinger DR, Cosimi L, Gupta RM, Hacohen N, Hibshoos H, Hide W, Price AL, Rajagopal J, Tata PR, Riedel S, Szabo G, Tickle TL, Ellinor PT, Hung D, Sabeti PC, Novak R, Rogers R, Ingber DE, Jiang ZG, Juric D, Babadi M, Farhi SL, Izar B, Stone JR, Vlachos IS, Solomon IH, Ashenberg O, Porter CBM, Li B, Shalek AK, Villani A-C, Rozenblatt-Rosen O, Regev A. COVID-19 tissue atlases reveal SARS-CoV-2 pathology and cellular targets. Nature. 2021 Apr 29. DOI: https://doi.org/10.1038/s41586-021-03570-8
Grant CJ, Doig LF, Everson J, Foster N, Doig CJ. Impact of Patient and Family Involvement in Long-Term Outcomes. Crit Care Nurs Clin North Am. 2020 Jun;32(2):227-242. DOI: https://doi.org/10.1016/j.cnc.2020.02.005
Ahmad I, Rathore FA. Neurological manifestations and complications of COVID-19: A literature review. J Clin Neurosci. 2020 Jul;77:8-12. DOI: https://doi.org/10.1016/j.jocn.2020.05.017
Stam HJ, Stucki G, Bickenbach J. Covid-19 and Post Intensive Care Syndrome: Call for Action. J Rehabil Med. 2020 Apr 15;52(4):jrm00044. DOI: https://doi.org/10.2340/16501977-2677
Henk J. Stam, Gerold Stucki, Jerome Bickenbach. Covid-19 and Post Intensive Care Syndrome: A Call for Action. J Rehabil Med. 2020;52(4):jrm00046. DOI: https://doi.org/10.2340/16501977-2677
Brugliera L, Spina A, Castellazzi P, Cimino P, Tettamanti A, Houdayer E, Arcuri P, Alemanno F, Mortini P, Iannaccone S. Rehabilitation of COVID-19 patients. J Rehabil Med. 2020;52(4):jrm00046. DOI: https://doi.org/10.2340/16501977-2678
De Sire A, Andrenelli E, Negrini F, Negrini S, Ceravolo MG. Systematic rapid living review on rehabilitation needs due to COVID-19: update as of April 30th, 2020. Eur J Phys Rehabil Med. 2020 Jun;56(3):354-360. DOI: https://doi.org/10.23736/S1973-9087.20.06378-9
Barker-Davies RM, O'Sullivan O, Senaratne KPP, Baker P, Cranley M, Dharm-Datta S, Ellis H, Goodall D, Gough M, Lewis S, Norman J, Papadopoulou T, Roscoe D, Sherwood D, Turner P, Walker T, Mistlin A, Phillip R, Nicol AM, Bennett AN, Bahadur S. The Stanford Hall consensus statement for post-COVID-19 rehabilitation. Br J Sports Med. 2020 Aug;54(16):949-959. DOI: https://doi.org/10.1136/bjsports-2020-102596
Venkatesan P. NICE guideline on long COVID. Lancet Respir Med. 2021 Feb;9(2):129. DOI: https://doi.org/10.1016/S2213-2600(21)00031-X
Negrini S, Kiekens C, Bernetti A, Capecci M, Ceravolo MG, Lavezzi S, Zampolini M, Boldrini P. Telemedicine from research to practice during the pandemic. "Instant paper from the field" on rehabilitation answers to the COVID-19 emergency. Eur J Phys Rehabil Med. 2020 Jun;56(3):327-330. DOI: https://doi.org/10.23736/S1973-9087.20.06331-5
da Silva TD, de Oliveira PM, Dionizio JB, de Santana AP, Bahadori S, Dias ED, Ribeiro CM, Gomes RA, Ferreira M, Ferreira C, de Moraes ÍAP, Silva DMM, Barnabé V, de Araújo LV, Santana HBR, Monteiro CBM. Comparison Between Conventional Intervention and Non-immersive Virtual Reality in the Rehabilitation of Individuals in an Inpatient Unit for the Treatment of COVID-19: A Study Protocol for a Randomized Controlled Crossover Trial. Front Psychol. 2021 Feb 24;12:622618. DOI: https://doi.org/10.3389/fpsyg.2021.622618
Akimkin VG, Kuzin SN, Semenenko TA, Shipulina OYu, Yatsyshina SB, Tivanova EV, Kalenskaya AV, Solovyova IV, Vershinina MA, Kvasova OA, Ploskireva AA, Mamoshina MV, Elkina MA, Klushkina VV, Andreeva EE, Ivanenko AV. Patterns of the SARS-CoV-2 epidemic spread in a megacity. Vopr Virusol. 2020 Sep 3;65(4):203-211. DOI: https://doi.org/10.36233/0507-4088-2020-65-4-203-211
Richards JB. Calculated decisions: mMRC (Modified Medical Research Council) Dyspnea Scale. Emerg Med Pract. 2017 Oct 25;19(Suppl 10):1-2.
Liu W, Mu X, Wang X, Zhang P, Zhao L, Li Q. Effects of comprehensive pulmonary rehabilitation therapy on pulmonary functions and blood gas indexes of patients with severe pneumonia. Exp Ther Med. 2018 Sep; 16(3): 1953–1957. DOI: https://doi.org/10.3892/etm.2018.6396
Sañudo B, Seixas A, Gloeckl R, Rittweger J, Rawer R, Taiar R, van der Zee EA, van Heuvelen MJG, Lacerda AC, Sartorio A, Bemben M, Cochrane D, Furness T, de Sá-Caputo D, Bernardo-Filho M. Potential Application of Whole Body Vibration Exercise For Improving The Clinical Conditions of COVID-19 Infected Individuals: A Narrative Review From the World Association of Vibration Exercise Experts (WAVex) Panel. Int J Environ Res Public Health. 2020 May 22;17(10):3650. DOI: https://doi.org/10.3390/ijerph17103650
Yang LL, Yang T. Pulmonary Rehabilitation for Patients with Coronavirus Disease 2019 (COVID-19). Version 2. Chronic Dis Transl Med. 2020 May 14;6(2):79-86. DOI: https://doi.org/10.1016/j.cdtm.2020.05.002
Rassouli F, Boutellier D, Duss J, Huber S, Brutsche MH. Digitalizing multidisciplinary pulmonary rehabilitation in COPD with a smartphone application: an international observational pilot study. Int J Chron Obstruct Pulmon Dis. 2018 Nov 23;13:3831-3836. DOI: https://doi.org/10.2147/COPD.S182880
Bourne S, DeVos R, North M, Chauhan A, Green B, Brown T, Cornelius V, Wilkinson T. Online versus face-to-face pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: randomised controlled trial. 2017 July. BMJ Open 7(7):e014580. DOI: https://doi.org/10.1136/bmjopen-2016-014580
Shmonin AA, Maltseva MN, Melnikova EV, Mishina IE, Ivanova GE. Medical Rehabilitation For Coronavirus Infection: New tasks for physical and rehabilitation medicine in Russia. Bulletin of Rehabilitation Medicine. 2020 June; 97(3):14-21. DOI: https://doi.org/10.38025/2078-1962-2020-97-3-14-21
Bodrova RA, Kiryanova VR, Tsykunov MB, Delyan AM, Sadykov IF, Savina AI, Khusainova ER. Abilities of physical rehabilitation in pneumonia. Bulletin of Rehabilitation Medicine. 2020 June; 97(3):31-39. DOI: https://doi.org/10.38025/2078-1962-2020-97-3-31-39
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Downloads
Citations
