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Italy Telerehabilitation for COVID Survivors

This literature review examines the effectiveness of telerehabilitation approaches for COVID-19 survivors. A total of 399 relevant articles were identified from various databases and sources published between 2019-2021. After screening, 54 articles were found to be duplicates or not relevant based on their titles, abstracts, and full texts. Of the remaining articles, 8 met the inclusion criteria and discussed telerehabilitation interventions and outcomes for COVID-19 survivors. The studies generally found telerehabilitation programs improved outcomes like walking distance, muscle strength, and quality of life when compared to no rehabilitation or standard care. No adverse events were reported from the telerehabilitation programs.

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0% found this document useful (0 votes)
113 views6 pages

Italy Telerehabilitation for COVID Survivors

This literature review examines the effectiveness of telerehabilitation approaches for COVID-19 survivors. A total of 399 relevant articles were identified from various databases and sources published between 2019-2021. After screening, 54 articles were found to be duplicates or not relevant based on their titles, abstracts, and full texts. Of the remaining articles, 8 met the inclusion criteria and discussed telerehabilitation interventions and outcomes for COVID-19 survivors. The studies generally found telerehabilitation programs improved outcomes like walking distance, muscle strength, and quality of life when compared to no rehabilitation or standard care. No adverse events were reported from the telerehabilitation programs.

Uploaded by

nidya yunaz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Telerehabilitation approach/model for COVID-19 survivors and its effectiveness : A literature review

P : post COVID-19 or post corona virus or post SARS-CoV or Covid-19 Survivor

I : telerehabilitation

C:-

O:-

Key : (telerehabilitation) AND (post covid* OR post corona virus* OR post SARS-CoV* OR covid-19
survivor*)

Dari 2019 sampai 2021

Pub med ketemu 41 artikel

Google scholar 141 artikel

Tambah
[Link]

Cochrane 17 artikel

Clinical key 0

Proquest 172

Science direct 82

Total : 41 + 141 + 17 + 172 + 82 = 453 – 54 = 399

Judul yang relevan = duplicate + judul + abstract + full text

= 14 + 24 + 4 + 12 = 54

Yang duplicate ada 14 berarti sisa 54-15 = 39

Setelah baca full text, sisa = 8

Author Subject criteria Iocation Intervention Length of Outcome


and design study follow
Jian’an li, 120 formerly china Unsupervised 6 weeks This trial
[Link]., hospitalized home-based 6- (post- demonstrated
2021 COVID-19 week exercise treatment) superiority of
survivors with programme and 28 TERECO over no
remaining comprising weeks rehabilitation for
dyspnea breathing control (follow up) 6MWD (6 minutes
complaints were and thoracic walking distance),
randomized with expansion, LMS (lower limb
61 allocated to aerobic exercise muscle srrength),
control and 59 to and LMS exercise, and physiqal
TERECO delivered via HRQOL (helath
(telerehabilitation smartphone, and related quality of
programme in remotely life)
post-discharge monitored with
COVID-19 heart rate
patients) telemetry

Parallel-group
randomised
controlled trial
with 1:1 block
randomisation
Paneroni 25 consecutive italy One month 1 month This preliminary
, [Link]., patients survived program report confirms
2021 from covid-19 consisted of one the feasibility and
infection (with hour daily of safety of a
determined aeobic dedicated TR
inclusion and reconditioning programs for
exclusion criteria) and muscle survivors of
strengthening COVID-19
Pilot study and healthy pneumonia
lifestyle No adverse event
education were found
Turan, 122 COVID-19 turkey The two groups At the -
[Link]., survivors will receive beginning,
2021 following breathing, and then
discharge from aerobic, posture, sixth and
ICU allocated into stretching, twelvth
two groups : strengthening months
telerehabilitation exercise at their following the
and home home. The rehabilitation
excercise telerehabilitation
group will doing
Study protocol of those program
a Randomized under remote
control trial supervision via
internet 3
days/week, and
the home group
will doing it on
their own and will
be called weekly
Hameed, 106 patients New All patients were 2 weeks Virtual outpatient
et. Al., discharge home york assessed by rehabilitation for
2021 with persisten physiatry and VPT patients
COVID-19 session were recovering from
symptoms. 44 delilvered via COVID-12
patients secure HIPAA- improved lower
performed virtual compliant limb strength and
physical therapy telehealth cardiopulmonary
(VPT); 25 patients platform 1-2 endurance, while
performed home times/week. a home physical
physical therapy therapy program
(HPT); 17 patients improved lower
performed limb strength.
independent Virtual
exercise program rehabilitation
(IE); 20 patients seems to be
didn’t perform efficacious
therapy method of
treatment
Prospective delivery for
cohort study recovering COVID-
19 patients
Bernal, Patients spain Teerehabilitation 8 weeks It is hypothesized
[Link]., diagnosed with groups will that the
2021 COVID-19 with receive a implementation
mild-moderate personalized of a
and severe-critical program for 8 telerehabilitation
respiratory weeks including program presents
processes who at least one result not inferior
have been treated session per day to those obtained
in hospitals and and is done with the current
have been through a web standard
discharged. It is and mobile app. intervention
divide into two Control group
groups : receives the
telerehabilitation standard of care
group and control recommended
(home for patients
group/standard of discharged from
care) hospital

Study protocol for


a multicenter
randomized
clinical trial
Salawu, Article review: Recommendation
[Link]., A Proposal for of pathway used
2020 Multidisciplinary for post-discharge
Tele- COVID-19 patients
Rehabilitation in telerehabilitation
the assessment
and Rehabilitation
of COVID-19
Survivors
Tanguay, 7 COVID-19 canada Supervised 8 weeks After 8 weeks of
[Link]., patients who had physiotherapy supervised
2021 returned home session based on physiotherapy
following each patient sessions, there
hospitalization clinical state, was improvement
assessed by of symptoms,
Pre -experimental, physiotherapist quality of life, and
pre-post pilot stdy return to physical
activities in
COVID-19 patients

Bickton, Case report : malawi Pulmonary 3 weeks An improvised


[Link]., An improvised telerehabilitation pulmonary
2021 pulmonary telerehabilitation
telerehabilitation program for post-
program for acute COVID-19
postacute CVID-19 patients could be
petients would be feasible and
feasible an acceptable in a
acceptable in a low-resource
low-resource setting. Benefits
setting include redusing
risk of
transmission and
use of personal
protective
equipment
Pinto, Article review : italy - - Recommendation
[Link]., Post-acute COVID- for a structured
2020 19 Rehabilitation organization
network proposal: model for post-
from intensive to acute COVID-19
expensive and rehabilitation
home-based IT using a dedicated
supported IT platform
services
Lei, The discharge China Telerehabilitation 8 weeks It is anticipated
[Link]., patients who have program include that the health
2021 been diagnosed as physician and status of
COVID-19 physiotherapist discharge patients
pneumonia remotely guided with COVID-19
training (online) could be
for two weeks, improved with
and patient self- this systemic
managed pulmonary
rehabilitation rehabilitation
(offline) for six program
weeks with
assistance of
information
technology and
digital device.

Yang perlu dicari:

1. Symptom2 post covid, epidemiologinya, apa efek jangka Panjang bagi pasien, pekerjaannya
dan ekonomi negara
2. Standar of care pasien post covid. Apakah efektif?alasannya?
3. Peran telerehabilitasi sebelum2nya
4. Kewajiban untuk stay at home utk mengurangi paparan
5. Rehabilitasi post covid di Indonesia gimana?
6. Rekomendasi folloe up pathway rehabilitasi

In December 2019, an outbreak of pneumonia caused by SARS-CoV-2, now known as COVID-19, was
first reported in Wuhan, Hubei province China. Since its discovery, the virus has spread globally
causing thousand of deaths for 2 years we’ve been dealing with this pandemic. 1 The global number
of new cases has been increasing for the last two months (July-august 2021), with over 4.4 million
cases reported in the middle of august 2021, and the highest numbers of new deaths were reported
by Indonesia. 3 These disease have not only strained our medical and public health facilities but also
burdened economists, scientists, and politicians in responding to the financial hardships, discovery
of vaccines, and dealing with public anxieties and expectations. 2

COVID-19 manifests with a wide clinical spectrum ranging from asymptomatic patients to septic
shock and multiorgan dysfunction. 4 the primary problem of patients with COVID-19 is respiratory
functions, particularly due to the cytokine storm that leads to acute respiratory distress syndrome.
However, many findings have reported also non-pulmonary manifestations and complication
problem. 5 the problem not only occurs on the acute phase, in hospitalized patients without any
prior motor limitation, recovering from COVID-19, a high prevalence of muscle weakness and
physical performance impairment has been observed 6. Worsening in cognitive function and/or
emotional health also occurs in COVID-19 survivor especially those who discharge from ICU 7
tambahin lagi ttg post covid

Management of COVID-19 post-acute syndrome is an emerging health issue in rehabilitation. As an


essential component of the post-acute care, rehabilitation program aims to reduce long-term
disability and enables patient to live in community and to return to their previous level of social
participation 8 unfortunately, rehabilitation services have been disrupted during COVID-19. Not only
in top referral hospitals but also in rehabilitation practices have reduced the capacity during the
COVID-19 pandemic. This capacity reduction is not only because of prevention of the spreading the
SARS-CoV-2 infection, but also the need of hygiene and special personal protective equipment 5.
meanwhile, the number of patients survived from COVID-19 increased day by day. The use of
telerehabilitation is considered as an alternative therapy to overcome the current pandemic-related
circumstance. It has been demonstrated to be effective in PR of patients with COPD and stoke. 9
telerehabilitation will hopefully offer a quick and readily available means of therapy provision to
patients. 9

Di hasil ntar jelaskan


efektiitas

Manfaat rehabilitasi

Rekomendasi beraoa lama Dan metode follow up, tips Latihan, pengukuran,

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