Authors: Viorela Mihaela Ciortea1,2, Adela Raluca Nistor2, Francisca Szabo2, Irina Motoașcă2,
Eliza Bendea2, Ileana Monica Borda1,2, Alina Deniza Ciubean1, Rodica Ana Ungur1,2, László Irsay1,2
Affiliation
1 “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj-Napoca, Department of Rehabilitation
2 Clinical Rehabilitation Hospital Cluj-Napoca, Romania
Abstract
Coronavirus 2 (SARS-CoV-2) was a new type of coronavirus that appeared in 2019 and caused a disease with a predominantly severe manifestation of the respiratory tract (COVID-19). Patients who have survived this condition could develop as a complication a syndrome characterized by physical, mental and cognitive disorders. “Intensive care post-syndrome” may also develop which, in addition to the respiratory system may require complex musculoskeletal rehabilitation. SARS-CoV-2 infection can affect various organs and systems (respiratory, neurological, cardiac, ocular, gastrointestinal and others), with a strong impact on the functionality of affected patients; in the long term this could cause various disabilities.
The extent of the problem in terms of severity and incidence of dysfunction and disability is still unknown, but early research suggests that the patients concerned will need rehabilitation at all stages of the disease – acute, post-acute and long-term, presenting concomitant respiratory neurological, musculoskeletal, psychiatric conditions.
Current research suggests that the integrated medical rehabilitation service with the care of patients with SARS CoV-2 offers benefits for both the patient and the medical system in general. Studies on post-COVID-19 medical rehabilitation services are preliminary, the pandemic generated by COVID-19 being a complex situation, little known by health systems. At the same time, numerous clinical trials offer recommendations on interventions and principles for organizing rehabilitation care for this category of patients.
Key words: SARS-CoV-2 infection, respiratory rehabilitation, musculoskeletal rehabilitation, organization of post- COVID rehabilitation services.
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