Medical rehabilitation at a new coronavirus infection (COVID-19)

Galina E. Ivanova; Иванова Г. Е.; Irina N. Balandina; Баландина И. Н.; Irina S. Bakhtina; Бахтина И. С.; Andrey A. Belkin; Белкин А. А.; Anatoly F. Belyaev; Беляев А. Ф.; Rezeda A. Bodrova; Бодрова Р. А.; Tatyana V. Buylova; Буйлова Т. В.; Andrey V. Grechko; Гречко А. В.; Mikhail D. Didur; Дидур М. Д.; Svetlana A. Kalinina; Калинина С. А.; Vera V. Kiryanova; Кирьянова В. В.; Olga A. Laisheva; Лайшева О. А.; Maria N. Maltseva; Мальцева М. Н.; Elena V. Melnikova; Мельникова Е. В.; Irina E. Mishina; Мишина И. Е.; Marina V. Petrova; Петрова М. В.; Igor V. Pryanikov; Пряников И. В.; Larisa B. Postnikova; Постникова Л. Б.; Andrey Yu. Suvorov; Суворов А. Ю.; Liudmila N. Soloveva; Соловьёва Л. Н.; Mikhail B. Tsykunov; Цыкунов М. Б.; Alexey A. Shmonin; Шмонин А. А.

doi:10.36425/rehab34231

Medical rehabilitation at a new coronavirus infection (COVID-19)

Authors: Ivanova G.E.¹, Balandina I.N.², Bakhtina I.S.², Belkin A.A.³, Belyaev A.F.⁴, Bodrova R.A.⁵, Buylova T.V.⁶, Grechko A.V.⁷, Didur M.D.⁸, Kalinina S.A.², Kiryanova V.V.⁹, Laisheva O.A.¹, Maltseva M.N.¹⁰, Melnikova E.V.¹¹, Mishina I.E.¹², Petrova M.V.⁷, Pryanikov I.V.⁷, Postnikova L.B.¹³, Suvorov A.Y.¹⁴, Soloveva L.N.¹¹, Tsykunov M.B.¹⁵, Shmonin A.A.¹⁰
Affiliations:
1. Federal State Autonomous Educational Institution of Higher Education “Pirogov Russian National Research Medical University” of the Ministry of Education of Russia
2. State Educational Institution of Continuing/Additional Professional Education “St. Petersburg Centre of Postgraduate Education for Specialists with the Higher Medical and Pharmaceutical Professional Education of non University’s level” Federal Medico-Biological Agency
3. Clinical institute of Brain
4. Federal State Budget Educational Institution of Higher Education “Pacifi c State Medical University” of the Ministry of Health of the Russian Federation
5. Kazan state medical Academy — branch of Federal state budgetary educational institution of additional professional education “Russian medical Academy of continuous education” of the Ministry of Health of the Russian Federation
6. Lobachevsky State University of Nizhni Novgorod
7. Federal State Budgetary Scientifi c Institution “Federal Research and Clinical Center for Resuscitation and Rehabilitology”
8. N.P. Bechtereva Institute of the Human Brain of the Russian Academy of Sciences
9. Федеральное государственное бюджетное образовательное учреждение высшего профессионального образования «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Министерства здравоохранения Российской Федерации
10. Federal State Budgetary Educational Institution of Higher Education “Academician I.P. Pavlov First St. Petersburg State Medical University” of the Ministry of Health of Russian Federation
11. State Health Institution “City Hospital No. 26”
12. Federal State Budgetary Educational Institution of Higher Education “Ivanovo State Medical Academy” of the Ministry of Health of the Russian Federation
13. Federal State Budgetary Educational Institution of Higher Education “Privolzhsky Research Medical University” of the Ministry of Health of the Russian Federation
14. Federal State Budgetary Institution «Federal center of brain research and neurotechnologies» of the Federal Medical Biological Agency
15. Federal State Budgetary Institution “Priorov Central Institute for Trauma and Orthopedics” of the Ministry of Health of the Russian Federation
Issue: Vol 2, No 2 (2020)
Pages: 140-189
Section: New methods and technologies, discussions
URL: https://journals.rcsi.science/2658-6843/article/view/34231
DOI: https://doi.org/10.36425/rehab34231
ID: 34231

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Abstract

The emergence of SARS-CoV-2 and its worldwide spread has become a challenge for healthcare professionals related to rapid diagnosis of infection caused by the new coronaviruses, provision of specialized medical care, rehabilitation and secondary prevention. Currently, there is limited information on primary, secondary prevention and medical rehabilitation of this disease. The most common clinical manifestation of the new variant of coronavirus infection is bilateral pneumonia, with 3–4% of patients developing acute respiratory distress syndrome (ARDS). Given the unusual pandemic situation and the peculiar COVID-19 pathogenesis, the stereotyped application of generally accepted methods may be unsafe or ineffective. The Union of Rehabilitologists of Russia has prepared Temporary guidelines that are based on the advice on medical rehabilitation of patients with COVID-19 at various stages of special medical care published by WHO specialists, analysis of reports from clinics currently involved in rehabilitation of COVID-19 patients, as well as on the results of clinical studies conducted earlier on the rehabilitation of patients with Post-intensive care syndrome and adult respiratory distress syndrome (ARDS) of non-coronavirus etiology, regulatory documents of the Russian Ministry of Health and Federal Service on Surveillance for Consumer rights protection and human well-being. A syndrome-based approach to the use of means and methods of physical and rehabilitation medicine is also considered. The guidelines are intended for heads of medical organizations and their structural divisions, general practitioners, physicians, infectious disease doctors, pediatricians, emergency physicians of intensive care units in infectious hospitals, physiotherapy and sports medicine doctors, physiotherapists, medical psychologists, physical therapy instructors, nurses and other specialists of multidisciplinary rehabilitation teams working in the field of medical care for patients with COVID-19 at various stages.

Keywords

medical rehabilitation, COVID-19, pneumonia, viral pneumonia, clinical recommendations, respiratory rehabilitation, ARDS rehabilitation, breathing exercises

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About the authors

Galina E. Ivanova

Federal State Autonomous Educational Institution of Higher Education “Pirogov Russian National Research Medical University” of the Ministry of Education of Russia

Email: reabilivanova@mail.ru
ORCID iD: 0000-0003-3180-5525

MD, PhD, Professor

Russian Federation, Moscow

Irina N. Balandina

State Educational Institution of Continuing/Additional Professional Education “St. Petersburg Centre of Postgraduate Education for Specialists with the Higher Medical and Pharmaceutical Professional Education of non University’s level” Federal Medico-Biological Agency

Email: irinabalandi@yandex.ru
ORCID iD: 0000-0002-9654-6387
Russian Federation, Saint Petersburg

Irina S. Bakhtina

Email: ibakhtina@yandex.ru
ORCID iD: 0000-0002-4046-0605

PhD

Russian Federation, Saint Petersburg

Andrey A. Belkin

Clinical institute of Brain

Email: belkin@neuro-ural.ru
SPIN-code: 6683-4704

MD, PhD, Professor

Russian Federation, Ekaterinburg

Anatoly F. Belyaev

Federal State Budget Educational Institution of Higher Education “Pacifi c State Medical University” of the Ministry of Health of the Russian Federation

Email: baf32680@mail.ru

MD, PhD, Professor

Russian Federation, Vladivostok

Rezeda A. Bodrova

Kazan state medical Academy — branch of Federal state budgetary educational institution of additional professional education “Russian medical Academy of continuous education” of the Ministry of Health of the Russian Federation

Email: RABodrova@kpfu.ru
ORCID iD: 0000-0003-3540-0162
SPIN-code: 1201-5698

MD, PhD, Professor

Russian Federation, Kazan

Tatyana V. Buylova

Lobachevsky State University of Nizhni Novgorod

Email: t.buylova@rehabrus.ru
SPIN-code: 6062-2584

MD, PhD

Russian Federation, Nizhni Novgorod

Andrey V. Grechko

Federal State Budgetary Scientifi c Institution “Federal Research and Clinical Center for Resuscitation and Rehabilitology”

Email: t.buylova@rehabrus.ru
SPIN-code: 4865-8723

MD, PhD, Professor

Russian Federation, Moscow

Mikhail D. Didur

N.P. Bechtereva Institute of the Human Brain of the Russian Academy of Sciences

Email: didour@mail.ru
ORCID iD: 0000-0003-4086-5992
SPIN-code: 2094-3434

MD, PhD

Russian Federation, Saint Petersburg

Svetlana A. Kalinina

Email: kalinina@spbcpo.ru
ORCID iD: 0000-0003-1033-5210
SPIN-code: 6820-0533

PhD

Russian Federation, Saint Petersburg

Vera V. Kiryanova

Федеральное государственное бюджетное образовательное учреждение высшего профессионального образования «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Министерства здравоохранения Российской Федерации

Email: kalinina@spbcpo.ru
SPIN-code: 1461-5963

MD, PhD, Professor

Russian Federation, Санкт-Петербург

Olga A. Laisheva

Federal State Autonomous Educational Institution of Higher Education “Pirogov Russian National Research Medical University” of the Ministry of Education of Russia

Email: olgalaisheva@mail.ru
SPIN-code: 8188-2819

MD, PhD, Professor

Russian Federation, Moscow

Maria N. Maltseva

Federal State Budgetary Educational Institution of Higher Education “Academician I.P. Pavlov First St. Petersburg State Medical University” of the Ministry of Health of Russian Federation

Email: mmn.ktherapy@yandex.ru
ORCID iD: 0000-0002-1698-4038
SPIN-code: 5056-2161

PhD

Russian Federation, Saint Petersburg

Elena V. Melnikova

State Health Institution “City Hospital No. 26”

Email: melnikovae2002@mail.ru
SPIN-code: 8347-8594

MD, PhD, Professor

Russian Federation, Saint Petersburg

Irina E. Mishina

Federal State Budgetary Educational Institution of Higher Education “Ivanovo State Medical Academy” of the Ministry of Health of the Russian Federation

Email: mishina-irina@mail.ru
ORCID iD: 0000-0002-7659-8008
SPIN-code: 2549-1182

MD, PhD, Professor

Russian Federation, Ivanovo

Marina V. Petrova

Federal State Budgetary Scientifi c Institution “Federal Research and Clinical Center for Resuscitation and Rehabilitology”

Email: mail@petrovamv.ru

MD, PhD

Russian Federation, Moscow

Igor V. Pryanikov

Federal State Budgetary Scientifi c Institution “Federal Research and Clinical Center for Resuscitation and Rehabilitology”

Email: dr.pr@yandex.ru
ORCID iD: 0000-0003-3792-9107
SPIN-code: 8551-2286

MD, PhD, Professor

Russian Federation, Moscow

Larisa B. Postnikova

Federal State Budgetary Educational Institution of Higher Education “Privolzhsky Research Medical University” of the Ministry of Health of the Russian Federation

Email: dr.pr@yandex.ru

MD, PhD

Russian Federation, Nizhny Novgorod

Andrey Yu. Suvorov

Federal State Budgetary Institution «Federal center of brain research and neurotechnologies» of the Federal Medical Biological Agency

Author for correspondence.
Email: dr_suvorov@mail.ru
ORCID iD: 0000-0003-4901-2208
SPIN-code: 1639-3135

PhD

Russian Federation, Moscow

Liudmila N. Soloveva

State Health Institution “City Hospital No. 26”

Email: milastukova@gmail.com
ORCID iD: 0000-0002-2299-6609

PhD

Russian Federation, Saint Petersburg

Mikhail B. Tsykunov

Federal State Budgetary Institution “Priorov Central Institute for Trauma and Orthopedics” of the Ministry of Health of the Russian Federation

Email: rehcito@mail.ru
SPIN-code: 8298-8338

MD, PhD, Professor

Russian Federation, Moscow

Alexey A. Shmonin

Federal State Budgetary Educational Institution of Higher Education “Academician I.P. Pavlov First St. Petersburg State Medical University” of the Ministry of Health of Russian Federation

Email: langendorff@gmail.com
ORCID iD: 0000-0003-2232-4332
SPIN-code: 8626-1270

MD, PhD, PRM

Russian Federation, Saint Petersburg

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