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   Table of Contents - Current issue
April-June 2020
Volume 3 | Issue 2
Page Nos. 31-74

Online since Tuesday, June 30, 2020

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Redefining rehabilitation in the COVID-19 era p. 31
Gerard E Francisco
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COVID-19 patient guide to at-home exercises p. 32
Anne Felicia Ambrose
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Insights on the impact of rehabilitation medicine on COVID-19 management p. 35
Jianan Li
Coronavirus disease 2019 (COVID-19) is a new disease characterized by lung damage and involvement in multiple tissues and organs in the whole body. Some of the patients may have long-term impairment and dysfunctions, including pulmonary fibrosis, heart, liver, kidney, nerve, and immune system. Rehabilitation has certain beneficial effect in the acute stage, and especially in the recovery stage, including improving respiratory function, exercise endurance, self-care in daily living activities, as well as psychological support, etc., Rehabilitation is not offside or absent. A reasonable rehabilitation program needs scientific research to avoid arbitrary conclusions.
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Cancer rehabilitation during the COVID-19 pandemic: An overview of special considerations p. 38
Krystal Song, Fary Khan
The global pandemic of coronavirus (COVID-19) is a major public health issue since identified in Wuhan, China in December 2019. It creates unique challenges from the perspective of cancer survivors, as they often require complex cancer treatments during the disease trajectory, disease surveillance, and rehabilitation. Given the vulnerability of this population, there is an urgent need to address the impact of such a pandemic on cancer rehabilitation. This article presents a narrative overview of the issues highlighted for rehabilitation services providing cancer care in this context, for risk mitigation, and for continued operation during this unprecedented public health crisis.
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Rehabilitation of critically Ill COVID-19 survivors Highly accessed article p. 45
Radha Korupolu, Gerard E Francisco, Harvey Levin, Dale M Needham
Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) has now infected over a million people around the world. This pandemic is stressing intensive care unit (ICU) capacity due to critical illness from coronavirus disease 2019 (COVID-19). Survivors of critical illness from acute respiratory syndrome and the prior SARS epidemic suggest that critically ill COVID-19 survivors may experience a wide range of sequelae, resulting in long-lasting physical, cognitive, and psychological dysfunction. Early rehabilitation can mitigate these complications and improve the quality of life. However, early rehabilitation of critically ill COVID-19 patients is challenging due to patients' severity of illness, the need for strict infection control measures, staffing issues, and scarcity of personal protective equipment. During this public health emergency, navigating rehabilitation of critically ill COVID-19 patients is crucial to allow timely transition of patients across different levels of care. Such timely transitions are vital for improving outcomes and freeing ICU and hospital beds within acute care hospitals. In this review, we discuss the challenges and potential solutions for rehabilitation of critically ill COVID-19 patients throughout the continuum of care.
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Patient and caregiver guide to managing COVID-19 patients at home Highly accessed article p. 53
Anne Felicia Ambrose, Matthew Norbert Bartels, Tanya Cecilia Verghese, Joe Verghese
Since the beginning of 2020, COVID-19 infections have increased exponentially, overwhelming health-care services globally. Survivors of this infection have significant disabilities due to the debilitating weakness and compromised lung function. Unfortunately, rehabilitation services are scarce due to diversion of rehabilitation clinicians to emergency medical care. This manual aims to bridge this gap by providing a self-directed home care and graduated exercise program which does not require any special equipment. The exercises were carefully selected based on research by the authors on self-directed home exercises in frail, elderly patients.
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COVID-19 in developing countries: A rehabilitation perspective p. 69
Bhasker Amatya, Fary Khan
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