Adaptations for rehabilitation services during the COVID-19 pandemic proposed by scientific organizations and rehabilitation professionals
DOI:
https://doi.org/10.2340/16501977-2865Keywords:
COVID-19, rehabilitation service, disability, health professional, rehabilitation organization, health systemAbstract
Objective: To describe adaptations in the provision of rehabilitation services proposed by scientific and professional rehabilitation organizations to avoid interruptions to patients’ rehabilitation process and delays in starting rehabilitation in patients with COVID-19.
Methods: A narrative review approach was used to identify the recommendations of scientific and professional organizations in the area of rehabilitation. A systematic search was performed in the main databases in 78 international and regional web portals of rehabilitation organizations. A total of 21 publications from these organizations were identified and selected.
Results: The results are presented in 4 categories: adequacy of inpatient services, including acute care services and intensive care unit for patients with and without COVID-19; adequacy of outpatient services, including home-based rehabilitation and tele- rehabilitation; recommendations to prevent the spread of COVID-19; and regulatory standards and positions during the COVID-19 pandemic expressed by organizations for protecting the rights of health workers and patients.
Conclusion: Health systems around the world are rapidly learning from actions aimed at the reorganization of rehabilitation services for patients who are in the process of recovery from acute or chronic conditions, and the rapid response to the rehabilitation of survivors of COVID-19, as well as from efforts in the prevention of contagion of those providing the services.
Lay Abstract
In response to the coronavirus disease 2019 (COVID-19) pandemic, which developed very rapidly worldwide, rehabilitation services were forced to modify and adapt the way they provide and deliver services. These measures were proposed and adopted across a wide range of countries, the changes proposed included the following measures: critical patients with SARS-CoV-2 infection should be cared for by a multidisciplinary team providing early mobilization, respiratory, outpatient, and long-term care rehabilitation interventions. Home- based and community rehabilitation can be delivered through different strategies, such as telerehabilitation or direct care. The use of measures to prevent and protect against transmission of COVID-19 are necessary for all patients in rehabilitation care.
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References
Chang MC, Park D. How should rehabilitative departments of hospitals prepare for coronavirus disease 2019? Am J Phys Med Rehabil 2020; 99: 475-476. https://doi.org/10.1097/PHM.0000000000001428
Boldrini P, Garcea M, Brichetto G, Reale N, Tonolo S, Falabella V, et al. Living with a disability during the pandemic. "Instant paper from the field" on rehabilitation answers to the COVID-19 emergency. Eur J Phys Rehabil Med 2020; 56: 331-334. https://doi.org/10.23736/S1973-9087.20.06373-X
World Health Organization. Rehabilitation in health systems: guide for action. 2019 [cited 2020 Sep 30]. Available from: http://www.who.int/rehabilitation/rehabilitation-guide-for-action/en/.
Negrini S, Grabljevec K, Boldrini P, Kiekens C, Moslavac S, Zampolini M, et al. Up to 2.2 million people experiencing disability suffer collateral damage each day of COVID-19 lockdown in Europe. Eur J Phys Rehabil Med 2020; 56: 361-365. https://doi.org/10.23736/S1973-9087.20.06361-3
Stucki G, Bickenbach J, Gutenbrunner C, Melvin J. Rehabilitation: the health strategy of the 21st century. J Rehabil Med 2018; 50: 309-316.
https://doi.org/10.2340/16501977-2200
Gutenbrunner C, Nugraha B, Gimigliano F, Kiekens C. International classification of service organization in rehabilitation: an updated set of categories (ICSO-R 2.0). J Rehabil Med 2020; 13: 1-13. https://doi.org/10.2340/16501977-2627
Mlenzana NB, Frantz JM, Rhoda AJ, Eide AH. Barriers to and facilitators of rehabilitation services for people with physical disabilities: a systematic review. Afr J Disabil 2013; 19:1-6. https://doi.org/10.4102/ajod.v2i1.22
Gimigliano F, Negrini S. The World Health Organization "Rehabilitation 2030: a call for action." Eur J Phys Rehabil Med 2017; 53: 155-168.
https://doi.org/10.23736/S1973-9087.17.04746-3
Gutenbrunner C, Stokes EK, Dreinhöfer K, Clarke S, Côté P, Urseau I, et al. Why rehabilitation must have priority during and after the COVID-19 pandemic: a position statement of the global rehabilitation alliance. J Rehabil Med 2020; 52: 1-4. https://doi.org/10.2340/16501977-2627
AMRPA American Medical Rehabilitation Providers Association. COVID-19 Resource Center. 2020 Advocacy & News. 2020 [cited 2021 Mar 7]. Available from: https://amrpa.org/Advocacy-News/COVID-19-Resource-Center.
Thomas P, Baldwin C, Bissett B, Boden I, Gosselink R, Granger C, et al. Physiotherapy management for COVID-19 in the acute hospital setting: clinical practice recommendations. J Physiother 2020; 66: 73-82. https://doi.org/10.1016/j.jphys.2020.03.011
ACPRC Association of Chartered Physiotherapists in Respiratory Care. COVID-19 Information. 2020 [cited 2021 Mar 5]. Available from: https://www.acprc.org.uk/resources/covid-19-information/.
Zhao H-M, Xie Y-X, Wang C. Recommendations for respiratory rehabilitation in adults with coronavirus disease 2019. Chin Med J 2020; 133: 1595-1602. https://doi.org/10.1097/CM9.0000000000000848
ASCOFI Asociación Colombiana de Fisioterapia. Estrategia COVID-19 fisioterapia Colombia. 2020 [cited 2021 Mar 6]. Available from: https://www.ascofi.org.co/index.php/estrategia-covid-19.
Liebl ME, Gutenbrunner C, Glaesener JJ, Schwarzkopf S, Best N, Lichti G, et al. Early Rehabilitation in COVID-19: best practice recommendations for the early rehabilitation of COVID-19 patients. Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 2020; 30: 129-134. https://doi.org/10.1055/a-1162-4919
Boldrini P, Bernetti A, Fiore P, SIMFER Executive Committee, SIMFER Committee for International Affairs. Impact of COVID-19 outbreak on rehabilitation services and Physical and Rehabilitation Medicine physicians' activities in Italy. An official document of the Italian PRM Society (SIMFER). Eur J Phys Rehabil Med 2020; 56: 316-318. https://doi.org/10.23736/S1973-9087.20.06256-5
Avellanet M, Boada-pladellorens A, Pages-Bolibar E. Rehabilitation in times of confinement. Rehabilitación 2020; 54: 269-275.
https://doi.org/10.1016/j.rh.2020.05.003
McNeary L, Maltser S, Verduzco-Gutierrez M. Navigating coronavirus disease 2019 (COVID-19) in physiatry: a CAN report for inpatient rehabilitation facilities. PMR. 2020; 12: 512-515. https://doi.org/10.1002/pmrj.12369
Canadian Physiotherapy Association. COVID-19 The CPA's statements & resources. 2020 [cited 2021 Mar 6]. Available from: https://physiotherapy.ca/cpas-statements-resources.
AAPM&R American Academy of Physical Medicine and Rehabilitation. COVID-19 rehabilitation. 2020 [cited 2021 Mar 5]. Available from: https://www.aapmr.org/members-publications/covid-19.
Sociedad Española de Rehabilitación y Medicina Física. Encuesta COVID-19 Rehabilitación - SERMEF. 2020 [cited 2021 Jan 19]. Available from: https://www.sermef.es/encuesta-covid-19-rehabilitacion/.
Asociación Colombiana de Medicina Física y Rehabilitación. Plan de contingencia para la prestación de servicios de salud durante las etapas de contención y mitigación de la pandemia COVID-19. 2020 [cited 2020 Oct 1]. Available from: https://www.acmfr.org/blog/sistema-de-salud/plan-de-contingencia-para-la-prestacion-de-servicios-de-salud-durante-las etapas de contención y mitigación de la pandemia COVID-19.
International Organization of Aquatic Physical Therapists. Statement from the International Organization of Aquatic Physical Therapists (IOAPT) about COVID-19 and the practice of aquatic physiotherapy. 2020 [cited 2020 Oct 05]. Available from: https://world.physio/sites/default/files/2020-06/IOAPT-Statement-Covid-19-and-practice-of-Aquatic-Physiotherapy-12-05-20.pdf.
Nyante GG, Agoriwo MW, Lawerteh SE, Boakye H. Physiotherapy management for COVID-19 in the primary, community and acute (hospital) settings, a preliminary guideline. Ghana Physiotherapy Association 2020; 1: 1-27.
The Chartered Society of Physiotherapy. Rehabilitation during the pandemic - FAQ. 2020 [cited 2020 Oct 2]. Available from: https://www.csp.org.uk/news/coronavirus/clinical-guidance/rehabilitation-coronavirus/rehabilitation-during-pandemic-faqs.
Australian Physiotherapy Association. Telehealth guidelines response to COVID-19. 2020 [cited 2020 Oct 2]. Available from: https://australian.physio/sites/default/files/APATelehealthGuidelinesCOVID190420FA.pdf.
American Academy of Physical Medicine and Rehabilitation. Telemedicine/telehealth: frequently asked questions. 2020 [cited 2020 Oct 2]. Available from: https://www.aapmr.org/docs/default-source/news-and-publications/covid-19-telemedicine-faq-3-17-3.pdf?sfvrsn=35b65f7c_4.
Chartered Society of Physiotherapy. Framework to support you in making safe decisions about patient contact: 7 key factors. 2020 [cited 2020 Oct 2]. Available from: https://www.csp.org.uk/news/coronavirus/clinical-guidance/remote-or-face-face-consultations/face-to-face-or-not.
Asociación Colombiana de Fisioterapia, Colegio Colombiano de Fisioterapeutas, Asociación Colombia de Facultades de Fisioterapia, Asociación Colombia de Estudiantes de Fisioterapia. Caracterización de la Fisioterapia Digital en los programas de formación de Colombia. 2020 [cited 2020 Oct 2]. Available from: https://www.fisioterapia-colombia.co/caracterizacion-de-la-fisioterapia-digital-en-los-programas-de-formacion-de-colombia.
American Physical Therapy Association. Physical therapist management of patients with diagnosed or suspected COVID-19. 2020 [cited 2020 Oct 1]. Available from: https://www.apta.org/patient-care/public-health-population-care/coronavirus/management-of-patients.
Asociación Colombiana de Fisioterapia. COVID 19 Fisioterapia Domiciliaria: Guía para Primer Contacto. 2020 [cited 2021 Jan 19]. Available from: https://www.fisioterapia-colombia.co/covid-19-fisioterapia-domiciliaria-guia-para-primer-contacto/.
Chartered Society of Physiotherapy. Coronavirus. Information, guidance, and latest developments for physiotherapists on the Covid-19 (coronavirus) pandemic. 2020 [cited 2021 Mar 6]. Available from: https://www.csp.org.uk/news/coronavirus.
Davidson A. Medicare and Medicaid programs; policy and regulatory revisions in response to the COVID-19 public health emergency. American Academy of Physical Medicine and Rehabilitation; 2020 [cited 2020 Oct 4]. Available from: https://www.aapmr.org/docs/default-source/news-and-publications/aapm-r-covid-comment-fnl.pdf?sfvrsn=786e5f7c_2.
Gittler MS. State action to expand the COVID-19 workforce by limiting liability for physicians during the pandemic. American Academy of Physical Medicine & Rehabilitation; 2020 [cited 2020 Oct 4]. Available from: https://www.aapmr.org/docs/default-source/news-and-publications/aapm-r-physician-liability-during-covid-19-final-letter_4-22-2020.pdf?sfvrsn=ba5d5f7c_2.
Goemé L, Biebouw S, Linden P, Mortelé P. The impact of COVID-19 on rehabilitation: the Belgian experience. Eur J Phys Rehabil Med 2020; 56: 371-372. https://doi.org/10.23736/S1973-9087.20.06400-X
Gutenbrunner C, Meyer T, Stucki G. The field of competence in physical and rehabilitation medicine in light of health classifications: an international perspective. Am J Phys Med Rehabil 2011; 90: 521-525. https://doi.org/10.1097/PHM.0b013e31822473dc
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Copyright (c) 2021 Luz H. Lugo-Agudelo, Kelly Mariana Cruz Sarmiento, Maria Alejandra Spir Brunal, Juan Velásquez Correa, Ana Maria Posada Borrero, Luisa Fernanda Mesa Franco, Rosarita Di Dio Castagna Ianini, Paola Andrea Ramírez Pérez LIS, Claudia Marcela Vélez, Daniel F. Patiño Lugo, Christoph Gutenbrunner
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