Functional status of COVID-19 patients at discharge from acute care
Keywords:Functional status, COVID-19, 6MWT, STS
Coronavirus disease 2019 (COVID-19) is a multisystem illness that can affect a person's mental and physical health exhibiting various physiological and behavioural symptoms. The long-term consequence of COVID -19 affects the quality of life of these patients. The quality of life depends on the status of the physical function. Hence the need to focus on post-COVID rehabilitation in addition to already existing acute care Physiotherapy. This case series, describes functional status of 5 patients at the time of discharge from the Tertiary Care Hospital. The evaluation is done on the day of discharge of each patient using six outcomes, namely Breath Holding Time, 1 Minute Sit to Stand Test, 6 Minute Walk test, Heel Raise Test, 4 Meter Gait Speed Test and muscle strength, to study the functional status. All the patients showed impairment in musculoskeletal capacity (one MSTS, manual muscle test, Heel raise test), functional capacity (6 MWT), lung capacity (BHT) and gait speed as compared to their normal values.This case series brings out the reduced functional status of COVID-19 patients in all domains of fitness at discharge. Thus, there is a dire need for Physiotherapy based holistic pulmonary rehabilitation even after discharge to prevent or delay the possible late manifestation of the disease.
Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmunity. 2020;109:102433.
Abdullahi A, Acarazcanadan S, Abba MAA, Bello AH. Neurological and Musculoskeletal features of Covid 19: A systematic Review and Meta -Analysis. Frontiers in Neurology Neuromuscular Diseases. 2020.
Verma CV, Arora RD, Shetye JV, Karnik ND, Patil PC, Mistry HM et al. Guidelines of physiotherapy management in acute care of COVID-19 at dedicated COVID center in Mumbai. Physiotherapy-The Journal of Indian Association of Physiotherapists. 2020;14(1):55.
Strassman A, Steurer -Stay C, Lana KD. Population-based reference values for the 1-min sit-to-stand test. Int J Public Health. 2013;1:20-4.
Enright PL, Sherrill DL. Reference equations for the six-minute walk in healthy adults. Am J Respiratory Critical Care Med. 1998;158(5):1384-7.
Bagavad GM, Roopa S, Subhashini AS, Sulthan KS. Effect of physical training on breath holding time in Indian subjects. Indian J Physiol Pharmacol. 2014;58(1):108-9.
Hébert-Losier K, Wessman C, Alricsson M, Svantesson U. Updated reliability and normative values for the standing heel-rise test in healthy adults. Physiotherapy. 2017;103(4): 446-52.
Bohannon RW, Wang YC. Four-meter gait speed: Normative values and reliability determined for adults participating in the NIH toolbox study. Arch Physical Med Rehab. 2019;100(3):509-13.
Nathaniel D, Andrea J DM, Martin SMM, Maxwell KA. Musculoskeletal consequences of COVID-19. J Bone Joint Surg. 2020;14(102):1197-204.
Geete DB, Shetye JV, Sathe AM. Physiotherapy management of geriatric COVID-19 patients in an intensive care unit of a government tertiary care hospital: A case series. World J Advanced Res Rev. 2020;8(3):007-13.
Kamat MN, Sonavane MG, Shetye JV, Geete DB. Review of physiological rationale of physiotherapy IN Covid-19 patients: A case series. Int J Physiotherapy Res. 2020;8(6):3706–14.
Ferrandi P, Always S, Mohamed J. The interaction between SARS-CoV-2 and ACE2 may have consequences for skeletal muscle viral susceptibility and myopathies. J Applied Physiol. 2020;129(4):864-67.
Ahmed H, Patel K, Greenwood DC, Halpin S, Lewthwaite P, Salawu A et al. Long-term clinical outcomes in survivors of severe acute respiratory syndrome and Middle East respiratory syndrome coronavirus outbreaks after hospitalization or ICU admission: A systematic review and meta-analysis. J Rehabil Med. 2020;52(5):jrm00063.