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Cited by 243COVID-19 Clinical Research StudiesLong-Term Effects of COVID-19Medical Practices and Rehabilitation

Physical Medicine and Rehabilitation and Pulmonary Rehabilitation for COVID-19

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Wang, Tina J., Chau, Brian, Lui, Mickey, Lam, Giang-Tuyet, Lin, Nancy, Humbert, Sarah·2020·American Journal of Physical Medicine & Rehabilitation
DOI 10.1097/phm.0000000000001505PMC PMC7315835
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Abstract

This analysis extrapolates information from previous studies and experiences to bring physical medicine and rehabilitation perspective and intervention to the multidisciplinary treatment of COVID-19. The purpose of pulmonary rehabilitation in COVID-19 patients is to improve symptoms of dyspnea, relieve anxiety, reduce complications, minimize disability, preserve function, and improve quality of life. Pulmonary rehabilitation during the acute management of COVID-19 should be considered when possible and safe and may include nutrition, airway, posture, clearance technique, oxygen supplementation, breathing exercises, stretching, manual therapy, and physical activity. Given the possibility of long-term disability, outpatient posthospitalization pulmonary rehabilitation may be considered in all patients hospitalized with COVID-19.

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Crossref · 10.1097/phm.0000000000001505

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  • It has previously been recommended that breathing exercises be stopped for chest pain, palpations, and dizziness and be stopped if SpO2 does not recover even with rest and oxygen supplementation [33].

    “It has previously been recommended that breathing exercises be stopped for chest pain, palpations, and dizziness and be stopped if SpO2 does not recover even with rest and oxygen supplementation [33].”

    From Effects of short-term breathing exercises on respiratory recovery in patients with COVID-19: a quasi-experimental study (2022) · cites this paper as [33]

    The Introduction recommends stopping rehabilitation exercises for chest pain, palpitations, or dizziness. It also recommends stopping pulmonary rehabilitation or breathing exercises when SpO2 does not recover with rest and oxygen supplementation, but specifies an additional condition: the patient cannot maintain a Borg dyspnea score below 4. The claim omits that condition. (LLM, conf=0.87)

    Experimental — accuracy not yet measured

  • Respiratory rehabilitation should be considered when there are no signs of progressive deterioration and patients are hospitalised, as recommended by Chinese, the Netherlands, Italian, and UK rehabilitation professionals [6, 10, 15, 17, 33].

    “Respiratory rehabilitation should be considered when there are no signs of progressive deterioration and patients are hospitalised, as recommendations by Chinese, the Netherlands, Italian, and UK rehabilitation professionals [6, 10, 15, 17, 33].”

    From Effects of short-term breathing exercises on respiratory recovery in patients with COVID-19: a quasi-experimental study (2022) · cites this paper as [33]

    The Introduction (page unavailable) supports considering pulmonary rehabilitation for hospitalized patients, with safety screening that excludes patients with substantial chest-image progression and other signs of instability. It does not say that an absence of progressive deterioration is sufficient on its own, or identify this recommendation as one made collectively by Chinese, Dutch, Italian, and UK rehabilitation professionals. (LLM, conf=0.85)

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Cited by

Sorted by citations

Authors
Wang, T. J., Chau, B., Lui, M., Lam, G.-T., Lin, N., & Humbert, S.
Affiliations
Loma Linda University Medical Center (US)
Corresponding author
Wang, Tina J.
ORCID
Venue
American Journal of Physical Medicine & Rehabilitation
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2020-06-12
Volume
99
Issue
9
Pages
769-774
ISSN
  • 0894-9115 (ISSN-L)
  • 1537-7385
DOI
10.1097/phm.0000000000001505
PMC
PMC7315835
OpenAlex
W3034803366
Cited by
243
References
3
Citations by year
2026: 6 · 2025: 9 · 2024: 25 · 2023: 48 · 2022: 72 · 2021: 72 · 2020: 10 · 2019: 1
FWCI
2.39
Type
journal article
Language
en
Open access
Locations
  • American Journal of Physical Medicine & Rehabilitation (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Infectious Diseases › COVID-19 Clinical Research Studies
  • Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords
COVID-19 pandemic, pulmonary rehabilitation, rehabilitation medicine, dyspnea, anxiety, long COVID, breathing exercises, manual therapy, supplemental oxygen, nutrition, posture, airway clearance, physical activity, quality of life
MeSH terms
Betacoronavirus, COVID-19, SARS-CoV-2, Humans, Physical and Rehabilitation Medicine, Pneumonia, Viral, Respiratory Therapy, Coronavirus Infections, Subacute Care, Pandemics

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