Cardiorespiratory and skeletal muscle damage due to COVID-19: making the urgent case for rehabilitation
|Authors||Silva, Rebeca Nunes, Goulart, Cássia da Luz, Oliveira, Murilo Rezende, Tacao, Guilherme Yassuyuki, Back, Guilherme Dionir, Severin, Richard, Faghy, Mark, Arena, Ross and Borghi-Silva, Audrey|
It has become increasingly evident that COVID-19 contributes to multiorgan pathophysiology. The systemic inflammatory response increases both pro-inflammatory cytokine and chemokine levels, leading to immune dysregulation and increasing the likelihood of incurring cardiac and pulmonary injuries.
Longer periods of hospitalization (~20 days) increase susceptibility to ICU-acquired muscle weakness and deconditioning, which decreases muscle function and functional capacity. These conditions affect the quality of life in the post-COVID-19 period and require multi-disciplinary approaches to rehabilitate the cardiopulmonary and musculoskeletal systems of these patients. In this context, this narrative review, which included articles published in the Embase, PEDro and PubMed databases up to December 2020, is focused on discussing the essential role of exercise and rehabilitation health professionals in the COVID-19 recovery process, from hospitalization to hospital discharge, addressing strategies for professionals to mitigate the cardiac and pulmonary impairments associated with hospitalization to home or ambulatory rehabilitation, purposing ways to conduct rehabilitation programs to restore their functional status and quality of life after the infection.
In the current environment, these findings further point to the vital role of rehabilitation health professionals in the coming years and the urgent need to develop strategies to assist COVID-19 survivors.
|Keywords||Immunology; Public Health; Pulmonary and Respiratory Medicine; COVID-19; Allergy; Environmental and Occupational Health|
|Journal||Expert Review of Respiratory Medicine|
|Journal citation||15 (9), pp. 1107-1120|
|Publisher||Informa UK Limited|
|Digital Object Identifier (DOI)||https://doi.org/10.1080/17476348.2021.1893169|
|Web address (URL)||https://www.tandfonline.com/doi/full/10.1080/17476348.2021.1893169|
|Publication dates||04 Mar 2021|
|Publication process dates|
|Accepted||17 Feb 2021|
|Deposited||12 Mar 2021|
Attribution-NoDerivatives 4.0 International
|Contributors||Federal University of São Carlos, São Carlos, Brazil, São Paulo State University, University of Illinois at Chicago, Chicago, IL and University of Derby|
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