| Author/Editor | Pipan, Jan; Samide, Klara; Bajuk, Slavica; Zupanc, Aleksander | |
| Title | Fizioterapevtska obravnava pacienta na rehabilitaciji po COVID-19 z odpovedjo dihanja | |
| Translated title | Physiotherapeutic treatment of a patient at rehabilitation after COVID-19 infection and respiratory failure | |
| Type | članek | |
| Source | 65166083 | |
| Vol. and No. | Letnik 20, št. supl. 1 | |
| Publication year | 2021 | |
| Volume | str. 24-29 | |
| Language | slv | |
| Abstract | Izhodišča: Z naraščanjem števila okužb z virusom SARS-CoV je večje število pacientov s težjim potekom obolenja potrebovalo dolgotrajno intenzivno zdravljenje z umetnim predihavanjem. Ti pacienti so lahko splošno oslabeli, imajo zmanjšano zmogljivost mišic in druge težave. Dodatni zaplet so lahko tudi okvare perifernega živčevja. Metode: Sodeloval je 61-letni pacient, ki je bil zaradi zapletov po COVID- 19 z odpovedjo dihanja dolgotrajno intenzivno zdravljen in umetno predihavan. Pri njem je prišlo tudi do hude okvare brahialnega pleteža, brez aktivnosti mišic levega zgornjega uda. Ob sprejemu na rehabilitacijo je bil splošno oslabel in je imel težave z ravnotežjem, s premikanjem in hojo. Fizioterapevtski postopki so vključevali vadbo za krepitev mišic celotnega telesa, splošne vzdržljivosti, izboljšanje ravnotežja in sposobnosti hoje ter funkcije levega zgornjega uda. Po zaključku bolnišnične obravnave je nadaljeval z ambulantno obravnavo. Pacientovo stanje smo ocenili s standardiziranimi merilnimi orodji. Rezultati: Pacient je izboljšal zmogljivost mišic zgornjih in spodnjih udov, ravnotežje, sposobnosti hoje in splošno vzdržljivost. Postopno je prišlo do aktivnosti posameznih mišičnih skupin levega zgornjega uda. Zaključek: S tem poročilom o primeru smo prikazali primer dobre fizioterapevtske prakse pri pacientu po COVID-19 z odpovedjo dihanja in s pridruženo okvaro perifernega živčevja.Background: With an increasing number of SARS-CoV-2 infections, a more significant number of patients with severe disease required long-term intensive care with mechanical ventilation. These patients have a general weakness, decreased muscle strength, and other problems. Impairment of peripheral nerves can also be an additional complication. Methods: A 61-year-old patient with complications after COVID-19 infection and respiratory failure underwent extended intensive care and mechanical ventilation. He also had severe brachial plexus lesion, with plegic muscles in left upper limb. He had general weakness and balance, mobility, and walking problems at admission to rehabilitation. Physiotherapy included exercise for muscles strengthening the whole body, general endurance, balance, walking, and upper limb function. After completing inpatient rehabilitation, he continued with outpatient treatment. The patient's condition was assessed with standardized measurement tools. Results: The patient improved upper and lower limb muscle strength, balance, walking ability and endurance. The muscle groups in the left upper limb were gradually activated. Conclusion: This case report on a patient after COVID-19 infection and respiratory failure with associated impairment of peripheral nerves presents an example of good physiotherapy practice. | |
| Descriptors | Rehabilitation COVID-19 | |
| Keywords | COVID-19 fizioterapija okvara perifernega živčevja zgornji ud premičnost COVID-19 physiotherapy peripheral nerve lesion upper limb mobility |