Patients who survive Covid-19 may need this treatment Covid-19 infection can cause many damages in the body. Ankara City Hospital Physical Therapy and Rehabilitation Hospital Chief Physician Prof. Dr. Evren Yaşar stated that muscle melting can be seen due to both inactivity and drugs used, and that patients who survived Covid-19 may need physical therapy.
Stating that patients with Covid-19 infection may develop muscle wasting depending on the length of stay or the drugs used, Ankara City Hospital Physical Therapy and Rehabilitation Hospital Chief Physician Prof. Dr. Evren Yaşar said, “It is very important for patients with Covid-19 to move as much as possible and to be mobilized during this period, especially for our patients who spend at home. It is also important that they rest and drink plenty of fluids in the interim periods in terms of the course of the disease and easy overcome. This can have devastating consequences in patients who are hospitalized due to Covid-19 and especially in patients with pneumonia.
Patients stay still for a long time during the intensive care period. Accordingly, patients should be mobilized slowly after intubation, especially in intubated patients. We are trying to restore these patients' health with a number of exercises. Of course, this disease is very devastating and in fact, rest is the basis of the treatment of this disease.
We lay the patients with pneumonia face down, they breathe more easily. Of course, since they can stay in this position for 1 week or more than 1 week, we can see symptoms such as muscle wasting, low blood pressure and dizziness in these patients. During this period, together with our physiotherapist friends, we slowly move our patients to overcome the tension due to this position. During this period, we are trying to mobilize as much as possible. "We do not want them to worry about this after they are discharged, and after a certain period of time, their level of mobilization gradually increases," he said.
"We can see muscle loss due to both inactivity and drugs used"
Stating that Covid-19 patients should not be in an effort to move suddenly and should move slowly, Chief Physician Prof. Dr. Yaşar said, “The main thing to be careful about here is that we do not want heart rate monitoring, excessive blood pressure or excessive increase in heart rate. Therefore, it is very important for them to be mobilized on flat ground without climbing stairs and slopes in the beginning at a slow pace as possible. In this process, our patients continue this process by increasing their rest from time to time without putting too much pressure on them, and by lying face down at home and breathing more easily. As I said again in our intensive care patients, the process is a bit more difficult. This has complications.
In these patients, we can see muscle loss due to both immobility and drugs used. They should know that this meltdown may also come back and they will be mobilized gradually. This process can take up to 5 to 6 weeks. If the complaints still persist after 6 weeks, it should be known that pulmonary rehabilitation (respiratory therapy) will be needed. There is no requirement that every discharged patient will be taken to pulmonary rehabilitation. The important thing is mobilization and walking. Walking is very important. Patients found that their performance gradually increased in this regard.