Post-stroke rehabilitation in the peri-pandemic COVID-19 era.

Autor: Assylbek MI; Department of Neurology, Psychiatry, Neurosurgery and Rehabilitation, South Kazakhstan Medical Academy, Shymkent, Kazakhstan.; Department of Social Health Insurance and Public Health, South Kazakhstan Medical Academy, Shymkent, Kazakhstan.; Medical Center ''Mediker'', Shymkent, Kazakhstan., Kocyigit BF; Department of Physical Medicine and Rehabilitation, Adana Health Practice and Research Center, University of Health Sciences, Adana, Turkey. bfk2701@hotmail.com., Yessirkepov M; Department of Biology and Biochemistry, South Kazakhstan Medical Academy, Shymkent, Kazakhstan., Zimba O; Department of Clinical Rheumatology and Immunology, University Hospital in Krakow, Krakow, Poland.; National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.; Department of Internal Medicine N2, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
Jazyk: angličtina
Zdroj: Rheumatology international [Rheumatol Int] 2024 Mar; Vol. 44 (3), pp. 399-411. Date of Electronic Publication: 2024 Jan 23.
DOI: 10.1007/s00296-023-05520-1
Abstrakt: The coronavirus disease 2019 (COVID-19), which arose in late 2019, caused extensive destruction, impacting a substantial proportion of the worldwide population and leading to millions of deaths. Although COVID-19 is mainly linked to respiratory and pulmonary complications, it has the potential to affect neurologic structures as well. Neurological involvement may manifest as minimal and reversible; however, a notable proportion of cases have exhibited pronounced neurological consequences, such as strokes. Endothelial inflammation, hypercoagulation, renin-angiotensin-aldosterone system alterations, and cardiogenic embolism are the pathophysiological mechanisms of stroke under COVID-19 circumstances. Physical activity and exercise have improved several aspects of post-stroke recovery, including cardiovascular health, walking capacity, and upper limb strength. They are commonly used to assist stroke survivors in overcoming their motor restrictions. Furthermore, stroke rehabilitation can incorporate a range of specific techniques, including body-weight-supported treadmill applications, constraint-induced movement therapy, robotic rehabilitation interventions, transcranial direct current stimulation, transcranial magnetic stimulation, and prism adaptation training. Under pandemic conditions, there were several barriers to neurological rehabilitation. The most significant of these were individual's fear of infection, which caused them to postpone their rehabilitation applications and rehabilitation areas being converted into COVID-19 units. The primary emphasis had turned to COVID-19 treatment. Several valuable data and views were gained in reorganizing rehabilitation during the pandemic, contributing to establishing future views in this regard.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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