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Batista KBC, Fernandez MV, Barberia LG, Silva ETD, Pedi VD, Pontes BMLM, Araujo G, Moreira RDS, Pedrosa M, Verotti MP, Henriques CMP, Florêncio AC, Amorim MMRD. [Overview of long COVID in Brazil: a preliminary analysis of a survey to think about health policies]. CAD SAUDE PUBLICA 2024; 40:e00094623. [PMID: 38695461 PMCID: PMC11057476 DOI: 10.1590/0102-311xpt094623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Revised: 12/28/2023] [Accepted: 02/08/2024] [Indexed: 05/06/2024] Open
Abstract
Characterized by symptoms that remain or appear for the first time within three months of SARS-CoV-2 infection, long COVID can manifest itself in different ways, including in non-hospitalized or asymptomatic cases. Thus, this study offers an overview of long COVID in Brazil, especially of its diagnosis, symptoms, and challenges for new health management. Data from a study that investigated long COVID in people affected by COVID-19 were used. These original data stem from a survey with adult Brazilians (aged 18 years or older) who had COVID-19 that collected information from March 14 to April 14, 2022, by a questionnaire on social media. The questionnaire addressed sociodemographic characteristics, history of COVID-19 infections, vaccination against the disease, investigation of health status and quality of life before and after COVID-19, and search and access to treatment. Of the 1,728 respondents, 720 were considered eligible for analysis, of which 496 (69%) had long COVID. Individuals with long COVID reported clinical manifestations such as anxiety (80%), memory loss (78%), generalized pain (77%), lack of attention (75%), fatigue (73%), hair loss (71%), sleep changes (70%), mood swings (62%), malaise (60%), and joint pain (59%). Most sought health services during and after the acute phase of COVID-19 (94 and 80%, respectively), representing the need to structure the healthcare system for these patients.
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Affiliation(s)
- Karina Barros Calife Batista
- Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil
- Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brasil
| | - Michelle Vieira Fernandez
- Universidade de Brasília, Brasília, Brasil
- Instituto Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, Brasil
| | | | | | - Vaneide Daciane Pedi
- Fiocruz Brasília, Fundação Oswaldo Cruz, Brasília, Brasil
- Ministério da Saúde, Brasília, Brasil
| | | | | | - Rafael da Silveira Moreira
- Instituto Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, Brasil
- Faculdade de Medicina, Universidade Federal de Pernambuco, Recife, Brasil
| | - Marcos Pedrosa
- Instituto Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, Brasil
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Huang Y, Yang B, Wong TWL, Ng SSM, Hu X. Personalized robots for long-term telerehabilitation after stroke: a perspective on technological readiness and clinical translation. FRONTIERS IN REHABILITATION SCIENCES 2024; 4:1329927. [PMID: 38259875 PMCID: PMC10800453 DOI: 10.3389/fresc.2023.1329927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Accepted: 12/21/2023] [Indexed: 01/24/2024]
Abstract
Stroke rehabilitation, which demands consistent, intensive, and adaptable intervention in the long term, faced significant challenges due to the COVID-19 pandemic. During this time, telerehabilitation emerged as a noteworthy complement to traditional rehabilitation services, offering the convenience of at-home care delivery and overcoming geographical and resource limitations. Self-help rehabilitation robots deliver repetitive and intensive physical assistance, thereby alleviating the labor burden. However, robots have rarely demonstrated long-term readiness for poststroke telerehabilitation services. The transition from research trials to general clinical services presents several challenges that may undermine the rehabilitative gains observed in these studies. This perspective discusses the technological readiness of personal use robots in the context of telerehabilitation and identifies the potential challenges for their clinical translation. The goal is to leverage technology to seamlessly integrate it into standard clinical workflows, ultimately enhancing the outcomes of stroke rehabilitation.
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Affiliation(s)
- Yanhuan Huang
- Department of Biomedical Engineering, Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China
| | - Bibo Yang
- Department of Biomedical Engineering, Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China
| | - Thomson Wai-Lung Wong
- Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China
| | - Shamay S. M. Ng
- Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China
| | - Xiaoling Hu
- Department of Biomedical Engineering, Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China
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Bossuyt FM, Bogdanova Y, Kingsley KT, Bergquist TF, Kolakowsky-Hayner SA, Omar Z, Popova ES, Tobita M, Constantinidou F. Evolution of rehabilitation services in response to a global pandemic: reflection on opportunities and challenges ahead. FRONTIERS IN REHABILITATION SCIENCES 2023; 4:1173558. [PMID: 37255738 PMCID: PMC10226080 DOI: 10.3389/fresc.2023.1173558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 04/21/2023] [Indexed: 06/01/2023]
Abstract
The rapidly evolving COVID-19 public health emergency has disrupted and challenged traditional healthcare, rehabilitation services, and treatment delivery worldwide. This perspective paper aimed to unite experiences and perspectives from an international group of rehabilitation providers while reflecting on the lessons learned from the challenges and opportunities raised during the COVID-19 pandemic. We discuss the global appreciation for rehabilitation services and changes in access to healthcare, including virtual, home-based rehabilitation, and long-term care rehabilitation. We illustrate lessons learned by highlighting successful rehabilitation approaches from the US, Belgium, and Japan.
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Affiliation(s)
- Fransiska M. Bossuyt
- Neuro-musculoskeletal Functioning and Mobility Group, Swiss Paraplegic Research, Nottwil, Switzerland
| | - Yelena Bogdanova
- Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States
- Physical Medicine & Rehabilitation, VA Boston Healthcare System, Boston, MA, United States
| | - Kristine T. Kingsley
- Institute of Emotional and Cognitive Wellness, New York, NY, United States
- Department of Psychology, Teachers College, Columbia University, New York, NY, United States
| | - Thomas F. Bergquist
- Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, United States
| | | | - Zaliha Binti Omar
- Department of Rehabilitation Medicine, University Malaya, Kuala Lumpur, Malaysia
- Department of Rehabilitation Medicine 1, Fujita Health University, Aichi, Japan
| | - Evguenia S. Popova
- Department of Occupational Therapy, Rush University, Chicago, IL, United States
| | - Mari Tobita
- Rancho Los Amigos National Rehabilitation Center, Downey, CA, United States
- Rancho Research Institute, Downey, CA, United States
| | - Fofi Constantinidou
- Center for Applied Neuroscience & Department of Psychology, University of Cyprus, Nicosia, Cyprus
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Uddin T, Ahmed B, Shoma FK. Relations between indoor rehabilitation and basic health services in a developing country. FRONTIERS IN REHABILITATION SCIENCES 2023; 4:1001084. [PMID: 36761089 PMCID: PMC9905241 DOI: 10.3389/fresc.2023.1001084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/22/2022] [Accepted: 01/02/2023] [Indexed: 01/26/2023]
Abstract
Background and Introduction: Physical rehabilitation is vital for patients to regain maximum function. Approximately 80% of people with a disability live in developing countries, where they face multiple challenges in rehabilitation. The goal of the study was to conduct an analysis of indoor rehabilitation programs based on the demographics and medical conditions of the admitted patients and to relate to the available basic health and rehabilitation facilities. Methods This was a mixed method study conducted in an inpatient rehabilitation ward of a tertiary level academic university hospital in a developing country. All admitted patients who stayed for a period of minimum two weeks were included in the study. Demographic and clinical data were obtained by means of a retrospective medical record review utilizing a standardized data extraction form. The study was further strengthened by an online literature search for the available documents for analysis, relation, and discussion. Results Among the 1,309 admitted patients was male- female ratio was 10:7, with the majority (31.4%) cases falling between the ages of 46 and 60yrs. Rehabilitation outpatient department was the principal mode of admission (78%), and musculoskeletal and neurological conditions represented the maximum number (79.8%). Majority of patients (60.8%) were discharged home on completion of the rehabilitation program with a large number of patients who were absconded. Poor health budget allocation and lack of prioritization of the rehabilitation sector face multiple challenges, including the rehabilitation team functioning resources, space crisis for expansion which was further impacted by the COVID-19 pandemic. Conclusions The country's current health-related rehabilitation process and socio-demographic variables have a negative relationship. There was a large number of missing data in the medical records and many patients were lost prematurely from the indoor rehabilitation program. Musculoskeletal disorders were common, and the majority of patients were discharged home once the program was completed.
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Uddin T. "Leadership in Rehabilitation Teamwork: Challenges for Developing Countries". FRONTIERS IN REHABILITATION SCIENCES 2022; 3:1070416. [PMID: 36619531 PMCID: PMC9810979 DOI: 10.3389/fresc.2022.1070416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 12/01/2022] [Indexed: 12/24/2022]
Abstract
Physical rehabilitation medicine is a diverse specialty; its main objective is to provide comprehensive rehabilitation involving multiple health care professionals to optimize function and improve the quality of life for people with disabilities. There is an increase in the number of people with disabilities, and people with disabilities in lower income countries do not receive the required rehabilitation. Rehabilitation intervention includes functional assessment, rehabilitation goal setting, composition of the focused team and coordination of the team works, all of which require a highly skilled team leader. No single professional is likely to have all the necessary skills to achieve optimal results alone. There is a knowledge gap between the theory, existing situation, and practice in rehabilitation team functioning. In this short communication challenges for quality rehabilitation services were highlighted, including the importance of the leadership role of team functioning.
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Torres-Castro R, Neculhueque-Zapata X, Hrzic-Miranda K, Gutiérrez-Arias R, Valenzuela-Suazo R, Castro-Acuña C, Ríos-Quevedo M, Águila-Villanueva C, Seron P. How a Developing Country Faces COVID-19 Rehabilitation: The Chilean Experience. Front Public Health 2022; 10:924068. [PMID: 35875023 PMCID: PMC9298948 DOI: 10.3389/fpubh.2022.924068] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Accepted: 06/10/2022] [Indexed: 01/24/2023] Open
Abstract
The coronavirus 19 (COVID-19) pandemic has been one of the most significant challenges to public health in recent decades. The heterogeneity of government responses and the varying preparedness of health systems has determined that the pandemic's impact differs from country to country. Chile is no stranger to the challenges posed by rehabilitation in a developing country. We aimed to describe the approach to rehabilitation during the pandemic in Chile in the public health system since rehabilitation is considered a relevant health strategy from the prevention to management of complications, mitigation of sequelae, or new complications associated with COVID-19. For this, a descriptive study was conducted on the rehabilitation strategies implemented by Chile to respond to the COVID-19 pandemic. The analysis includes the context of the Chilean health system and the matrix of access to rehabilitation services in COVID-19. The Health Ministry (MINSAL) rehabilitation strategy includes five central axes: approaches, specific lines, transversal lines, intervention, and funding. Additionally, the policies were based and supported by the WHO recommendations. Intensive care unit beds were increased approximately 68%, and the primary care response was the reconversion of function depending on the epidemiological context. During the 2021-2022 period, the estimated number of people diagnosed with a post-COVID-19 condition was 80,528. With this, we can conclude that a developing country has managed to coordinate a rehabilitation policy for people with COVID-19 by generating a structure of the different health system levels. However, the effectiveness of this policy will need to be evaluated in the future.
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Affiliation(s)
| | - Ximena Neculhueque-Zapata
- Department of Rehabilitation and Disability, Subsecretary of Public Health, Ministry of Health, Santiago, Chile
| | - Katherina Hrzic-Miranda
- Department of Rehabilitation and Disability, Subsecretary of Public Health, Ministry of Health, Santiago, Chile
| | - Ruvistay Gutiérrez-Arias
- Servicio de Medicina Física y Rehabilitación, Instituto Nacional del Tórax, Santiago, Chile.,Exercise and Rehabilitation Sciences Laboratory, Faculty of Rehabilitation Sciences, School of Physical Therapy, Universidad Andres Bello, Santiago, Chile
| | - Raúl Valenzuela-Suazo
- Department of Rehabilitation and Disability, Subsecretary of Public Health, Ministry of Health, Santiago, Chile
| | - Cristobal Castro-Acuña
- Department of Rehabilitation and Disability, Subsecretary of Public Health, Ministry of Health, Santiago, Chile
| | - Marianela Ríos-Quevedo
- Department of Rehabilitation and Disability, Subsecretary of Public Health, Ministry of Health, Santiago, Chile
| | - Camilo Águila-Villanueva
- Department of Rehabilitation and Disability, Subsecretary of Public Health, Ministry of Health, Santiago, Chile
| | - Pamela Seron
- Internal Medicine Department and CIGES, Faculty of Medicine, Universidad de La Frontera, Temuco, Chile
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