Your browser doesn't support javascript.
loading
Changes in Stroke Rehabilitation during the Sars-Cov-2 Shutdown in Switzerland.
Held, Jeremia P O; Schwarz, Anne; Pohl, Johannes; Thürlimann, Eva; Porrtmann, Silvan; Branscheidt, Meret; Fratian, Madalina; Van Duinen, Jannie; Veerbeek, Janne M; Luft, Andreas R.
Afiliación
  • Held JPO; Vascular Neurology and Neurorehabilitation, Department of Neurology, University Hospital and University Zurich, Zurich, Switzerland. jeremia.held@uzh.ch.
J Rehabil Med ; 54: jrm00272, 2022 Mar 01.
Article en En | MEDLINE | ID: mdl-34927210
INTRODUCTION: Many stroke survivors require continuous outpatient rehabilitation therapy to maintain or improve their neurological functioning, independ-ence, and quality of life. In Switzerland and many other countries, the shutdown to contain SARS-CoV-2 infections led to mobility restrictions and a decrease in therapy delivery. This study investigated the impact of the COVID-19 shutdown on stroke survivors' access to therapy, physical activity, functioning and mood. METHODS: A prospective observational cohort study in stroke subjects. At 4 time-points (before, during, after the shutdown, and at 3-month follow-up), the amount of therapy, physical activities, motor func-tion, anxiety, and depression were assessed. RESULTS: Thirty-six community-dwelling stroke subjects (median 70 years of age, 10 months post--stroke) were enrolled. Therapy reductions related to the shutdown were reported in 72% of subjects. This decrease was associated with significantly extended sedentary time and minimal deterioration in physical activity during the shutdown. Both parameters improved between reopening and 3-month follow-up. Depressive symptoms increased slightly during the observation period. Patients more frequently report-ed on self-directed training during shutdown. CONCLUSION: The COVID-19 shutdown had measurable immediate, but no persistent, effects on post--stroke outcomes, except for depression. Importantly, a 2-month reduction in therapy may trigger improvements when therapy is fully re-initiated thereafter.
Asunto(s)

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Accidente Cerebrovascular / Rehabilitación de Accidente Cerebrovascular / COVID-19 Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans / Infant País/Región como asunto: Europa Idioma: En Revista: J Rehabil Med Asunto de la revista: REABILITACAO Año: 2022 Tipo del documento: Article País de afiliación: Suiza

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Accidente Cerebrovascular / Rehabilitación de Accidente Cerebrovascular / COVID-19 Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans / Infant País/Región como asunto: Europa Idioma: En Revista: J Rehabil Med Asunto de la revista: REABILITACAO Año: 2022 Tipo del documento: Article País de afiliación: Suiza