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. 2021 Oct 7;14(2):239–258. doi: 10.1002/pmrj.12669

TABLE 7.

Key recommendations from articles for COVID rehabilitation

Recommendation area Details
Timing of rehabilitation
  • Early and sustained provision of rehabilitation by multidisciplinary team.13, 16, 19, 23, 28, 52, 65, 70, 74, 76, 77, 117, 129

  • Specific suggestions for inclusion of speech language pathologist interventions early on in intensive care unit 72 and overall management by physical therapists. 106

Rehabilitation assessment
  • Patient triage recommended (eg, discharge, referral and tracking systems via telehealth). 35 , 104 , 122

  • Use of triage tool and a functional capacity tool to identify patients' rehabilitation needs recommended. 64 , 121

  • Collect patient demographics and intervention outcomes data. 123

Rehabilitation provision
  • Provide adequate personal protective equipment to clinicians. 114

  • Use negative pressure rooms when possible and limit number of health care workers in the room at a time. 114

Prescribing rehabilitation
  • Rehabilitation prescription should be personalized to each individual patient according to their comorbidities, stage of recovery, severity of symptoms, and place of care.13, 15, 23, 27, 40, 48, 66, 68, 72, 75, 76, 77, 118, 120, 122, 132, 133

  • Monitor patients throughout the rehabilitation process and assess for additional sequalae.42, 68, 132

  • Use telerehab for those recovering in the hospital with mild cases 107 , 122 , 124 and for prehabilitation protocols. 109

  • Provide rehabilitation interventions such as:
  • Should not provide early respiratory therapy (eg, diaphragmatic breathing, manual mobilization and active exercises). 60 , 73 , 122 , 127

  • Passive movement early on might be the best approach. 127

  • Engage in key psychological activities such as assessment of posttraumatic stress disorder, cognitive impairment, psychosocial impacts, and secondary adversities. 48 , 107

Discharge and community reintegration
  • Patients should receive educational and multidisciplinary support during discharge and ongoing rehabilitation to facilitate community reintegration.4, 13, 16, 19, 23, 27, 52, 61, 64, 67, 68, 72, 76, 127

  • Establish a link between community‐based rehabilitation programs and specialized rehabilitation centers. 110

  • Telerehab should be used for home‐based rehabilitation follow‐up.120, 124, 132

  • Rehabilitation pathways should consider those who are not admitted to the hospital. 108

Note: Citations bolded correspond to articles reporting primary data. The remaining references correspond to secondary data articles and guidelines.