The effect of rehabilitation and one year follow-up for a COVID-19 patient on prolonged mechanical ventilation
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- Ikeda Yumeko
- Rehabilitation Unit, Asahikawa Medical University Hospital
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- Oikawa Ou
- Department of Rehabilitation Medicine, Asahikawa Medical University Hospital
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- Muraoka Norihiko
- Rehabilitation Unit, Asahikawa Medical University Hospital
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- Tsukada Teppei
- Rehabilitation Unit, Asahikawa Medical University Hospital
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- Saida Yoshiyuki
- Rehabilitation Unit, Asahikawa Medical University Hospital
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- Ro Takanori
- Rehabilitation Unit, Asahikawa Medical University Hospital
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- Ota Tetsuo
- Department of Rehabilitation Medicine, Asahikawa Medical University Hospital
Bibliographic Information
- Other Title
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- 長期人工呼吸器管理となった80代のCOVID-19患者に対するリハビリテーション経過と一年後調査
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Abstract
<p>We herein report the outcomes of rehabilitation intervention for a patient in his 80s with chronic obstructive pulmonary disease on prolonged mechanical ventilation after COVID-19 infection. The patient was forced to be long-term bedridden due to respirator dependence, showing notable muscle weakness and needing full assistance for all of his activities of daily living (ADL). We implemented rehabilitation for the purposes of withdrawal from mechanical ventilation and improvement of his physical function. We provided a combination program of range of motion exercise, resistance training, and gradual mobilization, such as sitting on the edge of the bed, moving between the bed and wheelchair, sitting on the wheelchair, standing and walking. After rehabilitation for 24 days, the patient was withdrawn from mechanical ventilation, his muscle strength recovered to a level of 4 (Good) on manual muscle testing (MMT) and he became able to walk using a walker. A follow-up survey one year later confirmed that he performed ADL without assistance and returned to work.</p>
Journal
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- Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
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Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 60 (2), 184-190, 2023-04-25
The Japan Geriatrics Society
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Details 詳細情報について
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- CRID
- 1390577663470276736
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- ISSN
- 03009173
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed