Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 May 12;66(2):104-120.
doi: 10.5606/tftrd.2020.6444. eCollection 2020 Jun.

Pulmonary rehabilitation principles in SARS-COV-2 infection (COVID-19): A guideline for the acute and subacute rehabilitation

Yeşim Kurtaiş Aytür  1 , Belma Füsun Köseoğlu  2 , Özden Özyemişçi Taşkıran  3 , Nilüfer Kutay Ordu-Gökkaya  4 , Sibel Ünsal Delialioğlu  5 , Birkan Sonel Tur  1 , Selda Sarıkaya  6 , Hülya Şirzai  7 , Tülay Tekdemir Tiftik  8 , Ebru Alemdaroğlu  8 , F Figen Ayhan  9 , Burcu Duyur Duyur Çakıt  10 , Aysun Genç  1 , İbrahim Gündoğdu  11 , Rengin Güzel  12 , Derya Demirbağ Karayel  13 , Başak Bilir Kaya  14 , Öznur Öken  15 , Hande Özdemir  13 , Feray Soyupek  16 , Canan Tıkız  17
Affiliations

Pulmonary rehabilitation principles in SARS-COV-2 infection (COVID-19): A guideline for the acute and subacute rehabilitation

Yeşim Kurtaiş Aytür et al. Turk J Phys Med Rehabil. .

Abstract

Coronavirus disease 2019 (COVID-19) is a contagious infection disease, which may cause respiratory, physical, psychological, and generalized systemic dysfunction. The severity of disease ranges from an asymptomatic infection or mild illness to mild or severe pneumonia with respiratory failure and/or death. COVID-19 dramatically affects the pulmonary system. There is a lack of knowledge about the long-term outcomes of the disease and the possible sequelae and rehabilitation. This clinical practice guideline includes pulmonary rehabilitation (PR) recommendations for adult COVID-19 patients and has been developed in the light of the guidelines on the diagnosis and treatment of COVID-19 provided by the World Health Organization and Republic of Turkey, Ministry of Health, recently published scientific literature, and PR recommendations for COVID-19 regarding basic principles of PR. In this guideline, the contagiousness of COVID-19, recommendations on limited contact of patient with healthcare providers, and the evidence about possible benefits of PR were taken into consideration.

Keywords: COVID-19; guideline. pulmonary rehabilitation; severe acute respiratory syndrome.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Figures

Figure 1
Figure 1. An algorithm of pulmonary rehabilitation recommendations in COVID-19. PR: Pulmonary rehabilitation; PMR: Physical medicine and rehabilitation; ARDS: Acute respiratory distress syndrome; PPE: Personal protective equipment; SpO2: Oxygen saturation.
Appendix 1
Appendix 1. COVID-19 Clinical Classification of World Health Organization[20]
Appendix 2
Appendix 2. Exercises and other approaches used in pulmonary rehabilitation
See this image and copyright information in PMC

References

    1. Coronavirus Disease 2019 (COVID-19) Technical Guidance. Available at: https://www.who.int/health-topics/coronavirus#tab=tab_1 .
    1. COVID-19 (SARS-CoV-2 Enfeksiyonu) Rehberi (Bilim Kurulu Calışması) 24 Nisan 2020 Erişim linki: https://covid19bilgi.saglik.gov.tr/depo/rehberler/COVID-19_ Rehberi.pdf. [Accessed: April 24, 2020]
    1. Jia HP, Look DC, Shi L, Hickey M, Pewe L, Netland J, et al. ACE2 receptor expression and severe acute respiratory syndrome coronavirus infection depend on differentiation of human airway epithelia. J Virol. 2005;79:14614–14621. - PMC - PubMed
    1. Wan Y, Shang J, Graham R, Baric RS, Li F. Receptor Recognition by the Novel Coronavirus from Wuhan: an Analysis Based on Decade-Long Structural Studies of SARS Coronavirus. e00127-20J Virol. 2020;94 - PMC - PubMed
    1. Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, et al. A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature. 2020;579:270–273. - PMC - PubMed