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Rehab Resources Specific to COVID-19

Updated: May 29, 2020
 Patient Oriented Discharge Summary (PODS) for COVID-19 Resources from UHN Patient Education and partners include a COVID-19 PODS template, patient education handout and PODS best practices.
 Provincial COVID-19 educational resource Information on infection control, bioethics, palliative care, team-based models of care, rehabilitation, wellness & resilience. Content will be updated periodically. Login required.
The Post-COVID-19 Functional Status (PCFS) Scale: a tool to measure functional status over time after COVID-19 (2020) Letter to the editor recommending use and validation of original scales for determining functional recovery from COVID-19.
Nutritional management of COVID-19 patients in a rehabilitation unit (May 20, 2020) Provides an overview of the considerations for nutritional assessment and treatment of patients post COVID-19.
COVID-19 Pandemic. What Should PRM Specialists Do? A Clinician's Perspective (May 19 2020) Clinical perspectives of a group of 11 physical medicine and rehabilitation specialists from Europe and North America on the rehabilitation needs of survivors of COVID-19, evidence- and clinical-based treatment options, and suggestions for the structure, management and delivery of rehabilitation services.
Systematic Rapid Living Review on Rehabilitation Needs Due to Covid-19: Update to April 30th 2020 (May 15, 2020) This is a second systematic ‘living review’ of papers published in April 2020 that address rehabilitation needs due to the COVID-19 pandemic. Finding of increasing evidence on rehab needs in April 2020.
A Game Plan for the Resumption of Sport and Exercise After Coronavirus Disease 2019 (COVID-19) Infection (May 13, 2020) Consensus expert opinion from members of the American College of Cardiology’s Sports & Exercise Cardiology Council. Includes a clinical framework and COVID-19 Return-to-Play Algorithm for Competitive Athletes and Highly Active People.
 Recommendations for an Approach to the Provision of Cardiovascular Rehabilitation during COVID-19 in Ontario (May 12, 2020) Memo from CorHealth includes general guidance for the provision of cardiovascular rehabilitation during COVID-19 based on current practice and available evidence.
Rehabilitation in the wake of COVID-19 - A phoenix from the ashes (May 11, 2020) 2nd Edition working paper by the British Society of Rehabilitation Medicine outlines recommendations for rehabilitation services and the role of specialist rehabilitation to support patients with more complex rehabilitation needs. The guidance is for both patients who have had COVID-19 and other patients leaving intensive and acute care after severe illness.
Point of care procedures in physiatry: Practice considerations during the COVID-19 pandemic (May 8, 2020) Outlines considerations for the provision of physiatry services within the context of broader recommendations for physicians to postpone elective procedures
Up to 2.2 million people experiencing disability suffer collateral damage each day of COVID-19 lockdown in Europe (May 8, 2020) Survey of 38 countries by the three European Bodies of Physical and Rehabilitation Medicine to determine the impact of the COVID-19 pandemic on rehabilitation of people experiencing disability in Europe.
COVID-19: The challenge of patient rehabilitation after intensive care (May 6, 2020) Highlights the physical, cognitive and psychological rehabilitation required by patients after COVID-related ICU admission. Includes case studies.
 Considerations for Post-acute Rehabilitation for Survivors of COVID-19 (May 4, 2020)  Report by Bruyère Research Institute provides an overview of the physical, cognitive and psychosocial presentation of survivors; treatments; and procedures required in a rehab department.
Rehabilitation considerations during the COVID-19 outbreak (April 28, 2020) Report by the Pan American Health Organization outlines how rehabilitation improves outcomes of patients with severe cases of COVID-19 and benefits health services and the importance of continuity of rehabilitation for non-COVID-19 patients.
 COVID-19 – What We Know So Far About…Clinical Severity (April 24, 2020) Overview from Public Health Ontario of published and unpublished reports. Webpage includes other similar reports.
 Rehabilitation for Patients with COVID-19: Guidance for Occupational Therapists, Physical Therapists, Speech-Language Pathologists, and Assistants (April 24, 2020)

Developed by the School of Rehabilitation Science at McMaster University, this living document consolidates findings from resources for frontline rehabilitation professionals.

Survivors’ Burden (April 24, 2020) Brief commentary on the risk of long-term disability and illness as a result of COVID-19 and critical care admission.
COVID-19: Information for the Respiratory Community. Scroll down the page to view the – Pulmonary Rehabilitation resource pack (April 23, 2020) Resource pack is a resource for professionals conducting remote assessments during the COVID-19 pandemic and supports pulmonary rehabilitation while face-to-face pulmonary rehab is not possible.
Long-Term clinical outcomes in survivors of Coronavirus outbreaks after hospitalization in ICU or ICU admission: A systematic review and meta-analysis of follow-up studies (April 22, 2020) Collates long-term complications seen following previous coronavirus outbreaks (SARS and MERS) in those who required hospitalization or ICU stay and outlines the implications for rehabilitation and mental health services.
Telemedicine from research to practice during the pandemic. “Instant paper from the field” on rehabilitation answers to the Covid-19 emergency (April 22, 2020)

Reports the contents of the third Italian Society of Physical and Rehabilitation Medicine webinar on Covid-19 impact on rehabilitation.

 Practical Considerations for Implementing Virtual Care in Physical Medicine and Rehabilitation: For the Pandemic and Beyond (April 21, 2020) Article outlines a practical approach to quickly implementing virtual care for physiatrists and reviews strategies for performing virtual physical exams and engaging learners in virtual care.
When Physical Medicine and Rehabilitation became Medicine—Life in the Time of COVID-19 (April 21, 2020) Describes how an acute rehab unit in a New York City hospital was transitioned to a medical unit and outlines lessons learned.
Guidelines of clinical practice for the management of swallowing disorders and recent dysphonia in the context of the COVID-19 pandemic (April 20, 2020) Preliminary recommendations from the French Otorhinolaryngology – Head and Neck Surgery Society (SFORL).
 Recommendations for an Ontario Approach to the Provision of Stroke Rehabilitation During COVID-19 (April 20, 2020) Memo from CorHealth includes general guidance for the provision of stroke rehabilitation during COVID-19 based on current practice and available evidence.
The role of physical and rehabilitation medicine in the COVID-19 pandemic: the clinician’s view (April 18, 2020) Editorial provides an overview of the clinical features of COVID-19 and describes the role of physical medicine and rehabilitation specialists to reduce disability and help re-establish and optimize the function of the acute hospital setting.
 Canadian Stroke Best Practice Guidance During the COVID-19 Pandemic (April 17, 2020) Provides guidance on implementing evidence-based stroke care during the COVID-19 pandemic, based on expert opinion from the Canadian Stroke Best Practices Advisory Committee.
 Rehabilitation following critical illness in people with COVID-19 infection (April 10, 2020) Describes how rehabilitation providers will serve as an important link in the continuum of care, helping move patients on from acute sites to eventual discharge to the community. Likely impairment patterns, considerations for healthcare practitioner resilience, and organization of services to meet demand are discussed.
Recommendations on how to provide cardiac rehabilitation activities during the COVID-19 pandemic (April 8, 2020) Recommendations from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology (EAPC).
Report of an Ad-Hoc International Task Force to Develop an Expert-Based Opinion on Early and Short-Term Rehabilitative Interventions (After the Acute Hospital setting) in COVID-19 Survivors (April 3, 2020) A living document using expert-based opinion on early and short-term rehabilitative interventions in COVID-19 survivors after the acute hospital setting. 
Respiratory Rehabilitation in Elderly Patients with COVID-19: A Randomized Controlled Study (April 1, 2020) Investigates the effects of 6-week respiratory rehabilitation training on respiratory function, QoL, mobility and psychological function in elderly patients with COVID-19.
Joint statement on the role of respiratory rehabilitation in the COVID-19 crisis: the Italian position paper (March 30, 2020) Developed by several Italian medical societies, the statement summarises the evidence for rehabilitation for COVID-19 patients at various stages of the disease and across the continuum. Specific rehab recommendations are provided.
Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: Special focus in older people (March 24, 2020) Illustrates the importance of physical activity for older people during quarantine to maintain physiological function and guard against the mental and physical consequences and severity of COVID-19.
 Physiotherapy management for COVID-19 in the acute hospital setting. Recommendations to guide clinical practice (March 23, 2020) Developed by an international team of researchers and clinicians, the paper includes recommendations for physiotherapy workforce planning and preparation, a screening tool for determining physiotherapy requirements, and recommendations for physiotherapy treatments and PPE. The document is included on Quick ICU Training for COVID-19, an online resource from UofT and TAHSN clinicians, educators and scientists.
Please note: This document recommends use of airborne precautions; however, updated recommendations from Public Health Ontario (April 10, 2020) indicate that surgical masks may be used during routine care.
Navigating Coronavirus Disease 2019 (Covid-19) in Physiatry: A CAN report for Inpatient Rehabilitation Facilities (March 20, 2020) Discusses how a “conditions, actions, needs” (CAN) report can be used to aid Physical Medicine and Rehabilitation specialists in acute Inpatient Rehabilitation Facilities (IRFs) to navigate patient care during this public health emergency.
Handbook of COVID-19 Prevention and Treatment - The First Affiliated Hospital, Zhejiang University School of Medicine (March 18, 2020) Based on the guidelines from the National Health Commission of China, the handbook summarizes clinical experience in caring for COVID-19 patients, including a short section on rehabilitation.
2019 New Corona Virus Pneumonia Respiratory Rehabilitation Guidance (Second Edition) (February 28, 2020)
Note: The English version of this document can be accessed using Google Chrome. Hover your cursor on the far right of URL address bar to access the translate function.
Developed by numerous medical associations in China, the guide combines evidence and opinions of front-line clinical experts, including clinicians from Wuhan and other cities in Hubei Province. Work is underway on a 3rd edition that will provide more detailed guidance on home respiratory rehabilitation.
 COVID-19 resources provided by the Regional Geriatric Program of Toronto and the RGPs of Ontario Resources include information on delirium, communication and immobility.
Pulmonary Rehabilitation Resources in a Complex and Changing World Developed by the American Association of Cardiovascular and Pulmonary Rehabilitation.