Rehab Resources Specific to COVID-19

Please note: Due to the volume of resources in this category, resources published prior to June/July can be found on the following pages:

Resources published in June-October 2020 (Updated: October 21, 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.
 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.
Living with COVID: NIHR publishes dynamic themed review into ‘ongoing COVID’ (October 15, 2020) First dynamic themed review of the scientific evidence on, and lived experience of, long-term ‘ongoing’ COVID-19.
Rehabilitation and COVID-19: the Cochrane Rehabilitation 2020 rapid living systematic review (Sept 1, 2020) This rapid living systematic review is an update as of July 31, 2020 of the one the latest scientific literature informing rehabilitation of patients with COVID-19 and/or describing consequences of the disease and its treatment, as they relate to limitations in functioning of rehabilitation interest.
Management of post-acute covid-19 in primary care (August 11, 2020) This article, intended for primary care clinicians, relates to the patient who has a delayed recovery from an episode of COVID-19 that was managed in the community or in a standard hospital ward, including patients who may have serious sequelae (such as thromboembolic complications) and those with a non-specific clinical picture, often dominated by fatigue and breathlessness.
The Stanford Hall consensus statement for post-COVID-19 rehabilitation (August 2020) A review of evidence around rehabilitation following previous coronavirus infections which provides 32 evidence-based recommendations for post-Covid19 rehabilitation.
Systematic Review of Changes and Recovery in Physical Function and Fitness After Severe Acute Respiratory Syndrome–Related Coronavirus Infection: Implications for COVID-19 Rehabilitation (July 31, 2020) Study comparing the Physical function and fitness in people infected with COVID-19 to healthy controls and duration of impairment post infection.
Society of swallowing and dysphagia of Japan: Position statement on dysphagia management during the COVID-19 outbreak (July 23, 2020) Outlines specific infection countermeasures that should be implemented in the treatment of patients with dysphagia.
Early rehabilitation in post-acute COVID-19 patients: data from an Italian COVID-19 rehabilitation unit and proposal of a treatment protocol. A cross-sectional study (July 15, 2020) The authors characterize pulmonary function and disability status in post acute COVID-19 patients admitted to an Italian Rehabilitation Unit and propose an early patient-tailored rehabilitation protocol according to their pulmonary function.
Perspectives on Research and Health Practice in Physical and Occupational Therapy in Geriatrics during and Post COVID-19 (July 3, 2020) Editorial commentary on how physical and occupational therapy in geriatrics may consider changing assessment and treatment practices within the context of the COVID-19 pandemic.
The Post-COVID-19 Functional Status (PCFS) Scale: a tool to measure functional status over time after COVID-19 (July 2, 2020) This correspondence is a call for action to use and validate ordinal scales such as the one proposed by the authors for determining functional recovery of COVID-19. The full manual for patients and physicians or study personnel is available from https://osf.io/qgpdv  (free of charge).
Injury-Prone: Peripheral nerve injuries associated with prone positioning for COVID-19-related acute respiratory distress syndrome (July 2, 2020) Article reviews 11 cases in a Chicago inpatient rehab program where prone positioning, associated with mechanical ventilation due to COVID-19 in acute care, resulted in focal/multifocal peripheral nerve injury. Highlights the need to refine standard prone positioning protocols to reduce this risk of associated injury.
Rehabilitation after COVID-19: an evidence-based approach (July 2020) Article discusses how the medical aspects of COVID-19 relate to rehabilitation and when referral to rehabilitation is appropriate; outlines rehabilitation interventions with supporting evidence; and discusses how COVID-19 might precipitate change and improve UK rehabilitation services so that most COVID-19 patients could receive rehabilitation.
 Frail Seniors: Guidance on Best Practice Rehabilitative Care in the Context of COVID-19 (June 30, 2020) RCA Guidance Document providing best practice recommendations to guide provision of rehabilitative care services to frail seniors and guidance on what should be considered as these services are reopened.
Support for Rehabilitation Self-Management after COVID-19- Related Illness (June 25, 2020) Leaflet published by the WHO provides basic exercises and advice on: managing breathlessness, exercising after leaving hospital, problems with voice, managing stress and other issues related to COVID-19 recovery
 Toronto Star feature story (June 21, 2020) Story describing the important role rehab will play for individuals recovering from COVID-19.
Personalized recovery of severe COVID19: Rehabilitation from the perspective of patient needs (June 19, 2020) Editorial article published out of the Netherlands. Provides an overview of the impact that long term hospitalization or ICU treatment due to COVID-19 can have on patients’ pulmonary, physical, psychological and cognitive status. The authors stress the need for patient centred rehab assessment and intervention.
Systematic rapid living review on rehabilitation needs due to COVID-19: update to May 31st 2020 (June 16, 2020) This is the third systematic ‘living review’ of papers published in May 2020 that address rehabilitation needs due to the COVID-19 pandemic. Reviewers indicate that patients with disability, regardless of COVID-19 infection, are suffering because of restrictions imposed to rehab service delivery. Neurological involvement is often present during the acute and post-acute stage, illustrating the risk of a long-lasting disability. Reviewers found the main gap in the available scientific literature is the lack of high quality primary studies and that experimental studies on the effects of rehabilitation are still warranted.
Guide for treating community dwelling older people post COVID-19 Isolation (“Cocooning”) (June 11, 2020) Guidance document developed by the Chartered Physiotherapists in Neurology and Gerontology in Ireland for physiotherapists looking to support their patients to be active and self-manage long term conditions during the pandemic where access to face-to-face healthcare is extremely limited.
Guide for treating older people post COVID-19 in hospital, post-acute care and the community (June 11, 2020) Document by the Irish Society of Chartered Physiotherapists outlining the management of older people and their recovery pathway post COVID-19. The document is divided into three sections: initial presentation and identification of COVID-19 in older people including acute hospital management; post-acute rehabilitation and community based management and includes recommendations for outcome measures.
Neurological Manifestation of COVID-19 and the Enhanced Role of Physiatrists (June 10, 2020) Provides an overview of the neurological symptoms associated with COVID-19 in hospitalized patients and discusses the impact of the findings on the practice for physiatrists.