The role of early rehabilitation in the ICU management of a severe COVID-19 patient: acase report

Abstract

Patients admitted to the intensive care unit (ICU) with severe COVID-19, are at high risk of developing ICU acquired weakness and deconditioning syndrome. Early rehabilitation is a critical therapeutic intervention to reduce the complications of immobilization. We present the case of a 51-year-old woman with acute respiratory distress syndrome (ARDS) due to COVID-19. The patient underwent early rehabilitation program, starting from her fourth day after ICU admission. The rehabilitation program included: (1) prone and semi- prone positioning; (2) respiratory exercises, such as diaphragmatic deep breathing, chest stretch, and effective coughing; (3) other exercises which included mobilization, range of motion exercises, and joint relaxation. The patient’s respiratory function eventually improved (as indicatedby improved SpO2. Her ability to perform activities of daily living also improved so that shewas able to walk independently to the toilet without respiratory distress. Although further research is required, this report suggests that patients with severe COVID-19 admitted to the ICU will benefit from early rehabilitation program.