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2020 ; 64
(10
): 1811-1813
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gab.com Text
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Respiratory rehabilitation for post-COVID19 patients in spa centers: first steps
from theory to practice
#MMPMID32710297
Antonelli M
; Donelli D
Int J Biometeorol
2020[Oct]; 64
(10
): 1811-1813
PMID32710297
show ga
With this correspondence, we would like to briefly outline a practical
perspective about a possible integrative and effective management in spa settings
of COVID-19 long-term sequelae, with a keen focus on post-infective lung damage
and fibrosis, which is expected to become epidemiologically relevant in the
general population. In order to outline a standard/baseline model of care, we
think that it can be useful to refer to already existing rehabilitative plans
with a long-standing tradition in Italy, such as those ones prescribed for
work-related respiratory diseases like pneumoconiosis, in which long-term
outcomes share some clinical characteristics with post-infective lung fibrosis.
Such programs include diagnostic procedures (spirometry, ECG, blood tests) and
treatments like respiratory physio-kinesiotherapy and postural drainage of the
lungs; mechanical pulmonary ventilation for rehabilitative purposes, with or
without drugs, along with standard medical and, when required, oxygen therapy;
inhalation therapies with mineral waters; physical activity and psychological
support. In conclusion, we believe that spa facilities can be a proper setting
for respiratory rehabilitation and that already existing programs employed in
occupational medicine can be a good starting point to plan rehabilitative
strategies for post-COVID-19 patients. In particular, health spa centers can be
useful not only to offer tailored programs of physical rehabilitation but also to
provide patients with a psychologically supportive and health-promoting
environment. Further studies on the topic are advised to properly assess and
quantify with adequate outcome measurements the beneficial effect of a spa-based
rehabilitative program in post-COVID-19 patients.