Japanese

Title	重症COVID-19罹患後3症例の身体機能の向上
Subtitle	症例報告
Authors	今井由里恵*1, 今井恵理哉*2, 石崎耕平*3, 市川忠*4, 藤原俊之*5
Authors (kana)
Organization	*1埼玉県総合リハビリテーションセンターリハビリテーション科, *2三井記念病院麻酔科, *3埼玉県総合リハビリテーションセンター理学療法科, *4埼玉県総合リハビリテーションセンター脳神経内科, *5順天堂大学大学院医学研究科リハビリテーション医学
Journal	The Japanese Journal of Rehabilitation Medicine
Volume	59
Number	6
Page	640-646
Year/Month	2022 / 6
Article	報告
Publisher	日本リハビリテーション医学会
Abstract	「はじめに」重症患者の増加に伴い, リハビリテーション領域でも新型コロナウイルス感染症(coronavirus disease 2019: COVID-19)患者にかかわる機会が増えてきた. COVID-19の生命予後や急性期の管理の報告は多数あるが, 機能予後に関してはまだ明らかではない. 重症COVID-19罹患後に良好な身体機能を獲得した3症例を経験したので報告する. なお, 本症例報告において3症例ともに本人の同意を得た. また個人は特定できないように配慮した. 「症例」「1. 症例1: 67歳男性」「社会的背景」: 病前日常生活動作(activities of daily living: ADL)は自立し, 通信関係の仕事を行っていた. 「現病歴」: X-70日に倦怠感, X-65日に発熱・呼吸困難が出現し近医受診, severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)のpolymerase chain reaction(PCR)検査陽性となりX-56日に前医に入院した. 同日気管内挿管・人工呼吸管理が開始された.
Practice	医療技術
Keywords	新型コロナウイルス感染症 (coronavirus disease 2019: COVID-19), 身体機能 (physical function), 集中治療後症候群 (post-intensive care syndrome: PICS)

English

Title	Improvement of Physical Function in Three Cases of Severe COVID-19
Subtitle
Authors	Yurie Imai*1, Eriya Imai*2, Kohei Ishizaki*3, Tadashi Ichikawa*4, Toshiyuki Fujiwara*5
Authors (kana)
Organization	*1Department of Rehabilitation, Saitama Rehabilitation Center, *2Department of Anesthesiology, Mitsui Memorial Hospital, *3Department of Physical Therapy, Saitama Rehabilitation Center, *4Department of Neurology, Saitama Rehabilitation Center, *5Department of Rehabilitation Medicine, Juntendo University Graduate School of Medicine
Journal	The Japanese Journal of Rehabilitation Medicine
Volume	59
Number	6
Page	640-646
Year/Month	2022 / 6
Article	Report
Publisher	The Japanese Association of Rehabilitation Medicine
Abstract	[Abstract] Many acute and subacute complications of coronavirus disease 2019 (COVID-19) have been reported. However, the recovery process in severely ill patients is not clear. Here, we report three patients with favorable physical function after severe COVID-19. All three patients were older than 65 years and had comorbidities such as diabetes mellitus, hypertension, and smoking habits. During respiratory failure, they received mechanical ventilation support for more than 4 days. Two patients had undergone tracheostomy, and one had undergone extracorporeal membrane oxygenation (ECMO). At the time of transfer to our hospital, they had lower-limb muscle weakness, respiratory distress on exertion, exercise-induced hypoxemia (EIH), and complications from immobility, such as peroneal nerve palsy. During rehabilitation, we monitored peripheral blood oxygen saturation, adjusted the work-load, and administered temporary orthotic therapy. The patients improved within 150 days after the onset of the disease, and they were discharged home and were able to walk as a practical means of transportation. Even after severe COVID-19, the patients achieved good physical function. Interventions for EIH and complications due to immobility were additionally necessary. In the future, we must examine the relationship between improvements in physical function and rehabilitation.
Practice	Medical technology
Keywords	coronavirus disease 2019: COVID-19, physical function, post-intensive care syndrome: PICS

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