Rehabilitation strategies in pediatric with Sars-CoV-2/Covid-19 infection
DOI:
https://doi.org/10.28957/rcmfr.v30spa4Keywords:
Rehabilitación, niños, discapacidad, Covid-19, coronavirus, Sars-CoV-2, 2019-nCoV.Abstract
Objective. To carry out a review of the literature on rehabilitation in children in times of the Covid-19 pandemic, synthesizing the recommendations set forth by international consensus documents and recent bibliography. Also, to expose the way in which these recommendations can be applied from tele-rehabilitation in the form of a multidisciplinary protocol.
Materials and methods. A bibliographic search of the existing literature and international consensus focused on the area of diagnosis, clinical presentation and rehabilitation in children during the Covid-19 pandemic was carried out, from January 1, 2020 to May 31, 2020, in the Pubmed, Science Direct, Clinical Key, Embase and Ovid databases. Later, guidelines were given regarding these recommendations to be implemented in the tele-rehabilitation modality.
Results. A total of 471 items were found and 34 of them met the inclusion criteria.
Conclusions. Child rehabilitation seeks to decrease the activity limitation and improve the participation in all environments, due to the current pandemic, the need for confinement has led to a large part of rehabilitation to be carried out at home through technological aids known as tele-rehabilit ation. We must not forget that this treatment must be interdisciplinary, focusing on the prevention of problems in the medium and long term; the impact of Covid-19 is still uncertain and rehabilitation should not stop, because the goal is to provide the tools for maximum functionality of all children.
Author Biography
Solimar Yonaira Alvarez Fajardo, Médico Residente de 1er. año en Medicina Física y Rehabilitación, Universidad El Bosque, Bogotá
Medico Residente de 1er año en medicina física y rehabilitación Universidad el Bosque
References
1. Esper F, Shapiro ED, Weibel C, Ferguson D, Landry ML, Kahn JS. Association Between a Novel Human Coronavirus and Kawasaki Disease. J Infec Dis. 2005;191(4):499-502. Disponible en: http://doi.org/10.1086/428291
2. Asbury K, Fox L, Deniz E, Code A, Toseeb U. How is COVID 19 affecting the mental health of children with special educational needs and disabilities and ther families?. J Autism Dev Disord. 2020;Jul 31:1-9. Disponible en: https://doi.org/10.1007/s10803-020-04577-2.
3. Beani E, Menici V, Ferrari A, Cioni G, Sgandurra G. Feasibility of a Home-Based Action Observation Training for Children With Unilateral Cerebral Palsy: An Explorative Study. Front Neurol. 2020;febrero28;11:16. Disponible en: https://dx.doi.org/10.3389%2Ffneur.2020.00016
4. Cason J. A Pilot Telerehabilitation Program: Delivering Early Intervention Services to Rural Families. Int J Te lerehabil. 2009;1(1):29-38. Disponible en: https://dx.doi.org/10.5195%2Fijt.2009.6007
5. Tan YP, Tan BY, Pan J, Wu J, Zeng SZ, Wei HY. Epidemiologic and clinical
haracteristics of 10 children with coronavirus disease 2019 in Changsha, China. J Clin Virol, 2020;127:104353. Disponible en: http://doi.org/10.1016/j.jcv.2020.104353
6. Robinson J, Freire D. Covid-19 – What does a paediatrician need to know? Paediatr Respir Rev. 2020;35:3-8. Disponible en: https://doi.org/10.1016/j.prrv.2020.05.001
7. Ebihara T, Endo R, Ma X, Ishiguro N, Kikuta H. Lack of Association between New Haven Coronavirus and Kawasaki Disease. J Infect Dis. 2005;192(2):351-352. Disponible en: https://doi.org/10.1086/430797
8. Verdoni L, Mazza A, Gervasoni A, Martelli L, Ruggeri M, Ciuffreda M, et al. Un brote de enfermedad grave similar al Síndrome de Kawasaki en el epicentro italiano de la epidemia de SARS-Cov-2: estudio de cohorte observacional. Colegio de Bioquímicos de la Provincia de Buenos Aires, 2020;14:1-10. Disponible en: http://colbiosa.com.ar/wp-content/uploads/2020/05/Documento-106.pdf. Disponible en: https://doi.org/10.1016/S0140-6736(20)31103-X
9. Dong E, Du H, Gardner L. An interactive web-based dashboard to track Covid-19 in real time. Lancet Infect Dis, 2020;20(5):533-534. Disponible en: https://doi.org/10.1016/S1473-3099(20)30120-1
10. Cohen B, Busis N, Ciccarelli L. Coding in the World of Covid-19: Non-Face-to-Face Evaluation and Management Care. Continuum. 2020;26(3):785-798. Disponible en: https://doi.org/10.1212/CON.0000000000000874
11. Dugas M, Carnovale V, Poirier AA, Mailot B, Skidmore B, Faust L, et al. Covid-19 in Children with Brain-Based Developmental Disabilities: A Rapid Review. MedRxiv, 2020:mayo 1:20088021. Disponible en: https://doi.org/10.1101/2020.05.01.20088021
12. De Rose DU, Piersigilli F, Ronchetti MP, Santidi A, Bersani I, Dotta A, et al.. Novel coronavirus disease (Covid-19) in newborns and infants: what we know so far. Ital J pediatr. 2020;46(1):56. Disponible en: https://doi.org/10.1186/s13052-020-0820-x
13. Lu Q, Shi Y. Coronavirus disease (Covid-19) and neonate: What neonatologist need to know. J Med Virol, 2020;92(6):564-567. Disponible en: https://doi.org/10.1002/jmv.25740
14. Hoehl S, Rabenau H, Berger A, Kortenbusch M, Cinatl J, Bojkova D, et al. Evidence of SARS-CoV-2 Infection in Returning Travelers from Wuhan, China. N Engl J Med. 2020;382(13):1278-1280. Disponible en: https://doi.org/10.1056/nejmc2001899
15. Santos MT, Moura C, Gomes LM, Lima AH, Moreira R, Silva C, et al. Telehealth application on the rehabilitation of children and adolescents. Rev Paul Pediatr. 2014;32(1):136-143. Disponible en: https://dx.doi.org/10.1590/S0103-05822014000100020
16. Narzisi, A. Handle the autism spectrum condition during coronavirus (Covid-19) stay at home period: Ten tips for helping parents and caregivers of young children. Brain Sci. 2020;10(4):207. Disponible en: https://doi.org/10.3390/brainsci10040207
17. Veerapandiyan A, Wagner K, Apkon S, McDonald C, Mathews K, Connolly A, Ciafaloni E. The care of patients with Duchenne, Becker, and other muscular dystrophies in the Covid-19 pandemic. Muscle & Nerve, 2020;62(1),41-45. Disponible en: https://doi.org/10.1002/mus.26902
18. Dufort E, Koumans E, Chow E, Rosenthal E, Muse A, Rowlands J, et al. Multisystem inflammatory syndrome in children in New York State. N Engl J Med. 2020;383:347-358. Disponible en: http://doi.org/10.1056/NEJMoa2021756
19. Pathak EB, Salemi JL, Sobers N, Menard J, Hambleton IR. Covid-19 in Children in the United States: Intensive Care Admissions, Estimated Total Infected, and Projected Numbers of Severe Pediatric Cases in 2020. J Public Health Manag Pract. 2020;26(4):325-333. Disponible en: https://doi.org/10.1097/phh.0000000000001190
20. Ludvigsson JF. Systematic review of Covid-19 in children shows milder cases and a better prognosis than adults. Acta Paediatr. 2020;109(6):1088-1095. Disponible en: https://doi.org/10.1111/apa.15270
21. McIntosh K. Coronaviruses in the Limelight. J Infect Dis. 2005;191(4):489-491. Disponible en: https://doi.org/10.1086/428510
22. Feldstein L, Rose E, Horwitz S, Collins J, Newhams M, Son M, et al. Multisystem Inflammatory Syndrome in US Children and Adolescents. N Engl J Med. 2020;383:334-346. Disponible en: http://doi.org/10.1056/NEJMoa2021680
23. Qiu H, Wu J, Hong L, Luo Y, Song Q, Chen D. Clinical and epidemiological features of 36 children with coronavirus disease 2019 (Covid-19) in Zhejiang, China: an observational cohort study. Lancet Infect Dis, 2020;20(6):689-696. Disponible en: https://doi.org/10.1016/S1473-3099(20)30198-5
24. Riphagen S, Gomez X, Gonzalez-Martinez C, Wilkinson N, Theocharis P. Hyperinf lammatory shock in children during Covid-19 pandemic. Lancet. 2020;395(10237):1607-1608. Disponible en: https://doi.org/10.1016/S0140-6736(20)31094-1
25. Sarsak H.Telerehabilitation services: A successful paradigm for occupational therapy clinical services? Int Phys Med Rehabil J. 2020;5(2):93-98. Disponible en: https://doi.org/10.15406/ipmrj.2020.05.00237
26. Spittle A, Morgan C, Olsen J, Novak I, Cheong JL. Early Diagnosis and Treatment of Cerebral Palsy in Children with a History of Preterm Birth. Clin Perinatol. 2018;45(3):409-420. Disponible en: https://doi.org/10.1016/j.clp.2018.05.011
27. Centers for Disease Control and Prevention [CDC]. Coronavirus Disease 2019 in Children — United States, February 12–April 2, 2020. MMWR Morb Mortal Wkly Rep. 69(14):422-426. Disponible en: http://dx.doi.org/10.15585/mmwr.mm6914e4
28. Jeng MJ. Coronavirus disease 2019 in children: Current status. J Chin Med Assoc. 2020;83(6):527-533. Disponible en: http://doi.org/10.1097/JCMA.0000000000000323
29. Wan S, Xiang Y, Fang W, Zheng, Li B, Hu Y, et al. Clinical features and treatment of Covid-19 patients in northeast Chongqing. J Med Virol. 2020;92(7):797-806. Disponible en: https://doi.org/10.1002/jmv.25783
30. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical Characteristics of 138 Hospitalized Patients with 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-1069. Disponible en: https://dx.doi.org/10.1001%2Fjama.2020.1585
31. Camden C, Pratte G, Fallon F, Couture M, Berbari J, Tousignant,M. Diversity of practices in telerehabilitation for children with disabilities and effective intervention characteristics: results from a systematic review. Disabil Rehabil. 2019;abril 12:1-13. Disponible en: https://doi.org/10.1080/09638288.2019.1595750
32. Koh G, Hoenig H. How should the rehabilitation community prepare for 2019-nCoV?. Arch Phys Med Rehabil. 2020;101(6):1068-1071. Disponible en: https://dx.doi.org/10.1016/ j.apmr.2020.03.003
33. Ray K, Mehrotra A, Yabes J, Kahn J. Telemedicine and Outpatient Subspecialty Visits among Pediatric Medicaid Beneficiaries. Acad Pediatr. 2020;20(5):642-651. Disponible en:
https://doi.org/10.1016/j.acap.2020.03.014
34. Goldschmidt K. The Covid-19 Pandemic: Technology use to Support the Wellbeing of Children. J Pediatr Nurs. 2020;53:88-90. Disponible en: https://dx.doi.org/10.1016%2Fj.pedn.2020.04.013
2. Asbury K, Fox L, Deniz E, Code A, Toseeb U. How is COVID 19 affecting the mental health of children with special educational needs and disabilities and ther families?. J Autism Dev Disord. 2020;Jul 31:1-9. Disponible en: https://doi.org/10.1007/s10803-020-04577-2.
3. Beani E, Menici V, Ferrari A, Cioni G, Sgandurra G. Feasibility of a Home-Based Action Observation Training for Children With Unilateral Cerebral Palsy: An Explorative Study. Front Neurol. 2020;febrero28;11:16. Disponible en: https://dx.doi.org/10.3389%2Ffneur.2020.00016
4. Cason J. A Pilot Telerehabilitation Program: Delivering Early Intervention Services to Rural Families. Int J Te lerehabil. 2009;1(1):29-38. Disponible en: https://dx.doi.org/10.5195%2Fijt.2009.6007
5. Tan YP, Tan BY, Pan J, Wu J, Zeng SZ, Wei HY. Epidemiologic and clinical
haracteristics of 10 children with coronavirus disease 2019 in Changsha, China. J Clin Virol, 2020;127:104353. Disponible en: http://doi.org/10.1016/j.jcv.2020.104353
6. Robinson J, Freire D. Covid-19 – What does a paediatrician need to know? Paediatr Respir Rev. 2020;35:3-8. Disponible en: https://doi.org/10.1016/j.prrv.2020.05.001
7. Ebihara T, Endo R, Ma X, Ishiguro N, Kikuta H. Lack of Association between New Haven Coronavirus and Kawasaki Disease. J Infect Dis. 2005;192(2):351-352. Disponible en: https://doi.org/10.1086/430797
8. Verdoni L, Mazza A, Gervasoni A, Martelli L, Ruggeri M, Ciuffreda M, et al. Un brote de enfermedad grave similar al Síndrome de Kawasaki en el epicentro italiano de la epidemia de SARS-Cov-2: estudio de cohorte observacional. Colegio de Bioquímicos de la Provincia de Buenos Aires, 2020;14:1-10. Disponible en: http://colbiosa.com.ar/wp-content/uploads/2020/05/Documento-106.pdf. Disponible en: https://doi.org/10.1016/S0140-6736(20)31103-X
9. Dong E, Du H, Gardner L. An interactive web-based dashboard to track Covid-19 in real time. Lancet Infect Dis, 2020;20(5):533-534. Disponible en: https://doi.org/10.1016/S1473-3099(20)30120-1
10. Cohen B, Busis N, Ciccarelli L. Coding in the World of Covid-19: Non-Face-to-Face Evaluation and Management Care. Continuum. 2020;26(3):785-798. Disponible en: https://doi.org/10.1212/CON.0000000000000874
11. Dugas M, Carnovale V, Poirier AA, Mailot B, Skidmore B, Faust L, et al. Covid-19 in Children with Brain-Based Developmental Disabilities: A Rapid Review. MedRxiv, 2020:mayo 1:20088021. Disponible en: https://doi.org/10.1101/2020.05.01.20088021
12. De Rose DU, Piersigilli F, Ronchetti MP, Santidi A, Bersani I, Dotta A, et al.. Novel coronavirus disease (Covid-19) in newborns and infants: what we know so far. Ital J pediatr. 2020;46(1):56. Disponible en: https://doi.org/10.1186/s13052-020-0820-x
13. Lu Q, Shi Y. Coronavirus disease (Covid-19) and neonate: What neonatologist need to know. J Med Virol, 2020;92(6):564-567. Disponible en: https://doi.org/10.1002/jmv.25740
14. Hoehl S, Rabenau H, Berger A, Kortenbusch M, Cinatl J, Bojkova D, et al. Evidence of SARS-CoV-2 Infection in Returning Travelers from Wuhan, China. N Engl J Med. 2020;382(13):1278-1280. Disponible en: https://doi.org/10.1056/nejmc2001899
15. Santos MT, Moura C, Gomes LM, Lima AH, Moreira R, Silva C, et al. Telehealth application on the rehabilitation of children and adolescents. Rev Paul Pediatr. 2014;32(1):136-143. Disponible en: https://dx.doi.org/10.1590/S0103-05822014000100020
16. Narzisi, A. Handle the autism spectrum condition during coronavirus (Covid-19) stay at home period: Ten tips for helping parents and caregivers of young children. Brain Sci. 2020;10(4):207. Disponible en: https://doi.org/10.3390/brainsci10040207
17. Veerapandiyan A, Wagner K, Apkon S, McDonald C, Mathews K, Connolly A, Ciafaloni E. The care of patients with Duchenne, Becker, and other muscular dystrophies in the Covid-19 pandemic. Muscle & Nerve, 2020;62(1),41-45. Disponible en: https://doi.org/10.1002/mus.26902
18. Dufort E, Koumans E, Chow E, Rosenthal E, Muse A, Rowlands J, et al. Multisystem inflammatory syndrome in children in New York State. N Engl J Med. 2020;383:347-358. Disponible en: http://doi.org/10.1056/NEJMoa2021756
19. Pathak EB, Salemi JL, Sobers N, Menard J, Hambleton IR. Covid-19 in Children in the United States: Intensive Care Admissions, Estimated Total Infected, and Projected Numbers of Severe Pediatric Cases in 2020. J Public Health Manag Pract. 2020;26(4):325-333. Disponible en: https://doi.org/10.1097/phh.0000000000001190
20. Ludvigsson JF. Systematic review of Covid-19 in children shows milder cases and a better prognosis than adults. Acta Paediatr. 2020;109(6):1088-1095. Disponible en: https://doi.org/10.1111/apa.15270
21. McIntosh K. Coronaviruses in the Limelight. J Infect Dis. 2005;191(4):489-491. Disponible en: https://doi.org/10.1086/428510
22. Feldstein L, Rose E, Horwitz S, Collins J, Newhams M, Son M, et al. Multisystem Inflammatory Syndrome in US Children and Adolescents. N Engl J Med. 2020;383:334-346. Disponible en: http://doi.org/10.1056/NEJMoa2021680
23. Qiu H, Wu J, Hong L, Luo Y, Song Q, Chen D. Clinical and epidemiological features of 36 children with coronavirus disease 2019 (Covid-19) in Zhejiang, China: an observational cohort study. Lancet Infect Dis, 2020;20(6):689-696. Disponible en: https://doi.org/10.1016/S1473-3099(20)30198-5
24. Riphagen S, Gomez X, Gonzalez-Martinez C, Wilkinson N, Theocharis P. Hyperinf lammatory shock in children during Covid-19 pandemic. Lancet. 2020;395(10237):1607-1608. Disponible en: https://doi.org/10.1016/S0140-6736(20)31094-1
25. Sarsak H.Telerehabilitation services: A successful paradigm for occupational therapy clinical services? Int Phys Med Rehabil J. 2020;5(2):93-98. Disponible en: https://doi.org/10.15406/ipmrj.2020.05.00237
26. Spittle A, Morgan C, Olsen J, Novak I, Cheong JL. Early Diagnosis and Treatment of Cerebral Palsy in Children with a History of Preterm Birth. Clin Perinatol. 2018;45(3):409-420. Disponible en: https://doi.org/10.1016/j.clp.2018.05.011
27. Centers for Disease Control and Prevention [CDC]. Coronavirus Disease 2019 in Children — United States, February 12–April 2, 2020. MMWR Morb Mortal Wkly Rep. 69(14):422-426. Disponible en: http://dx.doi.org/10.15585/mmwr.mm6914e4
28. Jeng MJ. Coronavirus disease 2019 in children: Current status. J Chin Med Assoc. 2020;83(6):527-533. Disponible en: http://doi.org/10.1097/JCMA.0000000000000323
29. Wan S, Xiang Y, Fang W, Zheng, Li B, Hu Y, et al. Clinical features and treatment of Covid-19 patients in northeast Chongqing. J Med Virol. 2020;92(7):797-806. Disponible en: https://doi.org/10.1002/jmv.25783
30. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical Characteristics of 138 Hospitalized Patients with 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-1069. Disponible en: https://dx.doi.org/10.1001%2Fjama.2020.1585
31. Camden C, Pratte G, Fallon F, Couture M, Berbari J, Tousignant,M. Diversity of practices in telerehabilitation for children with disabilities and effective intervention characteristics: results from a systematic review. Disabil Rehabil. 2019;abril 12:1-13. Disponible en: https://doi.org/10.1080/09638288.2019.1595750
32. Koh G, Hoenig H. How should the rehabilitation community prepare for 2019-nCoV?. Arch Phys Med Rehabil. 2020;101(6):1068-1071. Disponible en: https://dx.doi.org/10.1016/ j.apmr.2020.03.003
33. Ray K, Mehrotra A, Yabes J, Kahn J. Telemedicine and Outpatient Subspecialty Visits among Pediatric Medicaid Beneficiaries. Acad Pediatr. 2020;20(5):642-651. Disponible en:
https://doi.org/10.1016/j.acap.2020.03.014
34. Goldschmidt K. The Covid-19 Pandemic: Technology use to Support the Wellbeing of Children. J Pediatr Nurs. 2020;53:88-90. Disponible en: https://dx.doi.org/10.1016%2Fj.pedn.2020.04.013
How to Cite
1.
Rodríguez Chaparro AJ, Rangel Galvis CE, Añez Rojas JA, Quintero Acevedo MJ, Alvarez Fajardo SY. Rehabilitation strategies in pediatric with Sars-CoV-2/Covid-19 infection. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 2020 Oct. 2 [cited 2024 May 18];30(Supl):29-40. Available from: https://revistacmfr.org/index.php/rcmfr/article/view/253
Downloads
Download data is not yet available.
Downloads
Additional Files
Published
2020-10-02
Issue
Section
Original articles
