Doctors were convinced of the need for the second stage of rehabilitation for post-infectious encephalopathy

(ORDO NEWS) — According to the latest data, Covid-19 can affect the nervous system. But so far, little is known about the long-term consequences of the impact of coronavirus infection on the brain, including in relation to vestibular functions, dizziness and other manifestations.

According to Tyumen doctors, the second stage of rehabilitation is an effective measure to compensate for the severity of post-COVID encephalopathy.

“Encephalopathy in the outcome of Covid-19 probably occurs as a result of a combination of various causes, including direct damage to the cerebral cortex under the influence of the virus, as well as adjacent structures,” said Associate Professor of the Department of Medical Prevention and Rehabilitation of the Tyumen State Medical University, Chief Physician of the Regional Medical -rehabilitation center Jinn Lebedev.

The main manifestations of postcovid encephalopathy are nonspecific neurological syndromes (cerebro asthenic and vestibulo-ataxic).

The degree of their severity is directly proportional to the severity of the course of coronavirus infection. According to Tyumen doctors, the second stage of rehabilitation is an effective measure to compensate for the severity of post-COVID encephalopathy. It should include breathing exercises, physiotherapy exercises, physiotherapy, chest massage, and drug therapy.

“ The data we have obtained already allow us to recommend that all patients who have had Covid-19, regardless of the severity of the course, undergo the second stage of rehabilitation.

We will continue to study the features of the appearance and relationship of the frequency, severity and severity of post-covid encephalopathy.

This will make it possible to develop methods for treating these disorders and, ultimately, to carry out timely prevention of the disease. This will significantly improve the quality of life of patients,” concluded Dzhinna Ivanovna.

It should be noted that 92 patients with post-infectious encephalopathy who underwent the second stage of rehabilitation after suffering a new coronavirus infection participated in the study. They were divided into two groups: those aimed at rehabilitation after the end of treatment and those who refused to undergo rehabilitation treatment.

All patients were assessed for the severity of coronavirus infection, the percentage of lung damage (according to CT scan of the chest), the presence of comorbid pathology (that is, the coexistence of two or more diseases that are pathogenetically and genetically interconnected).

The severity of the predominant syndromes of the disease was assessed using the International Classification of Functioning. The dynamics of the patients’ condition was assessed using the rehabilitation routing scale, as well as the Rivermead, Holden, and Houser scales.

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