Physiotherapy for recovery after coronavirus (COVID-19)
Physiotherapy after Intensive Care (PICS)If you have been seriously ill by the coronavirus, you have to receive intensive rehabilitation after your hospital and/or ICU admission. This often happens initially in a rehabilitation center, but you will also have to work on your recovery for a long time in the period after that. If you have been ventilated for a long time in the Intensive Care Unit, you might very well be experiencing several complaints. This combination of specific complaints after an ICU admission is called Post-Intensive Care Syndrome. The longer you have been asleep at the IC, the more serious your PICS complaints are. Previously existing complaints partly determine the severity of your PICS complaints The recovery of PICS can take over several months to years, requiring proper guidance from a specialized physiotherapist, occupational therapist, dietician and others.
Complaints related to IC admission
Lung function problems\Pulmonary fibrosis (reduced functioning of the lung tissue)
– Decreased lung capacity
– Decreased strength of breathing muscles
– Weakness of the muscles due to prolonged non-movement or polyneuropathy
Pain and/or stiffness of the joints
General feeling of tiredness
Problems with activities of daily life (ADL) like:
– eating, including taking medicines
– getting in and out of bed, sitting down in chairs and getting up again
– moving, walking
– meaningful activity (hobbies, sports)
– dressing and undressing
– regulating body heat (e.g. being able to raise/lower the heating, choosing thin or thick clothing)
– physical hygiene
Problems with the memory, concentration, dealing with stimuli
Depression and/or anxiety
Post-traumatic stress syndrome (PTSS)
In most cases, the physical therapy treatment after an Intensive Care admission is long-term. This can vary from a few months to over a year. During the entire treatment process, we are in contact with your treating physician (this may be a general practitioner, medical specialist or rehabilitation physician). We also work in close contact with other disciplines, including occupational therapists, dieticians, speech therapists, psychologists and social workers.
During the intake we will examine all you could encounter after the hospitalization with you and your family . These could be physical, but also psychological complaints. Because of the wide variety of consequences after an Intensive Care admission, each patient is given an individual approach. We focus on you as a patient and work according to the model of positive health.
In addition to an extensive intake interview, a number of measurements and tests are also carried out. We examine:
- Experienced health
- Muscle strength
- Condition (Endurance)
- ADL function
- Power of breathing muscles
Based on the intake and the scores of the various tests, we prepare a personal rehabilitation program for you personally.
Depending on the problems you encounter, the treatment consists of (a combination of):
- Muscles: Training strength
- ADL: Functional training and balance training
- Condition: Endurance training
- Strength of breathing muscles: Training breathing muscles
You will receive treatments 2 to 5 times a week. Depending on your specific situation, these take place at your home or in our practice.