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Physical functioning post-COVID-19 and the recovery process: a mixed methods study
Örebro University, School of Medical Sciences. Department of Neurology and Rehabilitation, School of Medicine, Örebro University, Sweden.ORCID iD: 0000-0003-1712-7510
Örebro University, School of Medical Sciences. Örebro University Hospital. University Health Care Research Center.ORCID iD: 0000-0003-3474-3200
Örebro University, School of Health Sciences. Örebro University Hospital. University Health Care Research Center.ORCID iD: 0000-0002-8370-8834
Örebro University, School of Medical Sciences. Department of Neurology and Rehabilitation, School of Medicine, Örebro University, Sweden.ORCID iD: 0000-0002-3845-8100
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2024 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 46, no 8, p. 1570-1579Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To describe physical functioning after severe COVID-19-infection.

MATERIALS AND METHOD: An explanatory sequential mixed method design was used. Thirty-nine participants performed tests and answered questionnaires measuring physical functioning six months after hospitalisation due to COVID-19. Thirty of these participants participated in semi-structured interviews with questions regarding how they perceived their physical functioning and recovery from COVID-19 at 12 months post-hospitalisation.

RESULTS: At six months, physical functioning measured via chair stand test and hip-worn accelerometers was lower than normal reference values. There was a reduction in breathing muscle strength. Participants estimated their functional status during different activities as lower compared to those before COVID-19-infection, measured with a patient-specific functional scale. At one year after infection, there were descriptions of a rough recovery process and remaining symptoms.

CONCLUSION: Patients recovering from severe COVID-19 seem to have reduced physical functioning and activity levels, and they perceive their recovery to be slow and difficult. They experienced a lack of clinical support and contradictory advice regarding rehabilitation. Coaching in returning to physical functioning after the infection needs to be better co-ordinated and there is a need for guidelines for health professionals to avoid patients receiving contradictory advice.

Place, publisher, year, edition, pages
Taylor & Francis, 2024. Vol. 46, no 8, p. 1570-1579
Keywords [en]
COVID-19, SARS-CoV-2, exercise, physical activity, qualitative research, recovery of function, rehabilitation, severe acute respiratory syndrome
National Category
Sport and Fitness Sciences
Identifiers
URN: urn:nbn:se:oru:diva-105614DOI: 10.1080/09638288.2023.2201512ISI: 000971399700001PubMedID: 37078388Scopus ID: 2-s2.0-85153473582OAI: oai:DiVA.org:oru-105614DiVA, id: diva2:1752177
Available from: 2023-04-21 Created: 2023-04-21 Last updated: 2024-04-11Bibliographically approved

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Tofiq, avinEriksson Crommert, MartinZakrisson, Ann-Brittvon Euler, MiaNilsing Strid, Emma

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