The impact of a coronavirus disease 2019 pandemic-related interruption of regular physical rehabilitation on functional abilities in a patient with two chronic neurological diseases: a case report
Abstract Background Regular outpatient rehabilitation is prescribed for many patients with chronic neurological disorders, such as Parkinson’s disease or multiple sclerosis, to constantly support patients and their proxies in disease management. Due to the coronavirus disease 2019 pandemic, federal...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2021-10-01
|
Series: | Journal of Medical Case Reports |
Subjects: | |
Online Access: | https://doi.org/10.1186/s13256-021-03119-3 |
id |
doaj-ad8bb3c2f4df46be8399395770ab8324 |
---|---|
record_format |
Article |
spelling |
doaj-ad8bb3c2f4df46be8399395770ab83242021-10-10T11:49:01ZengBMCJournal of Medical Case Reports1752-19472021-10-0115111210.1186/s13256-021-03119-3The impact of a coronavirus disease 2019 pandemic-related interruption of regular physical rehabilitation on functional abilities in a patient with two chronic neurological diseases: a case reportTobias Braun0Raphael Weidmann1Jens Carsten Möller2Anissa Ammann3Detlef Marks4Division of Physiotherapy, Department of Applied Health Sciences, Hochschule für Gesundheit (University of Applied Sciences)Rehaklinik Zihlschlacht, Center for Neurological RehabilitationRehaklinik Zihlschlacht, Center for Neurological RehabilitationRehaklinik Zihlschlacht, Center for Neurological RehabilitationRehaklinik Zihlschlacht, Center for Neurological RehabilitationAbstract Background Regular outpatient rehabilitation is prescribed for many patients with chronic neurological disorders, such as Parkinson’s disease or multiple sclerosis, to constantly support patients and their proxies in disease management. Due to the coronavirus disease 2019 pandemic, federal institutions and governments worldwide have directed local or nationwide lockdowns. During these times, the provision of regular outpatient rehabilitation service is drastically limited, making it actually impossible for community-dwelling patients with neurological disorders to receive prescribed rehabilitation interventions. Case presentation A 67-year-old White Swiss man with two chronic neurological diseases, Parkinson’s disease and multiple sclerosis, underwent a 4-week inpatient rehabilitation in our hospital. The main rehabilitation goals were related to improvements of mobility and a decrease in the risk of falls. The patient gained significant functional improvements that he maintained over the following months, supported by the continuation of physiotherapy in the domestic environment. Due to a coronavirus disease 2019 pandemic-related interruption of the regular ambulatory rehabilitation for several weeks during the first coronavirus disease 2019 wave in Switzerland, the patient’s functional abilities decreased significantly. Thus, the patient was again referred to our hospital for intensive inpatient rehabilitation to regain his physical functioning and mobility capacity. At hospital discharge, the patient improved most of his physical functioning to a prepandemic level. Conclusions The interruption of a rehabilitation service due to a pandemic-related lockdown can significantly impact the functional abilities of patients with chronic neurological diseases. This case report supports the claim for continuous access to rehabilitation services for all people with rehabilitation needs.https://doi.org/10.1186/s13256-021-03119-3Parkinson’s diseaseMultiple sclerosisCOVID-19PhysiotherapyNeurorehabilitationRehabilitation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tobias Braun Raphael Weidmann Jens Carsten Möller Anissa Ammann Detlef Marks |
spellingShingle |
Tobias Braun Raphael Weidmann Jens Carsten Möller Anissa Ammann Detlef Marks The impact of a coronavirus disease 2019 pandemic-related interruption of regular physical rehabilitation on functional abilities in a patient with two chronic neurological diseases: a case report Journal of Medical Case Reports Parkinson’s disease Multiple sclerosis COVID-19 Physiotherapy Neurorehabilitation Rehabilitation |
author_facet |
Tobias Braun Raphael Weidmann Jens Carsten Möller Anissa Ammann Detlef Marks |
author_sort |
Tobias Braun |
title |
The impact of a coronavirus disease 2019 pandemic-related interruption of regular physical rehabilitation on functional abilities in a patient with two chronic neurological diseases: a case report |
title_short |
The impact of a coronavirus disease 2019 pandemic-related interruption of regular physical rehabilitation on functional abilities in a patient with two chronic neurological diseases: a case report |
title_full |
The impact of a coronavirus disease 2019 pandemic-related interruption of regular physical rehabilitation on functional abilities in a patient with two chronic neurological diseases: a case report |
title_fullStr |
The impact of a coronavirus disease 2019 pandemic-related interruption of regular physical rehabilitation on functional abilities in a patient with two chronic neurological diseases: a case report |
title_full_unstemmed |
The impact of a coronavirus disease 2019 pandemic-related interruption of regular physical rehabilitation on functional abilities in a patient with two chronic neurological diseases: a case report |
title_sort |
impact of a coronavirus disease 2019 pandemic-related interruption of regular physical rehabilitation on functional abilities in a patient with two chronic neurological diseases: a case report |
publisher |
BMC |
series |
Journal of Medical Case Reports |
issn |
1752-1947 |
publishDate |
2021-10-01 |
description |
Abstract Background Regular outpatient rehabilitation is prescribed for many patients with chronic neurological disorders, such as Parkinson’s disease or multiple sclerosis, to constantly support patients and their proxies in disease management. Due to the coronavirus disease 2019 pandemic, federal institutions and governments worldwide have directed local or nationwide lockdowns. During these times, the provision of regular outpatient rehabilitation service is drastically limited, making it actually impossible for community-dwelling patients with neurological disorders to receive prescribed rehabilitation interventions. Case presentation A 67-year-old White Swiss man with two chronic neurological diseases, Parkinson’s disease and multiple sclerosis, underwent a 4-week inpatient rehabilitation in our hospital. The main rehabilitation goals were related to improvements of mobility and a decrease in the risk of falls. The patient gained significant functional improvements that he maintained over the following months, supported by the continuation of physiotherapy in the domestic environment. Due to a coronavirus disease 2019 pandemic-related interruption of the regular ambulatory rehabilitation for several weeks during the first coronavirus disease 2019 wave in Switzerland, the patient’s functional abilities decreased significantly. Thus, the patient was again referred to our hospital for intensive inpatient rehabilitation to regain his physical functioning and mobility capacity. At hospital discharge, the patient improved most of his physical functioning to a prepandemic level. Conclusions The interruption of a rehabilitation service due to a pandemic-related lockdown can significantly impact the functional abilities of patients with chronic neurological diseases. This case report supports the claim for continuous access to rehabilitation services for all people with rehabilitation needs. |
topic |
Parkinson’s disease Multiple sclerosis COVID-19 Physiotherapy Neurorehabilitation Rehabilitation |
url |
https://doi.org/10.1186/s13256-021-03119-3 |
work_keys_str_mv |
AT tobiasbraun theimpactofacoronavirusdisease2019pandemicrelatedinterruptionofregularphysicalrehabilitationonfunctionalabilitiesinapatientwithtwochronicneurologicaldiseasesacasereport AT raphaelweidmann theimpactofacoronavirusdisease2019pandemicrelatedinterruptionofregularphysicalrehabilitationonfunctionalabilitiesinapatientwithtwochronicneurologicaldiseasesacasereport AT jenscarstenmoller theimpactofacoronavirusdisease2019pandemicrelatedinterruptionofregularphysicalrehabilitationonfunctionalabilitiesinapatientwithtwochronicneurologicaldiseasesacasereport AT anissaammann theimpactofacoronavirusdisease2019pandemicrelatedinterruptionofregularphysicalrehabilitationonfunctionalabilitiesinapatientwithtwochronicneurologicaldiseasesacasereport AT detlefmarks theimpactofacoronavirusdisease2019pandemicrelatedinterruptionofregularphysicalrehabilitationonfunctionalabilitiesinapatientwithtwochronicneurologicaldiseasesacasereport AT tobiasbraun impactofacoronavirusdisease2019pandemicrelatedinterruptionofregularphysicalrehabilitationonfunctionalabilitiesinapatientwithtwochronicneurologicaldiseasesacasereport AT raphaelweidmann impactofacoronavirusdisease2019pandemicrelatedinterruptionofregularphysicalrehabilitationonfunctionalabilitiesinapatientwithtwochronicneurologicaldiseasesacasereport AT jenscarstenmoller impactofacoronavirusdisease2019pandemicrelatedinterruptionofregularphysicalrehabilitationonfunctionalabilitiesinapatientwithtwochronicneurologicaldiseasesacasereport AT anissaammann impactofacoronavirusdisease2019pandemicrelatedinterruptionofregularphysicalrehabilitationonfunctionalabilitiesinapatientwithtwochronicneurologicaldiseasesacasereport AT detlefmarks impactofacoronavirusdisease2019pandemicrelatedinterruptionofregularphysicalrehabilitationonfunctionalabilitiesinapatientwithtwochronicneurologicaldiseasesacasereport |
_version_ |
1716829539604103168 |