Post-stroke rehabilitation in the peri-pandemic COVID-19 era.

Post-stroke rehabilitation in the peri-pandemic COVID-19 era.

Publication date: Jan 23, 2024

The coronavirus disease 2019 (COVID-19), which arose in late 2019, caused extensive destruction, impacting a substantial proportion of the worldwide population and leading to millions of deaths. Although COVID-19 is mainly linked to respiratory and pulmonary complications, it has the potential to affect neurologic structures as well. Neurological involvement may manifest as minimal and reversible; however, a notable proportion of cases have exhibited pronounced neurological consequences, such as strokes. Endothelial inflammation, hypercoagulation, renin-angiotensin-aldosterone system alterations, and cardiogenic embolism are the pathophysiological mechanisms of stroke under COVID-19 circumstances. Physical activity and exercise have improved several aspects of post-stroke recovery, including cardiovascular health, walking capacity, and upper limb strength. They are commonly used to assist stroke survivors in overcoming their motor restrictions. Furthermore, stroke rehabilitation can incorporate a range of specific techniques, including body-weight-supported treadmill applications, constraint-induced movement therapy, robotic rehabilitation interventions, transcranial direct current stimulation, transcranial magnetic stimulation, and prism adaptation training. Under pandemic conditions, there were several barriers to neurological rehabilitation. The most significant of these were individual’s fear of infection, which caused them to postpone their rehabilitation applications and rehabilitation areas being converted into COVID-19 units. The primary emphasis had turned to COVID-19 treatment. Several valuable data and views were gained in reorganizing rehabilitation during the pandemic, contributing to establishing future views in this regard.

Concepts Keywords
Coronavirus COVID-19
Pandemic Neurological rehabilitation
Therapy Rehabilitation
Treadmill Rheumatic diseases
SARS-CoV-2 infection


Type Source Name
disease MESH stroke
disease MESH COVID-19
disease VO population
disease MESH complications
disease MESH inflammation
disease MESH embolism
disease MESH infection
disease MESH Rheumatic diseases
pathway REACTOME SARS-CoV-2 Infection

Original Article

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