Eine Coronavirus-Erkrankung mit SARS-CoV-2 (COVID-19) mit ihren unterschiedlichen
Verläufen von mild bis kritisch ist häufig nicht nur eine akute
Erkrankung, sondern führt darüber hinaus bei einem Teil der
Betroffenen zu Organschäden und
Körperfunktionsstörungen, die auch nach der Akutphase
fortbestehen. Wenn die Gesundheitsfolgen die Selbstständigkeit im Alltag
oder die beruflichen Fähigkeiten einschränken, ist eine
spezifische rehabilitative Behandlung angezeigt.
The Coronavirus disease with SARS-CoV-2 viral infection (COVID-19) and its
diverse courses of disease from mild to critical illness frequently is not only
an acute disease, but will – in a proportion of those affected –
lead to organ structure and body function deficits that still exist or become
apparent after the acute stage of disease. When clinically relevant symptoms or
functional deficits (impairments) are documented more than four weeks after
COVID-19 onset, the syndrome is called “Long-COVID”, from 12
weeks after onset onwards “Post-COVID”.
In such cases and when everyday life functioning and return to work are affected
by persisting deficits specialized rehabilitation treatment is indicated. An
individual medical, frequently multi-professional diagnostic evaluation is
mandatory in that situation: For adequate treatment, it is important to identify
and objectify the individually underlying health conditions based on knowledge
about the diverse potential consequences of COVID-19, to assess type and
severity of functional consequences (impairments, activity limitations, and
restrictions of participation) of Long-/Post-COVID individually, and
then to decide on the treatment necessities and plans. With regard to
rehabilitation, need and decision for either pulmonary, neurological, cardiac,
or psychosomatic rehabilitation depends on the individual medical
presentation.
Schlüsselwörter
SARS-CoV-2 - Rehabilitation - COVID-19 - Post-COVID - Long-COVID
Key words
SARS-CoV-2 - Rehabilitation - COVID-19 - Post-COVID - Long-COVID
