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Stating that patients with Covid-19 infection can develop muscle atrophy depending on the length of stay or the medications used, the chief physician of the Ankara City Physical Therapy and Rehabilitation Hospital Prof. Dr. Evren Yaşar said: “It is very important that patients with Covid-19 move as much as possible and are mobilized during this period, especially for our patients who spend at home. It is also important that they rest and drink plenty of fluids during the intermediate periods in terms of the course of the disease and easy to overcome. This can have devastating consequences, especially in patients hospitalized for Covid-19 and suffering from pneumonia (pneumonia). During the intensive care period, patients remain motionless for a long time. Consequently, patients should be mobilized slowly after intubation, especially in intubated patients. We are trying to restore the health of these patients with a series of exercises. Of course, this disease is very devastating and in fact rest is the basis of the treatment of this disease. We lay pneumonia patients face down, they breathe easier. Of course, as they can remain in this position for 1 week or more than 1 week, we can see symptoms such as muscle wasting, low blood pressure, and dizziness in these patients. During this period, together with our physiotherapist friends, we slowly move our patients to overcome the tension caused by this position. During this period, we are trying to mobilize as much as possible. “We don’t want them to worry about this after they are discharged, and after a certain period of time their level of mobilization gradually increases.”
“WE CAN MELT IN THE MUSCLES DEPENDING ON THE NECESSARY INACTIVITY, IF NECESSARY RELATED TO DRUGS”
Stating that patients with Covid-19 should not force themselves to move suddenly and should move slowly, Chief Physician Prof. Dr. Yaşar said: “The main thing to watch out for here is that we don’t want heart rate monitoring, the excessive blood pressure or an excessive increase in heart rate. Therefore, it is very important that they are mobilized on flat ground without climbing stairs and slopes at the beginning at a slower pace. In this process, our patients continue this process by increasing their I rest from time to time without putting too much pressure on them, and lying face down at home and breathing easier. As I said again in our ICU patients, the process is a little more difficult. This has complications. In these patients, we can see muscle loss due to both immobility and the drugs used The collapse could recur and will be mobilized gradually. This process can take 5 to 6 weeks. If symptoms still persist after 6 weeks, you need to know that pulmonary rehabilitation (respiratory therapy) will be required. Not every discharged patient is required to be taken to pulmonary rehabilitation. The important thing is mobilization and walking. Walking is very important. Patients will feel that their performance will gradually increase in this regard and their morale will also improve. “We recommend taking a walk on the plains slowly and without worrying”.
“IT IS HEALTHY TO SLOWLY BRING THE RHYTHM OF THE WALK TO 10 THOUSAND STEPS”
Stating that he himself has survived a heavy Covid-19 trial, Yaşar said: “It seems he will never be able to recover, Covid-19 is a heavy process. In this process, when you stand up, as I said, they can experience dizziness and low blood pressure. You must keep your movements as slow as possible. You will gradually increase your level of walking with slow movements, adequate rest, attention to diet and plenty of fluids. Feel your strength increase day by day, this it will improve your spirit. But as we do this, we shouldn’t go through a quick process. In other words, it shouldn’t be in an approach like “if I walk faster, I’ll recover more and get better.” I think it would be healthier to do it gradually this 10 thousand step walk in 3 or 4 weeks, in fact, he used these expressions.
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