Московский научно-практический центр медицинской реабилитации восстановительной и спортивной медицины Департамента здравоохранения города Москвы, Москва, Россия
Детская городская клиническая больница им. Н.Ф. Филатова Департамента здравоохранения города Москвы, Москва, Россия
INTRODUCTION. The global spread of the new coronavirus infection COVID-19 determines the relevance of studying the clinical features and long-term consequences of the disease in children. Respiratory tract lesions in COVID-19 are the most common symptoms in the pediatric population. At the same time, the possibility of the development of gastrointestinal, neurological and psychological disorders has now been established, which is important to consider when designing medical rehabilitation programs for such patients. RESULTS AND DISCUSSION. The article describes modern approaches to the organization of 3-stage medical rehabilitation of patients who have undergone a new coronavirus infection COVID-19. Medical rehabilitation of such patients is aimed at restoring the ventilation function of the lungs, improving bronchial patency and drainage function of the respiratory tract, normalizing the functional state of the cardiovascular system, gastrointestinal tract, muscle tone, increasing exercise tolerance and the defenses of the child’s body. The most important component of rehabilitation measures, in addition to drug therapy and physiotherapy methods carried out for such patients, is physical rehabilitation, that is, the use of physical exercises for therapeutic, preventive and rehabilitative purposes. The authors describe the main tasks, means and forms of physical therapy, motor modes and intensity of load for each stage of medical rehabilitation, the principles of a differentiated approach to the selection of basic physical rehabilitation measures taking into account the target organ, the stage of medical rehabilitation are presented. CONCLUSION. Physical rehabilitation is a mandatory component of the individual medical rehabilitation program for children who have suffered COVID-19. The differentiated application of physical rehabilitation, taking into account the target organ, the severity of the disease, the stage of medical rehabilitation, makes it possible to achieve an earlier and complete restoration of the impaired functions of various organs and systems.
medical rehabilitation, physical rehabilitation, children, massage, kinesiotherapy, COVID-19
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