key: cord-0725904-5uzgenty authors: Govil, Gaurav; Tomar, Lavindra; Dhawan, Pawan title: Rehabilitation of Arthroplasty Patient During Covid-19 date: 2020-05-24 journal: Indian J Orthop DOI: 10.1007/s43465-020-00144-0 sha: 90f8e5799643143ccaba3439564ff331512661dd doc_id: 725904 cord_uid: 5uzgenty nan Initially, in the confusion of the first few days of lockdown, there was utter chaos. The established protocols were sidelined and patients asked to care on their own with dictum being "stay home and stay safe". Patients faced additional challenges to their recovery path on discharges. Limited health care services in adjoining native areas, including no rehabilitation services available compound the scenario [3] . The majority may respond well to the rehabilitation protocols adopted in pre-Covid era [4] . However, the fear of an uncertain period of restrictions, additional measures to safeguard from an evolving medical emergency in an elderly population will have a profound psychological impact on recovery [5] . Recurrent episodes depending on the disease load may require lockdown restrictions for the next two years. Safety comes first even when the endeavour is to provide a reasonable outcome. The induction of patient into an orthopaedic or arthroplasty programme should be a systematic team approach with the inclusion of established patient-specific home-based rehabilitation protocol. Plans that need consideration [3] are: Physical therapy will be even more crucial in the medium to long-term response to assist the orthopaedic and arthroplasty patient to regain optimal function and to help them return to their previous level of activities [3] . National associations are well placed to support and formulate both national and local planning for a coordinated response. Lack Management of orthopaedic patients during COVID-19 pandemic in India: A guide Orthopaedics in times of COVID 19 The role of physical therapists in the medical response team following a natural disaster: Our experience in Nepal Total knee arthroplasty rehabilitation protocol: What makes the difference? On their own": Social isolation, loneliness and chronic musculoskeletal pain in older adults