key: cord-1010050-i7ll1807
authors: Özkeskin, Mehmet; Elibol, Nuray; Bakırhan, Serkan
title: Risk of COVID-19 Disease in the Elderly Population and Physiotherapy
date: 2020-06-02
journal: Physiotherapy
DOI: 10.1016/j.physio.2020.05.003
sha: a7396cb62189ead9814297c1bdfde44ae58e92a1
doc_id: 1010050
cord_uid: i7ll1807

nan

along with ARDS were reported to be risk factors for death in patients with COVID-19 [3] .

Elderly individuals who are vulnerable to disease are hospitalized in the intensive care unit because they experience the disease more severely and their mortality risk is higher [4] .

However, while the health services attempt to prevent patients from dying, early physiotherapy management of COVID-19 patients with ARDS in ICU has been ignored.

Studies show that early respiratory physiotherapy of patients with ARDS is an important evidence-based method for the treatment of ARDS. But in the ICU, patients with ARDS are immobilized due to MV or intubation. Immobilization has a dominant effect on diaphragm and limb muscle weakness in patients with critical illness in the ICU [5] . So passive-active mobilization with specific muscle training is required for COVID-19 patients with ARDS in ICU, not only respiratory training. Immobilization, infections, MV and prolonged steroid administration are well-known risk factors for ICU-acquired weakness(ICUAW) which has significant effects not only on patient recovery, and length of ICU stay, but also on rehabilitation in 100% of ICU survivors. Patients with ICUAW develop muscle atrophy, paresis, and reduced deep tendon reflexes which are effective on long-term (after ICU or hospital discharge) rehabilitation management [6] . Rehabilitation after discharge from the

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