The Pulse

Improving Functional Mobility with Exercise After COVID-19

Posted by ACP on Sep 29, 2020 10:38:48 AM

Patient Information: Male, Age 81

Diagnosis: COVID-19 / Acute Hypoxemic Respiratory Failure

History: This gentleman was referred to a skilled nursing facility for rehabilitation services due to severe debility and confusion after hospitalization for COVID-19. During hospitalization, he was found to have acute hypoxemic respiratory failure (not enough oxygen in the blood), as a result of COVID-19, and was intubated (placement of an artificial airway into the trachea) and placed on a ventilator (life support to assist breathing). During treatment he received convalescent plasma which led to removal of mechanical ventilation, but he required oxygen supplementation of three liters. Prior to his diagnosis of COVID-19, he lived at home with his wife and walked independently, no oxygen supplementation was needed.

Pre-Therapy Status:
• Transfers: Moderate (50%) assistance.
• Toileting: Moderate (50%) assistance.
• Ambulation: 50 feet with a rolling walker and moderate
(50%) assistance.

Therapy Information:
• Modality: OmniCycle® Elite Motorized Therapeutic
Exercise System.
• Frequency: 5x per week.
• Protocol Specifics: OmniCycle lower extremity neuro mode progressing from 15 minutes without resistance initially to
20 minutes at level 2 resistance to improve leg strength and endurance for transfers and ambulation.
• Duration: Eight weeks.
• Other Therapy Services Provided: Strength training, gait training, transfer training, activities of daily living, and
balance training.

• Transfers: Independent with supervision for safety.
• Toileting: Independent with supervision for safety.
• Ambulation: > 200 feet with a rolling walker and supervision
for safety.

This gentleman and his wife are thrilled with the progress he made in therapy! The director of rehabilitation credits the OmniCycle® as an integral part of his plan of care and his improvements in strength and endurance. He no longer requires oxygen supplementation and has now returned home!

Topics: Patient Success Story