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3. COVID-19, cardiac involvement and cardiac rehabilitation: Insights from a rehabilitation perspective - State of the Art

Author

Sutbeyaz, Serap Tomruk, Kabayel, Derya Demirbag, Taskiran, Ozden Ozyemisci, Aytur, Yesim Kurtais, Gokkaya, Nilufer Kutay Ordu, Koseoglu, Belma Fusun, Tur, Birkan Sonel, Sutbeyaz, Serap Tomruk, Kabayel, Derya Demirbag, Taskiran, Ozden Ozyemisci, Aytur, Yesim Kurtais, Gokkaya, Nilufer Kutay Ordu, Koseoglu, Belma Fusun, and Tur, Birkan Sonel

Abstract

Since the beginning of the pandemic, many novel coronavirus disease 2019 (COVID-19) patients have experienced multisystem involvement or become critically ill and treated in intensive care units, and even died. Among these systemic effects, cardiac involvement may have very important consequences for the patient's prognosis and later life. Patients with COVID-19 may develop cardiac complications such as heart failure, myocarditis, pericarditis, vasculitis, acute coronary syndrome, and cardiac arrhythmias or trigger an accompanying cardiac disease. The ratio of COVID-19 cardiac involvement ranges between 7 and 28% in hospitalized patients with worse outcomes, longer stay in the intensive care unit, and a higher risk of death. Furthermore, deconditioning due to immobility and muscle involvement can be seen in post-COVID-19 patients and significant physical, cognitive and psychosocial impairments may be observed in some cases. Considering that the definition of health is a state of complete physical, mental and social well-being, individuals with heart involvement due to COVID-19 should be rehabilitated by evaluating all these aspects of the disease effect. In the light of the rehabilitation perspective and given the increasing number of patients with cardiac manifestations of COVID-19, in this review, we discuss the rehabilitation principles in this group of patients.

Published
2022

4. COVID-19, cardiac involvement and cardiac rehabilitation: Insights from a rehabilitation perspective - State of the Art

Author

Tur, Birkan Sonel, Koseoglu, Belma Fusun, Gokkaya, Nilufer Kutay Ordu, Aytur, Yesim Kurtais, Taskiran, Ozden Ozyemisci, Kabayel, Derya Demirbag, Sutbeyaz, Serap Tomruk, Tur, Birkan Sonel, Koseoglu, Belma Fusun, Gokkaya, Nilufer Kutay Ordu, Aytur, Yesim Kurtais, Taskiran, Ozden Ozyemisci, Kabayel, Derya Demirbag, and Sutbeyaz, Serap Tomruk

Abstract

Since the beginning of the pandemic, many novel coronavirus disease 2019 (COVID-19) patients have experienced multisystem involvement or become critically ill and treated in intensive care units, and even died. Among these systemic effects, cardiac involvement may have very important consequences for the patient's prognosis and later life. Patients with COVID-19 may develop cardiac complications such as heart failure, myocarditis, pericarditis, vasculitis, acute coronary syndrome, and cardiac arrhythmias or trigger an accompanying cardiac disease. The ratio of COVID-19 cardiac involvement ranges between 7 and 28% in hospitalized patients with worse outcomes, longer stay in the intensive care unit, and a higher risk of death. Furthermore, deconditioning due to immobility and muscle involvement can be seen in post-COVID-19 patients and significant physical, cognitive and psychosocial impairments may be observed in some cases. Considering that the definition of health is a state of complete physical, mental and social well-being, individuals with heart involvement due to COVID-19 should be rehabilitated by evaluating all these aspects of the disease effect. In the light of the rehabilitation perspective and given the increasing number of patients with cardiac manifestations of COVID-19, in this review, we discuss the rehabilitation principles in this group of patients.

Published
2022

9. Shoulder problems and related conditions in patients with implantable cardioverter defibrillators.

Author

Ozcan, Didem Sezgin, Balci, Kevser Gulcihan, Polat, Cemile Sevgi, Ozcan, Ozgur Ulas, Koseoglu, Belma Fusun, and Balci, Mustafa Mucahit

Subjects
IMPLANTABLE cardioverter-defibrillators, QUALITY of life, PAIN management, PHYSICAL therapy, MEDICAL rehabilitation
Abstract

Aim: Shoulder pain and disability is a complication that can be seen frequently after implantable cardioverter defibrillator (ICD) implantation. The aims of this study were to determine the causes of shoulder problems and related factors in patients with ICD implantation and to investigate the effects of shoulder problems on quality of life and psychological status. Material and Methods: A total of ninety-four consecutive patients (average age 59.38±10.75 years) who admitted to ICD follow up clinic were included in the study. Patients who had shoulder problems were referred to our physical therapy and rehabilitation outpatient clinic for further evaluation. The Shoulder Pain and Disability Index (SPADI), Short Form-36 (SF-36) and The Hospital Anxiety and Depression Scale (HADS) were used as the clinical assessment scales. Results: Thirty-nine (41.5%) patients had shoulder complaints. The patients were divided into two groups according to presence of shoulder problem. The statistical analysis revealed no significant differences between the groups in terms of the socio-demographic and clinical characteristics. None of these characteristics was demonstrated as a risk factor for the development of shoulder problem (p>0.05). There were significantly lower SF-36 subgroup scores and higher HADS depression and anxiety scores in patients with shoulder complaints. The SPADI scores also showed significant correlations with shoulder pain VAS score, several subgroups of SF-36 and HADS scores (p<0.05). Conclusion: Our study revealed that patients with shoulder complications had decreased quality of life and deteriorated psychological status. In patients with ICD, awareness should be increased in terms of shoulder problems and appropriate management strategies should be determined. [ABSTRACT FROM AUTHOR]

Published
2019
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19. The Effectiveness of Fluidotherapy in Poststroke Complex Regional Pain Syndrome: A Randomized Controlled Study

Author

Belma Füsun Köseoğlu, Öznur Öken, Didem Sezgin Özcan, Cemile Sevgi Polat, Hilmi Umut Tatli, Ozcan, Didem Sezgin, Tatli, Hilmi Umut, Polat, Cemile Sevgi, Oken, Oznur, and Koseoglu, Belma Fusun Ankara Phys Med & Rehabil Training & Res Hosp, Dept Phys Med & Rehabil, Istanbul, Turkey

Subjects
hand volume, Male, Time Factors, physical agents, Turkey, medicine.medical_treatment, hemiplegia, fluidotherapy, law.invention, Disability Evaluation, 0302 clinical medicine, Randomized controlled trial, law, Edema, Single-Blind Method, Pain Measurement, Aged, 80 and over, Rehabilitation, Outcome measures, Stroke Rehabilitation, Middle Aged, Functional Independence Measure, Biomechanical Phenomena, Stroke, Complex regional pain syndrome, Treatment Outcome, Neuropathic pain, Female, medicine.symptom, Cardiology and Cardiovascular Medicine, Adult, medicine.medical_specialty, Visual analogue scale, Motor Activity, rehabilitation, Upper Extremity, 03 medical and health sciences, medicine, Humans, Aged, neuropathic pain, business.industry, Hyperthermia, Induced, Recovery of Function, medicine.disease, Reflex Sympathetic Dystrophy, Physical therapy, Surgery, Neurology (clinical), business, 030217 neurology & neurosurgery
Abstract

WOS: 000469036700030 PubMed ID: 30940426 Objective: To evaluate whether combining fluidotherapy to conventional rehabilitation program provides additional improvements on pain severity, upper extremity functions, and edema volume in patients with poststroke complex regional pain syndrome (CRPS). Design: Randomized controlled trial. Setting: Training and research hospital. Participants: Thirty hemiplegic patients with subacute stage CRPS type-1 of the upper extremity. Interventions: The patients randomly divided into 2 groups. Both groups received a 3 week conventional rehabilitation program (5 days/week, 2-4 hours/day). Experimental group received 15 sessions additional fluidotherapy application to the affected upper extremity (40 degrees C, 20 minutes in continuous mode, 5 sessions/week). Main Outcome Measures: We evaluated the distal upper arm edema with a volumeter. Other used clinical assessment scales were Brunnstrom recovery stages of the arm and hand for motor recovery, motor items of the functional independence measure for functional status, visual analog scale for pain severity, and the painDETECT questionnaire for presence and the severity of neuropathic pain. Results: The mean age of the participants was 64.3 +/- 11.66 (28-84). At the post-treatment evaluation, significant improvements were revealed regarding to the edema volume, pain visual analog scale, painDETECT and functional independence measure scores, and the Brunnstrom stages of upper extremity and hand in both groups (P

Published
2019

20. Cardiopulmonary and metabolic responses to maximum exercise and aerobic capacity in hemiplegic patients.

Author

Sezer N, Ordu NK, Sutbeyaz ST, and Koseoglu BF

Subjects
Adult, Aged, Case-Control Studies, Disabled Persons, Female, Hemiplegia complications, Hemiplegia metabolism, Humans, Male, Middle Aged, Movement, Respiration Disorders diagnosis, Respiration Disorders etiology, Respiratory Function Tests, Exercise, Heart physiopathology, Hemiplegia physiopathology, Lung physiopathology, Oxygen Consumption, Physical Endurance
Abstract

This study evaluated cardiopulmonary and metabolic responses to maximum exercise and aerobic capacity in hemiplegic patients and clarified the relationship between the resulting data and motor disability. Twenty patients with stroke and fifteen healthy controls were included in the study. Cardiopulmonary and metabolic responses to maximum exercise were investigated with an electronically braked arm crank ergometer. Vital capacity, forced expiratory volume in 1 second, peak expiratory flow rate, forced vital capacity, maximum voluntary ventilation, peak power output, respiratory exchange ratio, and exercise time were reduced in stroke patients when compared with the controls. No relationship was found between these data and motor disability. The hemiplegic patients showed a significant respiratory dysfunction and reduced exercise tolerance. These findings suggest that a program of ventilatory and aerobic training should be considered early after stroke to avoid cardiorespiratory problems and deconditioning.

Published
2004

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