Eine Coronavirus-Erkrankung mit SARS-CoV-2 (COVID-19) mit ihren unterschiedlichen
Verläufen von mild bis kritisch ist häufig nicht nur eine akute Erkrankung, sondern
führt darüber hinaus bei einem Teil der Betroffenen zu Organschäden und Körperfunktionsstörungen,
die auch nach der Akutphase fortbestehen. Wenn die Gesundheitsfolgen die Selbstständigkeit
im Alltag oder die beruflichen Fähigkeiten einschränken, ist eine spezifische rehabilitative
Behandlung angezeigt.
Abstract
The Coronavirus disease with SARS-CoV-2 viral infection (COVID-19) and its diverse
courses of disease from mild to critical illness frequently is not only an acute disease,
but will – in a proportion of those affected – lead to organ structure and body function
deficits that still exist or become apparent after the acute stage of disease. When
clinically relevant symptoms or functional deficits (impairments) are documented more
than four weeks after COVID-19 onset, the syndrome is called “Long-COVID”, from 12
weeks after onset onwards “Post-COVID”.
In such cases and when everyday life functioning or return to work are affected by
persisting deficits specialized rehabilitation treatment is indicated. An individual
medical, frequently multi-professional diagnostic evaluation is mandatory in that
situation: For adequate treatment, it is important to identify and objectify the individually
underlying health conditions based on knowledge about the diverse potential consequences
of COVID-19, to assess type and severity of functional consequences (impairments,
activity limitations, and restrictions of participation) of Long-/Post-COVID individually,
and then to decide on the treatment necessities and plans. With regard to rehabilitation,
need and decision for either pulmonary, neurological, cardiac, or psychosomatic rehabilitation
depends on the individual medical presentation.
Schlüsselwörter
SARS-CoV-2 - Rehabilitation - COVID-19 - Post-COVID - Long-COVID
Key words
SARS-CoV-2 - rehabilitation - COVID-19 - post-COVID - long-COVID
