COVID PHYSICAL THERAPY TELEHEALTH PROTOCOL



Phase I: Mild Activity Tolerance Exercise Guidelines Activity tolerance is only at 5-8 minutes at day, so important to focus on doing this multiple times a day to build endurance Energy ConservationFrequent position changes Rehabilitation Goals Improve lung function Increase overall mobility Decrease sarcopenia Suggested Therapy Exercises Supine bilateral knee fall outsSit to stand Lateral Trunk RotationChild’s pose Cardiovascular Suggestions Frequent ambulation (6 minute increments) Pursed lip breathing Diaphragmatic Breathing Recovery positioningQualifications to progress to Phase 2Toleration of cardio at MET level <2(i.e. Light housework, short walks <20 feet) Able to tolerate 15 minutes of consecutive activityPhase 2: Moderate Activity ToleranceExercise Guidelines Activity tolerance should be 15-20 minutes consecutivelyCardio (MET level <2) Short walks in home <20 feetLight houseworkBody weight resistance exerciseHelps to decrease sarcopenia Dyspnea is noticeable, however does not affect them ambulating distances >20 feet OR climbing stairsRehabilitation Goals Improve lung function Increase overall mobility Decrease sarcopenia Suggested Therapy ExercisesWall push-ups Sit to stands Supine glute bridgesAssisted split squat Quadruped hip/core complex exercisesCardiovascular Suggestions Frequent ambulation of >20 feet (>8 minutes) Stairs 30”x2 Continue to educate on positional changes to ward off pneumoniaQualifications to progress to Phase 3Toleration of activity of MET level >2Brisk walkingCyclingAble to tolerate 20-30 minutes of activity Phase 3: Good Activity ToleranceExercise Guidelines Activity tolerance is at 30 minutes consecutivelyCardio MET level 2-3Brisk WalkingCycling Light resistance trainingContinue to educate on positional changes and when to note an increase of dyspneaRehabilitation Goals Improve lung function Increase overall mobility Decrease sarcopenia Cardiovascular Suggestions Air squats Walking >3mph Biking < 10 mph Suggested Therapy ExercisesElevated push-upsForward lunges Advanced bridging Weighted squatsDead bugsMultidirectional plank progressionQualifications to progress to return to previous level of function Tolerance of previous level of function with no long standing dyspnea*** PrecautionsNoted dyspnea with: EatingSeated ADL’s OR AT REST ................
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