Consensus statement on neurorehabilitation during COVID-19 times: Expert group on behalf of the Indian Federation of Neurorehabilitation (IFNR).

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From: Annals of Indian Academy of Neurology(Vol. 24, Issue 2)
Publisher: Medknow Publications and Media Pvt. Ltd.
Document Type: Report
Length: 2,875 words
Lexile Measure: 1640L

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Byline: Rajinder. Dhamija, Abhishek. Srivastava, Sonal. Chauhan, Urvashi. Shah, Taral. Nagda, Deepak. Palande, Sonal. Chitnis, P. Dantala, John. Solomon, S. Krishnan, Hitav. Someshwar, Nirmal. Surya

The COVID19 pandemic in India is causing significant morbidity and disruptions of healthcare delivery. The rapidly escalating contagion is straining our public health system, which is already under pressure due to a shortage of infrastructure and inadequate workforce. Neuro rehabilitation services that are still in its infancy in our country have been significantly interrupted in the last six months. An expert group from Indian Federation of Neurorehabilitation (IFNR) have formulated the guidelines and consensus recommendations for Neurologists, Physiatrists, and Therapists managing neurological disabilities during COVID 19. The aim of this consensus paper is to sensitize the clinicians and therapists about maintaining the continuum of care and rehabilitation needs of Covid patients as well as non Covid patients with neurological disorders during the ongoing COVID 19 pandemic

Highlights

Neurorehabilitation services which are still in its infancy in our country have been significantly interrupted in the last 6 months Maintaining the continuum of care and rehabilitation needs of COVID patients as well as non-COVID patients with neurological disorders during the ongoing COVID19 pandemic is of utmost importance.

COVID-19 patients should be referred to the appropriate neurorehabilitation services at the right time and should receive comprehensive assessment and interventions by the multidisciplinary professionals.

Neurorehabilitation professionals are at risk of acquiring infection and must adhere to the universal infection control measures as per protocols.

Fear of exposure can result in avoidance, poor communication, and mistrust affecting delivery of rehabilitation care to our patients.

The rehabilitation settings should ensure availability of adequate number of professionals and therapists.

It may be difficult to provide rehabilitation services to large numbers in public hospitals in the era of social distancing.

There is a need to change to newer and alternate mode of delivering the neurorehabiltation services like Teleneurorehabiltation (TNR).

Introduction

COVID-19 pandemic has swamped the entire world affecting more than 200 countries with more than 289 million confirmed cases and 922,000 deaths worldwide. It is still evolving aggressively with a staggering impact across the globe.[1] Lockdown and restriction of movements have affected the sub-acute care as well as rehabilitation needs of non-COVID patients with acute neurological diseases who are unable to visit rehabilitation facilities because of fear of acquiring SARS-CoV-2 infection in the hospitals. The pandemic has also affected the healthcare and neurorehabilitation professionals who are at risk of acquiring infection and have to adhere to the universal infection control measures. Since most hospitals are rendering services to both COVID and non-COVID cases in the same facility, professionals have to follow strict protocols, including wearing personal protective equipments (PPEs) to prevent exposure and infections among themselves and the patients. Neurorehabilitation services require close contact of therapist with their patients. This invariably leads to fear of exposure resulting in avoidance, poor communication, and mistrust affecting delivery of care. It is difficult to provide rehabilitation services to large numbers in public hospitals in the era...

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Gale Document Number: GALE|A660476134