Main Article Content

Abstract

Indonesia is one of the countries with highest rate of COVID infection in pediatric population. Although the symptoms of acute COVID infection in children are mostly mild, several studies report frequent post-COVID persisting symptoms in pediatric population, causing limitations in daily activities. This case report discusses rehabilitation therapy in a 12 years old child diagnosed with post-COVID syndrome. Rehabilitation therapy in the form of breathing exercise, muscle strengthening, and aerobics exercise can improve subjective complaints, cardiopulmonary endurance, and quality of life at two weeks follow-up. Further research is needed to determine the correlation between rehabilitation therapy and the outcome of children with post-COVID 19 syndrome.

Keywords

covid long covid post covid pediatric children rehabilitation management physical exercise

Article Details

Author Biographies

Rizky Kusuma Wardhani, Department of Physical Medicine and Rehabilitation, Cipto Mangunkusumo National General Hospital – Faculty of Medicine Universitas Indonesia, Jakarta

Department of Physical Medicine and Rehabilitation, Cipto Mangunkusumo National General Hospital – Faculty of Medicine Universitas Indonesia, Jakarta

Luh Karunia Wahyuni, Department of Physical Medicine and Rehabilitation, Cipto Mangunkusumo National General Hospital – Faculty of Medicine Universitas Indonesia, Jakarta

Department of Physical Medicine and Rehabilitation, Cipto Mangunkusumo National General Hospital – Faculty of Medicine Universitas Indonesia, Jakarta

Budiati Laksmitasari, Department of Physical Medicine and Rehabilitation, Cipto Mangunkusumo National General Hospital – Faculty of Medicine Universitas Indonesia, Jakarta

Department of Physical Medicine and Rehabilitation, Cipto Mangunkusumo National General Hospital – Faculty of Medicine Universitas Indonesia, Jakarta

Clements Clements, Faculty of Medicine Universitas Indonesia, Jakarta

Faculty of Medicine Universitas Indonesia, Jakarta

Skolastika Mitzy Benedicta, Faculty of Medicine Universitas Indonesia, Jakarta

Faculty of Medicine Universitas Indonesia, Jakarta

References

  1. Situasi Terkini Perkembangan COVID-19 Oktober 2021. Jakarta: Kementrian Kesehatan RI [Internet]; 14 Oktober 2021. [cited 15 Oct 2021]. Available from: https://covid19.kemkes.go.id/situasi-infeksi-emerging/situasi-terkini-perkembangan-coronavirus-disease-covid-19-14-oktober-2021
  2. National Institute for Health and Care Excellence, Practitioners RC of G, Scotland HI. COVID-19 rapid guideline: managing the long-term effects of COVID-19. NICE Guidelines; 2020: 1- 35.
  3. Wanga V, Chevinsky JR, Dimitrov LV, et al. Long-Term Symptoms Among Adults Tested for SARS-CoV-2 — United States, January 2020–April 2021. MMWR Morb Mortal Wkly Rep 2021;70:1235–41.
  4. Seeßle J, Waterboer T, Hippchen T, Simon J, Kirchner M, Lim A, Müller B, Merle U. Persistent symptoms in adult patients one year after COVID-19: a prospective cohort study. Clin Infect Dis. 2021 Jul 5.
  5. Tenforde MW, Kim SS, Lindsell CJ, et al. Symptom duration and risk factors for delayed return to usual health among outpatients with COVID-19 in a multistate health care systems network – United States, March–June 2020. Morb Mortal Wkly Rep. 2020;69(30):993-8.
  6. Zimmermann P, Curtis N. Why is COVID-19 less severe in children? A review of the proposed mechanisms underlying the age-related difference in severity of SARS-CoV-2 infections. Arch Dis Child. 2020 Dec 1:archdischild-2020-320338.
  7. Buonsenso D, Munblit D, De Rose C, Sinatti D, Ricchiuto A, Carfi A, et al. Preliminary evidence on long COVID in children. Acta Paediatr. 2021;110(7):2208-11.
  8. Brackel CLH, Lap CR, Buddingh EP, van Houten MA, van der Sande LTJM, et al. Pediatric long-COVID: An overlooked phenomenon? PPul. 2021; 56(8):2495-502.
  9. Smane, L., Roge, I., Pucuka, Z. et al. Clinical features of pediatric post-acute COVID-19: a descriptive retrospective follow-up study. Ital J Pediatr. 2021; 177(47)
  10. West SL, Banks L, Schneiderman JE, Caterini JE, Stephens S, White G, et al. Physical activity for children with chronic disease; a narrative review and practical applications. BMC Pediatrics. 2019;19(1):12.
  11. Jimeno-Almazán A, Pallarés JG, Buendía-Romero Á, Martínez-Cava A, Franco-López F, Sánchez-Alcaraz Martínez BJ, et al. Post-COVID-19 Syndrome and the Potential Benefits of Exercise. Int J Environ Res Public Health. 2021;18(10).
  12. Magalhaes PS, Lanza FC, Figueiredo Bb. Clinical features and physiotherapy management for COVID-19 in children. Minerva Pediatr. 2020 Oct 27. doi: 10.23736/S0026-4946.20.06100-9