Abstract：
The musculoskeletal system is affected in over 40% of patients with Coronavirus disease 2019 (COVID-19). There is an increased need for post-acute rehabilitation after COVID-19, especially in elderly people with underlying health problems. The aim of this study was to evaluate the benefits of an early and goal-orientated rehabilitation program using combined approaches, robotic medical devices together with other rehabilitation techniques and therapies, in elderly people after acute COVID-19. Ninety-one patients (62.64 ± 14.21 years) previously diagnosed with severe SARS-CoV-2 infection were admitted to the Medical Rehabilitation Clinical Hospital Baile Felix, Romania, for medical rehabilitation, but only six patients (85.33 ± 3.07 years) met the inclusion criteria and participated in the study. The rehabilitation treatment was complex, performed over 4 weeks, and included combined approaches: exercise therapy, robotic gait training, occupational therapy, and massages. Activity and participation evaluation were performed using the Barthel Index and Functional Independence Measure for activities of daily living (ADLs). Assessments were performed at admission and discharge from the rehabilitation clinic. Lokomat patients\' reports revealed that the patients had improved motor control (with one exception). The measurement of functional ability revealed an improvement in most cases. This study presents some of the first data on outcomes of COVID-19 patients\' musculoskeletal rehabilitation in our country. Early complex medical rehabilitation improved functional independence and autonomy in ADLs in very old patients, post-COVID-19.
摘要：
超过40%的2019年冠状病毒病患者(COVID-19)的肌肉骨骼系统受到影响。COVID-19后对急性后康复的需求增加，特别是在有潜在健康问题的老年人中。本研究的目的是使用组合方法评估早期和以目标为导向的康复计划的益处。机器人医疗设备以及其他康复技术和疗法，急性COVID-19后的老年人。先前诊断为严重SARS-CoV-2感染的91例患者（62.64±14.21岁）被送往医学康复临床医院BaileFelix，罗马尼亚,用于医疗康复，但只有6例患者(85.33±3.07岁)符合纳入标准并参与研究.康复治疗很复杂，进行了超过4周，包括联合方法：运动疗法，机器人步态训练，职业治疗,和按摩。使用Barthel指数和日常生活活动（ADL）的功能独立性评估进行活动和参与评估。在入院和康复诊所出院时进行评估。Lokomat患者的报告显示，患者的运动控制有所改善（只有一个例外）。功能能力的测量在大多数情况下显示出改善。这项研究提供了一些关于我国COVID-19患者肌肉骨骼康复结果的初步数据。早期复杂的医疗康复改善了老年患者ADLs的功能独立性和自主性，后COVID-19。
