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Turkish Journal of Physical Medicine and Rehabilitation 2020 , Vol 66 , Num 2

Pulmonary rehabilitation principles in SARS-COV-2 infection (COVID-19): A guideline for the acute and subacute rehabilitation

Yeşim Kurtaiş Aytür 1 ,Belma Füsun Köseoğlu 2 ,Özden Özyemişçi Taşkıran 3 ,Nilüfer Kutay Ordu-Gökkaya 4 ,Sibel Ünsal Delialioğlu 5 ,Birkan Sonel Tur 1 ,Selda Sarıkaya 6 ,Hülya Şirzai 7 ,Tülay Tekdemir Tiftik 8 ,Ebru Alemdaroğlu 8 ,F. Figen Ayhan 9 ,Burcu Duyur Çakıt 10 ,Aysun Genç 1 ,İbrahim Gündoğdu 11 ,Rengin Güzel 12 ,Derya Demirbağ Karayel 13 ,Başak Bilir Kaya 14 ,Öznur Öken 15 ,Hande Özdemir 13 ,Feray Soyupek 16 ,Canan Tıkız 17
1 Department of Physical Medicine and Rehabilitation, Ankara University Faculty of Medicine, Ankara, Turkey
2 Department of Physical Medicine and Rehabilitation, TOBB University of Economy and Technology School of Medicine, Ankara, Turkey
3 Department of Physical Medicine and Rehabilitation, Koç University School of Medicine, Istanbul, Turkey
4 Department of Physical Medicine and Rehabilitation, Republic of Turkey Ministry of Health, University of Health Sciences, Hamidiye School of Medicine, Gaziler Physical Medicine and Rehabilitation Health Application and Research Center, Ankara, Turkey
5 Department of Physical Medicine and Rehabilitation, Republic of Turkey Ministry of Health, University of Health Sciences Hamidiye School of Medicine, Abdurrahman Yurtaslan Oncology Health Application and Research Center, Ankara, Turkey
6 Department of Physical Medicine and Rehabilitation, Bülent Ecevit University School of Medicine, Zonguldak, Turkey
7 Department of Physical Medicine and Rehabilitation, Liv Ulus Hospital, Istanbul, Turkey
8 Department of Physical Medicine and Rehabilitation,Republic of Turkey Ministry of Health, University of Health Sciences Hamidiye School of Medicine, Ankara City Hospital, Ankara, Turkey
9 Department of Physical Medicine and Rehabilitation, Medicana International, Ankara Hospital, Ankara, Turkey
10 Department of Physical Medicine and Rehabilitation, Republic of Turkey Ministry of Health, University of Health Sciences, Hamidiye School of Medicine, Ankara Training and Research Hospital, Ankara, Turkey
11 Department of Physical Medicine and Rehabilitation, Republic of Turkey Ministry of Health, University of Health Sciences, Hamidiye School of Medicine, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
12 Department of Physical Medicine and Rehabilitation, Çukurova School of Medicine, Adana, Turkey
13 Department of Physical Medicine and Rehabilitation, Trakya School of Medicine, Edirne, Turkey
14 Department of Physical Medicine and Rehabilitation, Republic of Turkey Ministry of Health, Erenköy Physical Medicine and Rehabilitation Hospital, Istanbul, Turkey
15 Department of Physical Medicine and Rehabilitation, Liv Hospital, Ankara, Turkey
16 Department of Physical Medicine and Rehabilitation, Süleyman Demirel School of Medicine, Isparta, Turkey
17 Department of Physical Medicine and Rehabilitation, Celal Bayar School of Medicine, Manisa, Turkey DOI : 10.5606/tftrd.2020.6444 Coronavirus disease 2019 (COVID-19) is a contagious infection disease, which may cause respiratory, physical, psychological, and generalized systemic dysfunction. The severity of disease ranges from an asymptomatic infection or mild illness to mild or severe pneumonia with respiratory failure and/or death. COVID-19 dramatically affects the pulmonary system. There is a lack of knowledge about the long-term outcomes of the disease and the possible sequelae and rehabilitation. This clinical practice guideline includes pulmonary rehabilitation (PR) recommendations for adult COVID-19 patients and has been developed in the light of the guidelines on the diagnosis and treatment of COVID-19 provided by the World Health Organization and Republic of Turkey, Ministry of Health, recently published scientific literature, and PR recommendations for COVID-19 regarding basic principles of PR. In this guideline, the contagiousness of COVID-19, recommendations on limited contact of patient with healthcare providers, and the evidence about possible benefits of PR were taken into consideration. Keywords : COVID-19, guideline. pulmonary rehabilitation, severe acute respiratory syndrome