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The problem
Intervention: Physiotherapy assessment and treatment including breathing exercises, progressive muscle strengthening, mobility assessment, gait re-education, and postural safety advice provided by specialist musculoskeletal team, coordinated through multidisciplinary team meetings
Who it was tested with: 50 children (age 5 weeks to 17 years, mean 9 years) admitted with suspected PIMS-TR COVID-19 to Great Ormond Street Hospital; 36 required PICU admission.
Experience from people who deliver programmes: stories, case studies and lessons learned. Valuable for understanding how and why, and for spotting what to test next, but not a measure of effect.
"The physiotherapy team started to recognise the extent of their illness including postural instability, muscle weakness, severe fatigue, and joint involvement... The importance of physiotherapy treatment in order to enable these young people to regain strength, mobility and function was apparent and with the longer term follow up it is demonstrating that several of these patients need longer term care and treatment after discharge." The study demonstrates clinically significant improvements in muscle strength and function following structured physiotherapy, though without a control group the mechanism cannot be isolated.
No comparison group; cannot distinguish physiotherapy effect from natural recovery. Follow-up only at 2 months; longer-term outcomes unknown. High heterogeneity in baseline severity and age range. No data on adherence to therapy or intensity of intervention.
Across countries and designs
1 study · 1 country
