POST-COVID-19 REHABILITATION AT MEDICAL PARK

POST-COVID-19 REHABILITATIONAT MEDICAL PARK

Safe and comfortable rehabilitation treatment

COVID-19 - A MULTIFACETED DISEASEMedical Park premium rehabilitation hospitals are specialists in prevention and post-operative rehabilitation.

COVID-19 is a multifaceted disease that needs aftercare. Post-COVID-19 care has become a new treatment field of medical rehabilitation and is now available at Medical Park.

The German healthcare system enjoys an excellent reputation and has managed the outbreak of COVID-19 well. Germany’s healthcare sector is far advanced and provides a unique structure of cooperating acute and rehabilitation hospitals, thus ensuring great treatment results for each individual.

The symptomatic course of COVID-19 primarily affects the respiratory tract. Meanwhile it is well known that organs such as the heart, the brain, the peripheral nervous system, and the musculoskeltal system are often affected by COVID-19. Such “multiorgan” manifestation of COVID-19 is often seen in severely affected patients. Even when laboratory findings indicate that the disease is overcome, many patients report residual symptoms like dyspnea, heart discomfort, arrhythmias, a variety of neurological disorders and psychological phenome-na like anxiety and depression. Inter-individual prevalence and degree of these symptoms show considerable variability.

Head physicians of the Medical Park rehabilitation hospitals constituted a “post-COVID-19 rehabilitation board” and developed a modular rehabilitation concept for post-COVID-19 patients.

INTERDISCIPLINARY MODULAR REHABILITATION AFTER COVID-19:

The course of treatment is structured as a “Basic” and “Additional” module for the fields of “internal medicine/cardiology”, “neurology”, “orthopaedics” and psychosomatic medicine with a duration of 14 and 7 days, re-spectively.

Upon referral by the “post-COVID-19 rehabilitation board”, each patient is assigned to a “Basic” module and to “Additional” modules as required. The joint recommendation is based on individual patient needs, identified by leading symptoms and underlying diagnoses apart from COVID-19.

Modulartreatmentapproach

Interdiscipli-nary team of

physicians

Individualtreatment

options

Medical Parkpost-COVID-19

concept

FACTS

• Established in 1977

• 14 premium hospitals in Germany

• 70,000 patients admitted per year

• 3,100 beds

• 3,500 staff members

AREAS OF TREATMENT:

• Neurology (including ICU)

• Psychosomatics

• Orthopaedics/traumatology/sports medicine

• Internal medicine/cardiology

• Oncology

“COVID-19 patients not only suffer from long-term damage of the lungs, but show signs of heart muscle inflammation, neurological or psychia-tric diseases. I consider post-COVID-19 rehabili-tation necessary as it is offered by Medical Park.”

Prof. Dr. med. Martin Halle

Medical DirectorSpecialist in internal medicine, cardiology and

sports medicine

Technical University of Munich

TREATMENT MODULESBASED ON THE INDIVIDUAL NEEDS OF THE PATIENT, ASSESSED IN THE BASIC MODULE.

Individual assignment criteria:

• Type of residual post-COVID symptoms

• Underlying (non-COVID) diagnoses

INTERNAL MEDICINECARDIOLOGY

Prof. Firschke

• Pulmonary and cardiac ultrasound

• Cardiac deformation imaging

• 3-D echocardiography• ECG, Holter and 24-

hour blood pressure measurement

• Bodypletysmography• Cardiopulmonary

exercise testing blood gas analysis

• X-ray chest imaging

NEUROLOGY

Prof. Young

• Neurological assessment

• EEG• ENG• EMG for staging CIP

and CIM• Ultrasound of vessels• FEES• Blood gas tests• Functional respirato-

ry examination

ORTHOPAEDICS

Prof. Schmitt- Sody

• X-ray diagnostics• Spinal column mea-

surement• Gait analysis• Bone densitometry,

sonography• Resting ECG• Laboratory diagno-

stics• Regular control of

the vital parameters incl. oxygen satura-tion

PSYCHOSOMATICMEDICINE AND

PSYCHOTHERAPY

Dr. Menke

• Psychopathological evaluation including psychometric tests (HAMD,BDI, SF-36, GAD-7, PHQ-9)

• Neuropsychological diagnostics

• Polysomnography

• Respiratory therapy including mobilisation of the adjacent regions such as thoracic spine, cervical spine, scapulamobility

• Transfer and mobility training with advice on aids/prescription

• Ergotherapeutic support in advice/adaptation of aids

• Medical training therapy to increase cardiopulmonary endurance and improve trunk stability and strength of the upper and lower extremities

• Manual therapy/osteopathy to improve trunk mobility, respiratory auxiliary musculature

• Pain therapy, acupuncture, shock wave, cryotherapy• Psychotherapeutic and psychopharmacologic treatment with specific post-COVID-19 interventions

Head physican

Diagnostics

Therapy

INTERDISCIPLINARY POST-COVID-19REHABILITATION BOARD

“Severe COVID-19 pneumonia can lead to structural and haemodynamic changes in the lungs and the heart (pul-monary fibrosis, pulmonary hypertension, right heart failure). Training-based rehabilitation can significantly improve maximum oxygen uptake and enhance cardiop-ulmonary performance.”

Christian FirschkeMD, PHD, FESC, FACC, MHBA

• Professor of Internal Medicine/Cardiology• Technical University of Munich, Germany• Head of Cardiology, Medical Park St. Hubertus,

Bad Wiessee, Germany• Consultant, cardiac surgery, German Heart Cen-

tre Munich, Germany• Trained at Technical University of Munich, Germa-

ny and University of Virginia, U.S.A. • Fellow of the European Society of Cardiology • Fellow of the American College of Cardiology

“The clinical picture after severe pneumonia with intensive care therapy is characterised by a general muscle weak-ness and muscle wasting causing long lasting immobility, respiratory weakness and sensory disturbances, so called ICU acquired weakness. Our concept takes all these aspects into account and offers best support to regain health.”

Peter YoungMD, PHD

• Professor of Neurology and Neurogenetics• Westfälische Wilhelms-Universität, Münster, Ger-

many• Head of Neurology, Medical Park Bad Feilnbach,

Reithofpark, Germany• Trained at Westfälische Wilhelms-Universität,

Münster and Eidgenössische Technische Hoch-schule (ETH) Zurich, Switzerland

• Specialisation in neurology, neurogenetics, inten-sive care medicine and sleep medicine

• Board member of the German Sleep Society (DGSM) and the German Muscle Society (DGM)

“We support patients in regaining their independence af-ter a COVID-19 pneumonia. We focus on the long-term well-being of our patients.”

Marcus Schmitt-SodyMD, PHD

• Professor of Orthopaedic Surgery• Ludwig-Maximilians-Universität Munich, Germany• Head of Orthopaedics, Medical Park Chiemsee,

Medical Park Prien Kronprinz, Germany• Specialisation in sports medicine and chirother-

apy• Board member of the German Knee Society (DKG)• Trained at Ludwig-Maximilians-Universität Munich,

Germany

“The COVID-19 pandemic resulted in perceived danger, social isolation, financial and occupational loss and thus leads to a significant risk for mental illness, which is expec-ted to affect a high proportion of the population.”

Andreas MenkeMD, PHD, ASSOC.-PROF.

• Head of Psychosomatic Medicine and Psychothe-rapy, Medical Park Chiemseeblick, Bernau-Felden, Germany

• Associate Professor of Psychiatry and Psychothe-rapy at Ludwig-Maximilians-Universität Munich, Germany

• Member of the Comprehensive Heart Failure Center Germany, University Hospital of Würzburg, Germany

• Member of the Graduate School of Life Sciences (GSLS), Julius-Maximilians-Universität Würzburg, Germany

• Trained at Ruprecht-Karls-Universität Heidelberg, Germany

CONTACT DETAILS Medical ParkInternational Office

Freiberger-Platz 183123 Amerang

Phone: +49 8075 91311-130Mobile phone: +49 1757237738E-mail: [email protected]

www.medicalpark.de