Mini thematic brochure: POST COVID CONDITION
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THE POST COVID SYNDROME PROTOCOL

THE POST COVID SYNDROME 176 + millions SARS-CoV-2 infections recorded in June 2021 worldwide. (1) 80% patients with a confirmed COVID-19 diagnosis are reported to continue having at least one symptom beyond two weeks following acute infection. (2) 1 in 5 COVID positive subjects reported the prevalence of Post Covid Syndrome symptoms for 5 weeks or longer. (3) 1 in 10 COVID positive subjects reported the prevalence of Post Covid Syndrome symptoms for 12 weeks or longer. (3) 1. https:/ /www.salute.gov.it 2. Lopez-Leon S, Wegman-Ostrosky T, Perelman C, et al. More than 50 Long-term effects of...

THE POST COVID SYNDROME SYMPTOMS phase 15-45 Acute days Post Covid conditions are a wide range of new, returning, or ongoing health problems people experience for more than four weeks after first being infected with the virus that causes Covid-19. Even people who did not have symptoms when they were infected can have Post Covid conditions. These conditions can have different types and combinations of health problems for different lengths of time. Long Covid is a range of symptoms that can last weeks or months after first being infected with the virus that causes Covid-19 or can appear weeks...

WHAT IS MOVENDO POST COVID SYNDROME PROTOCOL? Movendo Technology, in collaboration with its network of international clinical partners, has developed a Post Covid Syndrome protocol, already in use from December 2020 The Patient with suspect of Post Covid Syndrome is evaluated with a combination of clinical and robotic tests. in centers of excellence around the world, which includes assessment and specific treatment of the neuromotor components related to Post Covid Syndrome. Based on the evaluation result the subject undergoes a robotic treatment with hunova (number and lenght of sessions...

COMBINING CLINICAL AND ROBOTIC ASSESSMENT IN ONE EVALUATION Clinical evaluation and robotic parameters are combined to describe accurately the patient condition. Clinical tests available to the general practitioner are considered together with the objective hunova robotic data to effectively create a baseline from where the robotic treatment starts. hunova is able to measure additional clinical parameters through standardized test executed by the operator following the guidelines provided. CLINICAL EVALUATION ROBOTIC EVALUATION

POST COVID SYNDROME EVALUATION PROTOCOL CLINICAL EVALUATION PCS SYMPTOMS TI CLINICAL ASSESSMENT Reduced Gait speed, reduced endurance 2 MINUTES/ 6 MINUTES WALK TEST NRS (Numerical Rating Scale) MONTREAL COGNITIVE ASSESSMENT (MOCA) or other cognitive assessment (1) Cognitive symptoms 1. KW Miskowiaka, S Johnsen, SM Sattler, S Nielsen, K Kunalan, J Rungbye, T Lapperreg, CM Porsberg, Cognitive impairments four months after Covid-19 hospital discharge: Pattern, severity and association with illness variables, 22 March 2021, https:/ /doi.org/10.1016/j.euroneuro.2021.03.019

The generation of perturbations between the robotic device and the patient creates a unique interaction extremely complex to reproduce manually. POST COVID SYNDROME EVALUATION PROTOCOL ROBOTIC EVALUATION PCS SYMPTOMS HUNOVA ASSESSMENT Endurance evaluation Instrumented 30 seconds Sit-To-Stand (STS) Core and lower limb strength evaluation Muscle weakness Core strength evaluation with different type of forces Ankle and quadriceps strength evaluation Sit to stand evaluation Motor dual task evaluation Cognitive symptoms Balance tasks evaluation while performing cognitive dual task Balance...

POST COVID SYNDROME EVALUATION PROTOCOL EVALUATION PHASE: HUNOVA ADVANTAGES Precise and reliable measurements for the patient physical abilities. Quantitative values and reporting of motor skills such as strenght, quality of voluntary control and range of motion. Comparison between the subject performance and the clinical normality range. Data logging system to track and monitor the progress of patients allowing the therapeutic exercises adjusted overtime. Design of a personalized treatment based on patient’s deficits. Quick screening (less than 25 minutes). Estimation of muscle tone...

THE BENEFITS OF EXERCISE ADVANTAGES OF EXERCISES DELIVERED THROUGH HUNOVA Thanks to hunova’s modular approach tailoring the treatment activities, it is possible to provide the correct “exercises dosage” for the patient. Physical exercise is an essential tool in the management not only of acute disease but especially of long-term manifestations of Post Covid Syndrome(1). Individual and targeted exercise is highly recommended as a non-pharmacologic strategy for treating rheumatic and musculoskeletal diseases, characterized by chronic pain, muscle weakness, physical limitations, fatigue and...

HUNOVA FOR POST COVID SYNDROME TREATMENT TREATMENT PHASE: ADVANTAGES (1) ESTIMATED TIME TO RESOLUTION POST COVID SYNDROME POTENTIAL BENEFITS OF EXERCISE • Cognitive impairment • Headache • Taste and smell alterations • Post-traumatic stress • Sleep disturbances • Peripheral neuropathy • Dizziness • Delirium • Stimulates brain plasticity • Neurocognitive abilities • Cognitive dysfunction • Allostatic overload • Sleep quality • Fatigue • Weakness • Osteoarticular pain • Muscular pain • Muscle mass • Muscle strenght • Intermuscolar coordination • Tolerance to exercise 1. Jimeno-Almazán, A.;...

After the evaluation the patient goes through a dedicated robotic and personalized treatment on hunova related to their neuro-motor conditions. POST COVID SYNDROME TREATMENT PROTOCOL ROBOTIC TREATMENT HUNOVA TRAINING Endurance training Muscle weakness Strengthening exercises for core and legs Cognitive symptoms Dual task exercises Exercises of static and dynamic balance Difficulty thinking or concentrating Exercises that promote multi tasking/interaction with visual feedback Proprioception impairment Multimodal interaction exercises

HUNOVA FOR POST COVID SYNDROME TREATMENT TREATMENT PHASE: HUNOVA ADVANTAGES Sophisticated motion and force profiles, based on the principles of motor learning and brain plasticity. High-intensity, task-oriented functional training and passive motion exercises, critical for effective recovery, at low cost, and for a longer duration, supporting the therapist in the treatment. Exercise gamification to provide motivation and support to the patient during the rehabilitation programs. Adjusted treatment according to the performance measured to the training process. Full customization of the...