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POST-COVID-19 REHABILITATION AT MEDICAL PARK

POST-COVID-19 REHABILITATION AT MEDICAL PARK
Prof. Dr. med. Martin Halle

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

"Prof. Dr. med. Martin Halle" 

Medical Director Specialist in internal medicine, cardiology and Sports Medicine

Technical University of Munich

COVID-19 - A Multifaceted Disease

Medical 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 phenomena 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.

Facts

  • Established in 1977
  • 14 premium hospitals in Germany
  • 70,000 patients admitted per year3,100 beds
  • 3,500 staff members

Areas of Treatment:

  • Neurology (including ICU)
  • Psychosomatics
  • Orthopaedics/traumatology/sports medicine
  • Internal medicine/cardiology
  • Oncology

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, respectively.

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.

Post Covid-19 Rehabilitation Concept at Medical Park

Treatment Modules

Based 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 Medicine Cardiology  Neurology  Orthopaedics  Psychosomatic Medicine and Psychotherapy
Head Physician  Prof. Firschke.  Prof. Young

 Prof. Schmitt-Sody

 Dr. Menke

Diagnostics

  • 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
  • Neurological assessment
  • EEG
  • ENG
  • EMG for staging CIP and CIM
  • Ultrasound of vessels
  • FEES
  • Blood gas tests
  • Functional respiratory examination
  • X-ray diagnostics
  • Spinal column measurement
  • Gait analysis
  • Bone densitometry, sonography
  • Resting ECG
  • Laboratory diagnostics
  • Regular control of the vital parameters incl. oxygen saturation
  • Psychopathological evaluation including psychometric tests (HAMD, BDI, SF-36, GAD- 7, PHQ-9)
  • Neuropsychological diagnostics
  • Polysomnography
Therapy
  • 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

 

INTERDISCIPLINARY POST-COVID-19 REHABILITATION BOARD

Prof. Christian Firschke

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

Christian Firschke

MD, 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 Centre Munich, Germany
  • Trained at Technical University of Munich, Germany and University of Virginia, U.S.A.
  • Fellow of the European Society of Cardiology
  • Fellow of the American College of Cardiology

Prof. Peter Young

“The clinical picture after severe pneumonia with intensive care therapy is characterised by a general muscle weakness 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 Young

MD, PHD

  • Professor of Neurology and Neurogenetics
  • Westfälische Wilhelms-Universität, MÜNSTER, Germany
  • Head of Neurology, Medical Park Bad Feilnbach, Reithofpark, Germany
  • Trained at Westfälische Wilhelms-Universität, MÜNSTER and Eidgenössische Technische Hochschule (ETH) Zurich, Switzerland
  • Specialisation in neurology, neurogenetics, intensive care medicine and sleep medicine
  • Board member of the German Sleep Society (DGSM) and the German Muscle Society (DGM)

Prof. Marcus Schmitt-Sody

“We support patients in regaining their independence after a COVID-19 pneumonia. We focus on the long-term wellbeing of our patients.”

Marcus Schmitt-Sody

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

Dr. Andreas Menke

Andreas Menke

MD, PHD, ASSOC.-PROF.

  • Head of Psychosomatic Medicine and Psychotherapy, Medical Park Chiemseeblick, Bernau-Felden, Germany
  • Associate Professor of Psychiatry and Psychotherapy 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

We offer the treatment in four of our hospitals:

 

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