Post Covid-19: Outpatient Assessment

Original Editor -Selena Horner

Top Contributors - Selena Horner and Kim Jackson  

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Prior to Scheduling[edit | edit source]

Was the patient hospitalized? If no, when was the onset of symptoms? When was the last day of symptoms? If patient not sure of last day of symptoms, when was the last day of the fever?

If the patient was hospitalized, when was the patient discharged? Where diagnostic tests done to determine if the patient was COVID-19 negative?

Rationale[edit | edit source]

Currently, there are no guidelines on probability of reinfection. It seems the best evidence we currently have focuses on viral loads. The highest level of viral shedding seems to occur when asymptomatic or with mild symptoms. Viral RNA can be found in oral swabs, anal swabs and blood of individuals who are infected with COVID-19.[1] A patient discharged with a negative oral swab may continue to be shedding the virus. The change in shedding may change from predominantly oral to fecal.[1] Prior to treating a patient with post-COVID-19, the physical therapist may need to apply the responses about the

Subjective[edit | edit source]

Patient Intake[edit | edit source]

  • Self‐report
  • Performance‐based outcome measures
  • Region‐specific historical examination

Special Questions[edit | edit source]

  • Red Flags
  • Yellow Flags

Investigations[edit | edit source]

  • Radiological Considerations

Objective[edit | edit source]

Observation[edit | edit source]

  • Posture
  • Movement Patterns

Functional Tests[edit | edit source]

Palpation[edit | edit source]

  • supine
  • prone
  • seated

Neurologic Assessment[edit | edit source]

Movement Testing[edit | edit source]

  • AROM, PROM, and Overpressure
  • Passive Intervertebral Motion
  • Muscle Strength

Special Tests[edit | edit source]

References[edit | edit source]

  1. 1.0 1.1 Zhang W, Du RH, Li B, Zheng XS, Yang XL, Hu B, Wang YY, Xiao GF, Yan B, Shi ZL, Zhou P. Molecular and serological investigation of 2019-nCoV infected patients: implication of multiple shedding routes. Emerging microbes & infections. 2020 Jan 1;9(1):386-9.