PTOTSLPOtherArchives of rehabilitation research and clinical translation2022

Can Outpatient Rehabilitation Be Continued During the COVID-19 Pandemic? A Report from a Japanese Regional Medical University Hospital.

Yoko Yamanouchi, Kyoko Maeda, Yusuke Shinoda and 5 others

PMID 35531050

WHAT IT FOUND

Outpatient rehabilitation at one Japanese hospital fell in spring 2020 but returned to prepandemic daily numbers by 2021 while screening, masking, disinfection, spaced training, and paused swallowing studies were used.

No outpatient rehabilitation clusters occurred.

Key findings

01Daily outpatient rehabilitation numbers fell in April 2020 to 31.0 (77.6% of April 2019), but by May 2021 were 45.3 (104.9% of May 2019).

02No clusters due to COVID-19 occurred in the outpatient rehabilitation department between January 2020 and July 2021.

03The department continued outpatient rehabilitation using health screening, mandatory masks and hand disinfection, equipment sterilization, separate morning and afternoon training, at least 180-cm patient spacing, ventilation, and a pause in videofluoroscopic swallowing exams from mid-April to late June 2020.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

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What it does not show

It reports one Japanese hospital, not multiple settings. It reports monthly average daily outpatient numbers, not total patient counts, therapy intensity, patient outcomes, or all reasons for nonattendance. The later return to prepandemic volumes occurred alongside vaccination, lifted orthopedic surgery restrictions, and removal of training-room time limits. No clusters were reported, but the paper does not describe how clusters were detected or compare with other departments. The authors state they could not investigate other hospitals because the hospital was not affiliated with a public institution. The authors state telemedicine rehabilitation was not covered by insurance in Japan and was not implemented.

Declared interests

No funding or conflict-of-interest declaration is given in the supplied text.

The easy way to misread this

Do not read the return to prepandemic outpatient numbers as proof that the listed infection-control measures caused the recovery or that outpatient rehabilitation was safe for all patients. This is a single-hospital service report without patient outcomes, and volumes also changed after vaccination, lifted surgery restrictions, and removed time limits.

Read it on PubMed →