Mobilization, exercise, and ambulation are potential aerosol-generating procedures, and PTs and PTAs should have access to appropriate masks when providing these interventions to patients with known or suspected COVID-19 to reduce the risk of exposure.
By using this site, you are consenting to our use of cookies. To find out more visit our privacy policy.
Taking Precautions for Mobility and Exercise as Potential Aerosol-Generating Procedures
Centers for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19). Information for Healthcare Professionals about Coronavirus (COVID-19). https://www.cdc.gov/coronavirus/2019-nCoV/hcp/index.html.
Centers for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19). Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings. https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html#adhere.
Centers for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19). Discontinuation of Transmission-Based Precautions and Disposition of Patients with COVID-19 in Healthcare Settings (Interim Guidance). https://www.cdc.gov/coronavirus/2019-ncov/hcp/disposition-hospitalized-patients.html
Department of Defense. U.S. COVID-19 Practice Management Guide: Clinical Management of COVID-19, Version 3. . https://www.health.mil/Reference-Center/Technical-Documents?refVector=000000000000001&refSrc=142.
Grieble, H.G.; Colton, F.R.; Thomas, M.S., et al. Fine-particle humidifiers: source of Pseudomonas aeruginosa infections in a respiratory-disease unit. NEJM, 1970;282:531-533.
He, X., Lau, E.H.Y., Wu, P. et al. Temporal dynamics in viral shedding and transmissibility of COVID-19. Nature Medicine, 2020;26:672-675. https://doi.org/10.1038/s41591-020-0869-5.
Institute of Medicine. Strategies to Improve Cardiac Arrest Survival: A Time to Act. The National Academies Press, 2015.
Lavigne, M.C. Comparing suctioning techniques used to assist: mechanical ventilation: Protecting you and your patients. International Journal of Infection Control, 2016; v12:1-12. https://www.ijic.info/article/view/15984.
Loeb M, McGeer A, Henry B, et al. SARS among critical care nurses, Toronto. Emerging Infectious Diseases, 2004;10(2):251–255. https://wwwnc.cdc.gov/eid/article/10/2/03-0838_article.
Midgley, C.M.; Kujawski, S.A.; Wong, K.K.; et al. Clinical and Virologic Characteristics of the First 12 Patients with Coronavirus Disease 2019 (COVID-19) in the United States. (In print) Nature Medicine, 2020.
Morbidity and Mortality Weekly Report (MMWR) of the CDC. Guidelines for Environmental Infection Control in Health-Care Facilities: Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. June 6, 2003; 52(RR10); 1-42. https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5210a1.htm.
Pan American Health Organization. Rehabilitation considerations during the COVId-19 outbreak, 2020:15. https://iris.paho.org/handle/10665.2/52035.
Strickland, S; Rubin, B; Drescher, G; et al. AARC Clinical Practice Guideline: Effectiveness of Nonpharmacologic Airway Clearance Therapies in Hospitalized Patients. Respiratory Care, 2013;58(12):2187-2193.
Suen, L.K.P.; Guo, Y.P.; Tong, D.W.K.; et al. Self-contamination during doffing of personal protective equipment by healthcare workers to prevent Ebola transmission. Antimicrobial Resistance and Infection Control, 2018;7:157. https://doi.org/10.1186/s13756-018-0433-y
Thomas, P; Baldwin, C; Bissett, B; et al. Physiotherapy management for COVID-19 in the acute hospital setting. Recommendations to guide clinical practice. Version 1.0.23 March 2020:14. Journal of Physiotherapy. https://www.wcpt.org/sites/wcpt.org/files/files/wcptnews/images/Physiotherapy_Guideline_COVID-19_FINAL.pdf.
Tran, K. Cimon, K. Severn, M. Pessoa-Silva, C..; Conly, J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PLoS One. 2012;7(4):e35797. doi:10.1371/journal.pone.0035797.
U.S. Public Health Service Commissioned Corps. Optimizing Ventilator Use during the COVID-19 Pandemic. Official Statement Issued 31 March 2020. U.S. Department of Health and Human Services. https://www.hhs.gov/sites/default/files/optimizing-ventilator-use-during-covid19-pandemic.pdf.
Wölfel, R; Corman, V.M.; Guggemos, W.; et al.. Virological assessment of hospitalized patients with COVID-2019. Nature, 2020. doi:10.1038/s41586-020-2196-x.
World Health Organization. Infection prevention and control of epidemic- and pandemic-prone acute respiratory infections in health care. Geneva: World Health Organization; 2014.https://apps.who.int/iris/bitstream/handle/10665/112656/9789241507134_eng.pdf?sequence=1.
World Health Organization. Infection Control Strategies for Specific Procedures in Health-Care Facilities: Epidemic-prone and pandemic-prone acute respiratory diseases. 2008. https://www.who.int/csr/resources/publications/WHO_HSE_EPR_2008_2.pdf.
World Health Organisation. Clinical Management of Severe Acute respiratory Infection (SARI) when COVID-19 Disease is Suspected-Interim Guidance. 13 March 2020. https://www.who.int/publications-detail/clinical-management-of-severe-acute-respiratory-infection-when-novel-coronavirus-(ncov)-infection-is-suspected.
Xing, Y.H.; Ni, W.; Wu, Q.; et al. Prolonged viral shedding in feces of pediatric patients with coronavirus disease 2019. Journal of Microbiology, Immunology and Infection. 2020. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141453/pdf/main.pdf.
Date: June 22, 2020
Contact: practice@apta.org
Content Type: Article
You Might Also Like...
Review
From PTJ: Functional and Aerobic Exercises Can Aid Long COVID RecoveryJan 23, 2024
Researchers also found that telerehab may be ‘an optimal intervention’ for physical therapy patients with long COVID.
Roundup
Coronavirus and Long COVID Update, October 2023Oct 23, 2023
SSRIs and Long COVID, Post-COVID-19 organ abnormalities, lingering symptoms among children, and more.
News
CDC: Nearly 7% of U.S. Adults Had or Have Long COVID; Rates Vary by DemographicsOct 4, 2023
Results of a 2022 survey show that women, Hispanic respondents, and residents of non-metro areas experienced the condition at higher rates.