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Deconditioning Syndrome

A 65-year-old woman was diagnosed with deconditioning syndrome after being hospitalized for 3 weeks for COVID-19 and having type II diabetes. She experienced decreased strength, endurance, balance and mobility due to prolonged inactivity during her hospital stay. Her physical exam showed reduced muscle size, strength, and trouble with balance. She received various physical therapy treatments aimed at regaining independence, including infrared therapy, electrical muscle stimulation, breathing exercises, and mobility training. Patients with longer hospitalizations for conditions like COVID-19 are more likely to experience deconditioning that requires physical rehabilitation to overcome.

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Charismatika Syintia Dewi
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58 views2 pages

Deconditioning Syndrome

A 65-year-old woman was diagnosed with deconditioning syndrome after being hospitalized for 3 weeks for COVID-19 and having type II diabetes. She experienced decreased strength, endurance, balance and mobility due to prolonged inactivity during her hospital stay. Her physical exam showed reduced muscle size, strength, and trouble with balance. She received various physical therapy treatments aimed at regaining independence, including infrared therapy, electrical muscle stimulation, breathing exercises, and mobility training. Patients with longer hospitalizations for conditions like COVID-19 are more likely to experience deconditioning that requires physical rehabilitation to overcome.

Uploaded by

Charismatika Syintia Dewi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Deconditioning Syndrome In Woman Aged 65 Years Old with Long Covid-19 and Type

II Diabetes Melitus: A Case Report

Charismatika Syintia Dewi


Background: Coronavirus disease 2019 ( COVID -19) is caused by severe acute respiratory
syndrome corona virus 2 (sars-cov-2) was first identified in December 2019 and declare as a
pandemic in 11th march 2020 by world health organization. Until now, 4.206.253 cases of
COVID-19 have been reported in Indonesia, according to data of September 2021. These
respiratory symptoms can develop rapidly, especially in the older age group. Diabetes melitus
as a comorbid condition aggravates the patient's condition and prolong the length of treatment
days
Objective: Patients with a long stay in hospital have longer period inactivity. They have
more severe deconditioning and longer time to restore their previous level of function
Case: A 65 years old woman decreased strength, endurance, and balance. She has stiff
fingers, feel tired, fatiqued and decrease her ability to be active after being treated in ICU for
3 weeks. She has a history of Diabetes Melitus which makes her condition worse by being
infected with the Covid-19 virus. The changes in her body that occur during the period
inactivity is diagnosted deconditioning (ICD X: M25.6). The changes happen in the heart,
lungs, and muscles. This condition is diagnosed based on her medical history and a physical
exam. The physical exam included decreasing size of muscles, decrasing strength, trouble
with balance, and shortness of breath. Treatmen for Patient who came to type D private
Hospital which have limited therapeutic modalities are infra red therapy on thorax, shoulder,
and digiti manus dextra, ES/NMES quadriceps dextra et sinistra, breathing exercise, thorax
mobility, chest therapy, stretching extremitas digiti manus and general, and mobilization
exercise sit until walking. The goal of the therapy programs are to achieve independence
patients in daily life.
Keywords: deconditioning syndrom, long covid-19, diabetes melitus
A Case Report by dr. Charismatika Syintia Dewi

CASE DIAGNOSTIC: Deconditioning Syndrome In Woman Aged 65 Years Old with


Long Covid-19 and Type II Diabetes Melitus

CASE DESCRIPTION: Coronavirus disease 2019 ( COVID -19) is caused by severe acute
respiratory syndrome corona virus 2 (sars-cov-2) was first identified in December 2019 and
declare as a pandemic in 11th march 2020 by world health organization. Until now, 4.206.253
cases of COVID-19 have been reported in Indonesia, according to data of September 2021.
These respiratory symptoms can develop rapidly, especially in the older age group. Diabetes
melitus as a comorbid condition aggravates the patient's condition and prolong the length of
treatment days
DISCUSSION: A 65 years old woman decreased strength, endurance, and balance. She has
stiff fingers, feel tired, fatiqued and decrease her ability to be active after being treated in
ICU for 3 weeks. She has a history of Diabetes Melitus which makes her condition worse by
being infected with the Covid-19 virus. The changes in her body that occur during the period
inactivity is diagnosted deconditioning (ICD X: M25.6). The changes happen in the heart,
lungs, and muscles. This condition is diagnosed based on her medical history and a physical
exam. The physical exam included decreasing size of muscles, decrasing strength, trouble
with balance, and shortness of breath. Treatmen for Patient who came to type D private
Hospital which have limited therapeutic modalities are infra red therapy on thorax, shoulder,
and digiti manus dextra, ES/NMES quadriceps dextra et sinistra, breathing exercise, thorax
mobility, chest therapy, stretching extremitas digiti manus and general, and mobilization
exercise sit until walking.
CONCLUSIONS: Patients with a long stay in hospital have longer period inactivity. They
have more severe deconditioning and longer time to restore their previous level of function.
The goal of the therapy programs are to achieve independence patients in daily life.

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