Abstract
Introduction: Video call-based physiotherapy management has been recommended in the Coronavirus disease 2019 (COVID-19) pandemic to limit the spread of infection between patients and physiotherapist. Case description: We present a 55-year-old diabetic male who needed invasive ventilation for 2 weeks after being diagnosed with COVID-19 with severe acute respiratory distress syndrome (ARDS), COVID-19-induced diabetic ketoacidosis, and metabolic encephalopathy. At discharge on day 28, he had breathlessness in activity of daily living (ADL), fatigue, swelling with tingling in both lower limbs (LL), difficulty in getting up from a chair, and maintaining balance. Rehabilitation was started 2 days after discharge for 9 weeks and included counseling, breathing exercises, and exercises to improve strength, balance, and mobility. Results: The perception of fatigue and functional independence improved by 40 and 57%, and the 6-minute walk distance (6MWT) and 1-minute sit to stand (1 MSTS) improved by 61 and 90%, respectively. Conclusion: The structured implementation of physiotherapy management made the patient fully functional in his work by 5 months post-discharge.
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