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International survey of Neurorehabilitation and how it has been affected by COVID-19

Task Force Members
Izumi Kondo, Japan (Chair)
Marta Imamura (Brazil)
Sabahat Wasti (United Arab Emirates)
Caterina Pistarini (Italy)
 
1. The main objective of this survey is to learn about the experience of neurorehabilitation professionals who provide neurorehabilitation to victims of COVID-19 with neurological complications. The survey is not limited to the professionals who directly treat patients with Corona virus infection.
 
2. This survey addresses following three important issues:
1) The experience of management of neurological manifestations of Corona virus infection, either directly caused by it or acquired due to complications of its treatment such as peroneal nerve palsy following prolonged bed confinement.
2) The effect on the rehabilitation of patients who suffer from usual neurological diseases such as stroke, spinal cord injury or brain injury due to redeployment of medical resources during rapid spread of pandemic.
3) Neuropsychological impact of COVID-19 infection on patients and stress related effects on neurorehabilitation professionals

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* 1. What discipline you belong to?

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* 2. What national society do you belong to?

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* 3. Have you been or are you involved in treating COVID-19 Patients?

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* 4. Approximately how many COVID-19 patients have you been involved with per month?

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* 5. Approximately how long have you worked/ are you working with COVID-19 patients?

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* 6. Is there a formal COVID-19 education for neurorehabilitation staff in your region?

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* 7. If No, did you educate yourself about COVID-19 prior to providing treatment to COVID-19 patients?

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* 8. At the phase of emergency or contaminating phase, does status of patients influence decisions for their taking charge by rehabilitation team?

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* 9. At the phase of emergency or contaminating phase, Does COVID-19 status of patients cause first contacts to be delayed?

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* 10. If Yes for Q9, by:

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* 11. If there are delays in assessing patients is this due to:

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* 12. Where there is a delay in assessing patients due to their clinical condition, does it occur regardless of their COVID-19 status?

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* 13. In patients without COVID-19 who need isolation to protect them from COVID-19, for example patients with spinal cord injury, does the isolation status of these patients interfere with treatments and interventions?

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* 14. If Yes for Q13

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* 15. Do PPEs interfere with therapies and interventions?

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* 16. Do COVID-19 status of patients have an impact on their potential outcomes?

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* 17. If Yes for Q16, at when does it occur?

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* 18. What COVID-19 complications have you addressed in your rehabilitation practice? Please, select all that apply.

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* 19. Main rehabilitation interventions prescribed: Please, select all that apply.

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* 20. Has your country established a neurorehabilitation national plan prior to COVID-19 pandemic?

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* 21. How are neurorehabilitation services usually provided in your country?  Please select all that apply.

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* 22. Has COVID-19 had an impact on inpatient Neurorehabilitation Service in your region?

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* 23. If Yes for Q22: Has your work increased ?

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* 24. If Yes for Q23: Was it due to increased number of COVID-19 patients with neurological complications?

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* 25. If Yes for Q24: What manifestations / complications are seen most:

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* 26. Has your work decreased ?

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* 27. If Yes for Q26: Is it due to: Resources have been re-allocated to acute care

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* 28. Have the staff been redeployed to to acute care

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* 29. Has closure of service occurred ?

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* 30. If Yes for Q29: Reason given to you by management for reducing / stopping the service

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* 31. Has there been an impact on outpatient neurorehabilitation service due to COVID-19 ?

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* 32. Has it become less busy ?

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* 33. If Yes for Q32: Patients want to come but cannot due to restrictions

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* 34. If Yes for Q32: Are patient reluctant / unwilling to attend because of fear of contracting COVID-19

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* 35. If Yes for Q32: Has the staff been redeployed

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* 36. Is the COVID-19 testing delaying patient’s attendance

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* 37. Has there been a shift to Tele / digital visits?

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* 38. Based on experience so far please give 2 positives and 2 negatives of Tele / digital visits

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* 39. Has COVID-19 had an impact on Community Based Neurorehabilitation in your area ?

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* 40. If Yes for Q39: Is it due to: Local regulations restricting visits?

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* 41. If Yes for Q39: Is it due to reluctance of patients and their families to allow visits by neurorehabilitation staff?

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* 42. If Yes for Q39: Is it due to reluctance of staff to go out on visits?

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* 43. If Yes for Q39: Is it due to cost and / or availability of PPEs?

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* 44. If Yes for Q39: Is it due to difficulty with transportation due to lock down?

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* 45. If No for Q39: is it due to special arrangements that have been made in your region

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* 46. If Yes for Q45: Please state what special arrangements were made

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* 47. Do You think the vaccination campaign has been duly enhanced in your country?

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* 48. Has your country already started the vaccination of health professionals delivering neurorehabilitation?

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* 49. Has your country already started the vaccination of patients requiring neurorehabilitation?

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* 50. Please state if you have any other comments on the subject of Neurorehabilitation in COVID-19.

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