Clinical Guidelines: PDF OnlyRecommendations for respiratory rehabilitation in adults with COVID-19Zhao, Hong-Mei1; Xie, Yu-Xiao2; Wang, Chen3Editor(s): Wei, Pei-Fang Author Information 1Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital; Institute of Respiratory Medicine, Chinese Academy of Medical Sciences; National Clinical Research Center for Respiratory Diseases, Beijing 100029, China 2Department of Rehabilitation Medicine, China-Japan Friendship Hospital, Beijing 100029, China 3Chinese Academy of Medical Sciences & Peking Union Medical College, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing 100730, China Correspondence to: Dr. Hong-Mei Zhao, Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital; Institute of Respiratory Medicine, Chinese Academy of Medical Sciences; National Clinical Research Center for Respiratory Diseases, Beijing 100029, China E-mail: firstname.lastname@example.org How to cite this article: Zhao HM, Xie YX, Wang C. Recommendations for respiratory rehabilitation in adults with COVID-19 . Chin Med J 2020;00:00–00. doi: 10.1097/CM9.0000000000000848 Received 25 March, 2020 Chinese Association of Rehabilitation Medicine; Respiratory Rehabilitation Committee of Chinese Association of Rehabilitation Medicine; Cardiopulmonary Rehabilitation Group of Chinese Society of Physical Medicine and Rehabilitation This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 Chinese Medical Journal: April 09, 2020 - Volume Publish Ahead of Print - Issue - doi: 10.1097/CM9.0000000000000848 Open PAP Metrics Abstract Coronavirus disease-2019 (COVID-19) is a highly infectious respiratory disease that leads to respiratory, physical, and psychological dysfunction in patients. Respiratory rehabilitation is an important intervention as well as cure for clinical patients. With increased understanding of COVID-19 and the accumulation of clinical experience, we proposed recommendations for respiratory rehabilitation in adults with COVID-19 based on the opinions of frontline clinical experts involved in the management of this epidemic and a review of the relevant literature and evidence. Our recommendations are as follows: 1. for inpatients with COVID-19, respiratory rehabilitation would relieve the symptoms of dyspnea, anxiety, and depression and eventually improve physical functions and the quality of life; 2. for severe/critical inpatients, early respiratory rehabilitation is not suggested; 3. for patients in isolation, respiratory rehabilitation guidance should be conducted through educational videos, instruction manuals, or remote consultation; 4. assessment and monitoring should be performed throughout the respiratory rehabilitation process; 5. proper grade protection should be used following the present guidelines. These recommendations can guide clinical practice and form the basis for respiratory rehabilitation in COVID-19 patients © 2020 by Lippincott Williams & Wilkins, Inc.