References

rehab

Реабилитология

Journal of Medical Rehabilitation

2949-58732949-5881

IRBIS LLC

10.17749/2949-5873/rehabil.2026.63

rehab-151

Research Article

ОБЗОРНЫЕ СТАТЬИ

REVIEW ARTICLES

Подходы к реабилитации пациентов с постковидным синдромом

Rehabilitation approaches for patients with post-COVID syndrome

https://orcid.org/0000-0001-9887-8214

Шипулин

В. В.

Shipulin

V. V.

Шипулин Владимир Владимирович, к.м.н.

ул. Киевская, д. 111А, Томск 634012

WoS ResearcherID: J-1753-2017. Scopus Author ID: 57209653199

Vladimir V. Shipulin, PhD

111a Kievskaya Str., Tomsk 634012

shipartphoto@gmail.com

Научно-исследовательский институт кардиологии Федерального государственного бюджетного научного учреждения «Томский национальный исследовательский медицинский центр Российской академии наук»РоссияTomsk National Research Medical Center, Russian Academy of SciencesRussian Federation

2026

06072026

32–41

2026

Шипулин В.В.

Shipulin V.V.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.rehabilitology.com/jour/article/view/151

Постковидный синдром (ПКС) представляет собой мультисистемное состояние, развивающееся после перенесенной инфекции SARS-CoV-2 и характеризующееся широким спектром симптомов, которые сохраняются более 3 мес. Распространенность ПКС среди лиц, перенесших COVID-19, варьируется от 3% до 12%, при этом описано более 200 симптомов, затрагивающих практически все системы органов. Целью данного обзора являлась систематизация современных подходов к реабилитации пациентов с ПКС с акцентом на мультидисциплинарные и персонализированные стратегии. Представлены краткие сведения о патофизиологии заболевания, включая персистенцию вируса, иммунную дисрегуляцию, эндотелиальную дисфункцию и нарушения вегетативной нервной системы. Рассмотрены подходы к реабилитации с позиции мультидисциплинарного ведения, интеграции принципов человеко-факторной инженерии и концепции «излечимых признаков». Затронуты такие реабилитационные методы, как физическая реабилитация с применением стратегии Pacing, респираторная и когнитивная реабилитация, психологическая поддержка, коррекция вегетативных нарушений, телереабилитация, профессиональная реабилитация и нутритивная поддержка. Поиск литературы выполнен в базах PubMed/MEDLINE, Scopus, Web of Science, Cochrane Library и eLibrary за период с января 2020 г. по март 2026 г. с использованием ключевых слов и их комбинаций: “post-COVID-19 condition”, “long COVID”, «постковидный синдром», “rehabilitation”, «реабилитация», “multidisciplinary approach”, “exercise therapy”, “pacing”, “cognitive rehabilitation”, “autonomic dysfunction”, “post-exertional malaise”. В обзор включены клинические рекомендации, систематические обзоры, метаанализы и рандомизированные контролируемые исследования на русском и английском языках; приоритет отдавался публикациям последних 5 лет.

Post-COVID syndrome (PCS) is a multisystem condition that develops after a SARS-CoV-2 infection. More than 200 variants of PCS symptoms affect virtually all organ systems and persist for over three months. PCS prevalence among individuals who have had SARS-CoV-2 infection ranges from 3% to 12%. This review aims to systematize current approaches to PCS rehabilitation, emphasizing multidisciplinary and personalized strategies. Brief information on the pathophysiology of the condition is provided, focusing on viral persistence, immune dysregulation, endothelial dysfunction, and autonomic nervous system disorders. Rehabilitation approaches are discussed in terms of multidisciplinary management, the principles of human factors engineering, and the concept of treatable traits. Rehabilitation methods covered include physical rehabilitation using the Pacing strategy, respiratory and cognitive rehabilitation, psychological support, management of autonomic dysfunction, telerehabilitation, vocational rehabilitation, and nutritional support. A literature search was performed in the PubMed/MEDLINE, Scopus, Web of Science, Cochrane Library, and eLibrary databases for the period from January 2020 to March 2026, using the following keywords and their combinations: “post-COVID-19 condition”, “long COVID”, “post-COVID syndrome”, “rehabilitation”, “multidisciplinary approach”, “exercise therapy”, “pacing”, “cognitive rehabilitation”, “autonomic dysfunction”, and “post-exertional malaise”. Clinical guidelines, systematic reviews, meta-analyses, and randomized controlled trials published in Russian and English were included, with priority given to publications from the last five years

постковидный синдромреабилитациячеловеко-факторная инженериямультидисциплинарный подход

post-COVID syndromelong COVIDrehabilitationhuman factors engineeringmultidisciplinary approach

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The authors declare that there are no conflicts of interest present.