text: Systematic rapid living review on rehabilitation needs due to COVID 19 update as of April 30th 2020 This paper adds to the series of systematic rapid living reviews started in April 2020 to provide the rehabilitation community with updates on the latest scientific literature on rehabilitation needs due to COVID 19 pandemic The aim of this paper is to present the results of a systematic scientific literature search performed on papers published from April 1st to April 30th 2020 A systematic search was performed on PubMed Embase Scopus CINAHL PEDro Web of Science and the main international guideline databases for articles published including Epub in English from April 1st to April 30th 2020 Papers were included if they reported on one of the following 1 prevalence and features of the emerging disability after COVID 19 2 rehabilitation strategies applied for COVID 19 patients regardless of setting or stage 3 information about rehabilitation services after COVID 19 4 impact on diseases of rehabilitative interest 5 complications of rehabilitative interest Out of 445 articles retrieved for the time frame 50 were finally included for qualitative analysis They consist of seven guidelines one scoping review one randomized controlled trial four descriptive studies qualitative one case series one case report and 35 expert opinions This systematic rapid living review showed an increasing evidence on rehabilitation needs due to COVID 19 outbreak during April 2020 The main novelties include 1 the first appearance of epidemiological data on the likely high incidence of neurological complications disabling sequelae in patients hospitalized for COVID 19 2 rapid guidelines on the management of chronically disabled patients in the COVID 19 era 3 advices to provide COVID 19 patients with early respiratory rehabilitation in the acute phase and with telemonitoring and telerehabilitation in the post acute phase Although the overall quality of studies has increased prospective cohort studies on disability course in COVID 19 pandemic and experimental studies on the effects of rehabilitation are still warranted 