Six Lessons for COVID-19 Rehabilitation From HIV Rehabilitation

Brown, Darren; O’Brien, Kelly K; Josh, Jo; Nixon, Stephanie; Hanass-Hancock, Jill; Galantino, Mary Lou; Myezwa, Hellen; Fillipas, Soula; Bergin, Colm; Baxter, Larry; Binette, Mark; Chetty, Verusia; Cobbing, Saul; Corbett, Colin; Ibanez-Carrasco, Francisco; Kietrys, David M.; Roos, Ronel; Solomon, Patricia; Harding, Richard

doi:10.1093/ptj/pzaa142

Cited by 19 publications

(35 citation statements)

References 15 publications

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“…However, we also must keep in mind that many of the long-term effects on those who suffer only mildly from this infection may not reveal themselves for many months after the initial first wave has come and gone. As Brown et al 46 discuss in their article on COVID-19 and HIV infection, we as physical therapists must be ready for the unpredictable, episodic, and unpredictable nature of symptoms that may accompany the recovery from this infection. Patients who have poor diaphragmatic movement will likely have difficulty relaxing and eccentrically lengthening their pelvic floors, which could lead to long-term implications for dyssynergic defecation.…”

Section: Discussionmentioning

confidence: 99%

Pelvic Floor Considerations in COVID-19

Siracusa

Gray

2020

Journal of Women's Health Physical Therapy

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Section: Discussionmentioning

confidence: 99%

Pelvic Floor Considerations in COVID-19

Siracusa

Gray

2020

Journal of Women's Health Physical Therapy

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“…International partnerships and collaborations fostered in other health conditions provide a strong foundation from which to establish a coordinated, relevant and meaningful approach for advancing rehabilitation for people living with Long COVID. 18 Access to timely, safe, effective and accessible rehabilitation is a critical area in need of development and highlights the opportunities for a 'strength in numbers approach' with other chronic and episodic illnesses to advance policy and programming related to Long COVID rehabilitation.…”

Section: International Collaborations and Community Partnershipsmentioning

confidence: 99%

Conceptualising Long COVID as an episodic health condition

Brown

O’Brien

2021

BMJ Glob Health

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“…Healthcare professionals who are living with long COVID describe its trajectory as unpredictable, episodic and having a relapse-remitting nature [12][13][14]. Reports of persistent fatigue alongside fluctuating symptoms that worsen unpredictably or in response to exertion have led to comparisons between long COVID and other post-viral conditions, including myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) [5,6,[15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Chronic fatigue and post-exertional malaise in people living with long COVID

Twomey

DeMars²,

Franklin

et al. 2021

Preprint

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Purpose: People living with long COVID describe a high symptom burden, and a more detailed assessment of chronic fatigue and post-exertional malaise (PEM) may inform the development of rehabilitation recommendations. The aims of this study were to use validated questionnaires to measure the severity of fatigue and compare this with normative data and thresholds for clinical relevance in other diseases; measure and describe the impact of PEM; and describe symptoms of dysfunctional breathing, self-reported physical activity/sitting time, and health-related quality of life. Methods: This was an observational study involving an online survey for adults living with long COVID (data collection from February-April, 2021) following a confirmed or suspected SARS-CoV-2 infection. Questionnaires included the Functional Assessment of Chronic Illness Therapy-Fatigue Scale (FACIT-F) and DePaul Symptom Questionnaire-Post-Exertional Malaise. Results: After data cleaning, n=213 participants were included in the analysis. Participants primarily identified as women (85.5%), aged 40-59 (78.4%), who had been experiencing long COVID symptoms for ≥6 months (72.3%). The total FACIT-F score was 18±10 (where the score can range from 0-52, and a lower score indicates more severe fatigue), and 71.4% were experiencing chronic fatigue. Post-exertional symptom exacerbation affected most participants, and 58.7% met the scoring thresholds used in people living with myalgic encephalomyelitis/chronic fatigue syndrome. PEM occurred alongside a reduced capacity to work, be physically active, and function both physically and socially. Conclusion: Long COVID is characterized by chronic fatigue that is clinically relevant and is at least as severe as fatigue in several other clinical conditions, including cancer. PEM appears to be a common and significant challenge for the majority of this patient group. Patients, researchers, and allied health professionals are seeking information on safe rehabilitation for people living with long COVID, particularly regarding exercise. Fatigue and post-exertional symptom exacerbation must be monitored and reported in studies involving interventions for people with long COVID.

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Six Lessons for COVID-19 Rehabilitation From HIV Rehabilitation

Cited by 19 publications

References 15 publications

Pelvic Floor Considerations in COVID-19

Pelvic Floor Considerations in COVID-19

Conceptualising Long COVID as an episodic health condition

Chronic fatigue and post-exertional malaise in people living with long COVID

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