Review Cognitive Interventions and Rehabilitation to Address Long-COVID Symptoms: A Systematic Review 2025 Hilton et al

Andy

Andy

Retired committee member
Abstract

Long COVID symptoms include cognitive and physical deficits impacting one’s functional performance and quality of life. Limited evidence examines the use of cognitive interventions provided by occupational therapists in treating long COVID symptoms among adults. This systematic review summarizes existing studies on cognitive interventions and rehabilitation to treat long COVID symptoms and discusses their potential use within the scope of occupational therapy practice.

We identified literature from 2021 to 2023 through searches of MEDLINE, CINAHL, PsycINFO, Cochrane Trials, and Scopus databases. Nineteen articles met inclusion criteria and were categorized into five types of intervention: (a) cognitive training, (b) cognitive behavioral therapy, (c) neurostimulation, (d) neurostimulation combined with cognitive training, and (e) multi-component rehabilitation programs.

Strong evidence supports cognitive training, moderate supports cognitive behavioral training and low-level evidence supports other interventions provided by occupational therapists to target long COVID cognitive symptoms in adults.

Open access
 
It isn't just the rehabilitation paradigm that is useless, it's also the entire assessment process. Especially the use of "significant", which in common parlance suggests something big, but in this paradigm usually means "barely reaches the tiniest statistical blip that we arbitrarily defined as a minimum threshold", but then pretending like it means everyone can be fully cured.

I stand by my assessment that this is the most successful pseudoscience in history. It takes something that doesn't work at all, and pretends like it's fully effective.
The following implications for occupational therapy practice and research have been identified:

• Occupational therapy practitioners can enhance the well-being of individuals with long COVID by recognizing the holistic implications of the disease process and the importance of rehabilitation approaches that target a patient’s physical, cognitive, and emotional needs.
Click to expand...
Is the goal of health care to "enhance the well-being of individuals with long COVID by recognizing the holistic implications of the disease process and the importance of rehabilitation approaches that target a patient’s physical, cognitive, and emotional needs"? No, it clearly isn't. Not even a little. This is the premise and promise of alternative medicine since forever. This is what charlatans do when nothing effective exists.

What having given up trying a long time ago looks like.
 
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