Exercise prescription in post-COVID syndrome: A challenge for primary healthcare 2024 Yagüe Sebastián and Sánchez Quintanilla

[Andy]

Abstract

After the SARS-CoV-2 pandemic we face a new global epidemic: the Post-COVID Syndrome. This novel condition has fluctuating progression and a wide range of symptoms, such as fatigue, headaches, muscle pain or breathlessness. Although its pathophysiology is not clear, a multiorganic affection is suspected, altering the immune, cardiorespitatory and nervous systems.

Whereas there is no consensus over its treatment, most of the researches conclude the effectiveness of therapeutic exercise and a multicomponent rehabilitation, coordinating and cooperating between different health professionals. A functional, respiratory and strength evaluation prior to treatment prescription is highly recommended, since it will help professionals to precisely prescribe and objectively measure the evolution of our patients.

In this article we suggest a few tests, adequate to primary health requirements, to evaluate our patients’ initial condition, as well as the most secure way to initiate a therapeutic exercise programme, together with other healthcare providers.

Paywall, https://www.sciencedirect.com/science/article/abs/pii/S1138359323002708

 

[Trish]

I find it increasingly bizarre that papers are still being published four years after the pandemic started, so at least 3.5 years after Long Covid was known about, that still recommend 'therapeutic exercise programs' as the solution. No mention in the abstract of PEM.

 

[rvallee]

None of the research actually conclude the effectiveness, they merely assert it event though their own evidence never supports it. There is simply no effort made to understand what the problem is, or how exercise relates to it. 4 years and they can't even get the basic stuff right. They don't have a clue what's going on:

The final goal of treatment is for patients with CHD to achieve general recommendations for physical activity and healthy lifestyle habits.

Why? Says who? That has nothing to do with the problem, doesn't even relate to it. It's completely arbitrary and simply doesn't bother understanding what the patients are experiencing.

 

[poetinsf]

Yet another example of repeating what's been going on with MECFS for the past 40 years. This is the problem with "starting with clean slate" rather than building on what has been learnt for MECFS.

 

[Amw66]

It's gone past the emporer has no clothes .
The emporer is as see through as a 1980s Swatch watch

 

[bobbler]

Yet another example of repeating what's been going on with MECFS for the past 40 years. This is the problem with "starting with clean slate" rather than building on what has been learnt for MECFS.

It wasn't a clean slate of course

They forget that there was always an option of 'let's see how these patients do when they exercise' and to ask that research question with an open-mind

A clean slate would have been doing what Workwell did, or some other way of hearing what different LC patients said and then genuinely looking into what they said.

but it's the pyjama-paralysis phobia-generalisation (not just to turn their area back on them, but e.g. if you become sensitive to an air-raid siren then that unfortunately can end up then generalising to such things as any alarm and so on). An actual hysteria that has been pushed and people have to pretend to believe it whether they do or not.

So the very old who ended up bed-blocked for many months before they got out of hospital after an op might well have deteriorated whilst noone was taking them for walks and they weren't using their kitchens. Got re-framed as if it was some scientific thing that was to be rolled out to youngsters 2 days after their operation because suddenly everyone will irreparably degrade within 2 weeks. Despite the decades previously not showing swathes of teenagers reaching adulthood incapable of doing certain things because they convalesced from whatever and 'carried the eternal wastage'.

But that isn't science or medicine or anything technical without the nuance. Or studying context properly.

The whole thing is so meta when you look at medicine and the BPS/'psychosomatic' stuff, they just use these things thinking they are controlling staff with them too, but it's more about them being given orders and whether it works for them better than the other tasks anyway.

 

[SNT Gatchaman]

The article is not accessible, but there are some section snippets available which can be auto-translated from Spanish. (The paper sounds dire - an absolute dead loss.)

Pathophysiology and influence of physical exercise on post-COVID condition

CPC is a multisystemic disease, of unknown and multifactorial etiology. In its origin are involved genetic factors, pre-existing injuries in organs with comorbidities, the organic involvement of COVID-19 itself and psychosocial vital condition3, 7. The systems involved in the CPC, in which physical activity has repeatedly demonstrated its benefit3, 6, 7, are the following:
• Immune system6: in persistent forms, the anomalous immune reaction is studied…

Clinical manifestations involved in the prescription of therapeutic exercise

Patients with CPC often have chronic fatigue syndrome and exercise intolerance.

Post-infectious fatigue syndrome, or chronic fatigue syndrome, is defined as a decrease in physical and/or mental capacity that lasts over time after SARS-CoV-2 infection, due to changes in both the central and/or peripheral and psychological nervous system6, 11. It is usually accompanied by myalgia, depression and sleep disorders11, 19, 28.

There is a deterioration both in your…

Pre-year assessment

Before making recommendations and/or treatment of physical exercise, it is necessary to rule out pathology that may be aggravated by physical activity. In particular, cardiovascular and/or respiratory complications that contraindicate exercise or require a more specific intervention.

In order to work safely, it is recommended to have a chest x-ray, spirometry and electrocardiogram, all of which are accessible from Primary Care, which allow together with the anamnesis and…

Treatment of the post-COVID condition through physical activity

The ultimate goal of treatment is for patients with CPC to reach the general recommendations of physical activity and healthy lifestyle habits. The WHO proposes 10 METS/h per week, the minimum amount observed that produces changes in the organism1, 25. Strength work 2-3 days a week is added to these recommendations, as well as neuromotor training, which includes balance, agility and coordination40…

Education and adaptation of healthy lifestyle habits

There has been a general detriment to mental health as a result of the pandemic, an effect that is exacerbated in those patients who see their quality of life diminished by suffering from CPC 61.

Psychological follow-up and education for the management of their disease is considered a key part of the treatment of these patients, along with the aforementioned rhythm control and adaptation of daily activities35. It is important to integrate everything by establishing healthy lifestyle habits.

It is essential to abandon…

Filling in the gaps for that last sentence might be "... all rational thought."

 

[bobbler]

The article is not accessible, but there are some section snippets available which can be auto-translated from Spanish. (The paper sounds dire - an absolute dead loss.)











Filling in the gaps for that last sentence might be "... all rational thought."

Is that WHO recommendation of 10METs a week (as if physical activity doses like drugs - makes me want to vomit, I cannot believe his pretending/deluding themselves this is ‘like science’ this nonsense area is) for healthy people by any chance?

 

[bobbler]

The article is not accessible, but there are some section snippets available which can be auto-translated from Spanish. (The paper sounds dire - an absolute dead loss.)











Filling in the gaps for that last sentence might be "... all rational thought."

People like this are so dangerous

it is a textbook self-deluding by reframing reality writing to themselves definition of the classic ‘unknown known’ issue where arrogance-ignorance stops people from stating in their scientific diagram the word ‘unknown’ or ‘estimate’ or ‘to be found out’ and just kid themselves by using language that makes them feel more sure than they are

it is scarily unsafe that this attitude and language mismatch with surety should be allowed in someone keeping a professional status - the minimum that should require is admitting when you need to be cautious and scientific (which means open-minded ly observing the result) . Are we now ‘post-truth’ to the extent BS-ery is rewarded over proper cautious sensible scientific writing?


This is the psychosomatic literature version of whatever subject they think they are in merely based on its blag pseudo method. I think it doesn’t even need to involve ‘mind’ just misogyny or disability bigotry and be made up nonsense which has no good method or discussion of context to now put itself In That ‘para’ category


What on Earth do we do when people like this keep their jobs? And papers like this aren’t flagged as ‘without being based on proper thinking this is just bigoted propaganda that shouldn’t be allowed sn audience’