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JOSPT: Lessons from ME/CFS for Long COVID - 4 part series, 2022, Davenport et al

Discussion in 'Resources' started by Kalliope, Feb 2, 2022.

  1. Kalliope

    Kalliope Senior Member (Voting Rights)

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    Lessons from Myalgic Encephalomyelitis/Chronic Fatigue Syndrome for Long COVID: Postexertional Symptom Exacerbations is an Abnormal Response to Exercise/Activity
    Authors: Todd E. Davenport, Staci R. Stevens, Jared Stevens, Christopher R. Snell, J. Mark Van Ness

    Quote:

    Prolonged symptoms after infection with the novel coronavirus 2019 (SARS-COV-2) are an emerging challenge to individual patients, society, and clinicians. In a previous post on the JOSPT Blog, we identified several lessons from research and clinical practice in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) that are important lessons for long COVID. The purpose of this post is to discuss the phenomenon of postexertional symptom exacerbation (PESE) and its clinical identification to recognize the potential onset of long COVID.
     
    Milo, ahimsa, John Mac and 20 others like this.
  2. Kalliope

    Kalliope Senior Member (Voting Rights)

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    EzzieD, Midnattsol, Mithriel and 13 others like this.
  3. Grigor

    Grigor Senior Member (Voting Rights)

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    Oh cool, I missed the part of this being the first of a series. Looking forward to the 3 following blogs.
     
  4. Kalliope

    Kalliope Senior Member (Voting Rights)

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    JOSPT Lessons from Myalgic Encephalomyelitis/Chronic Fatigue Syndrome for Long COVID Part 2:
    Physiological Characteristics During Acute Exercise Are Abnormal in People With Postexertional Symptoms Excacerbation
    by Todd E. Davenport, Staci R. Stevens, Jared Stevens, Christopher R. Snell, J. Mark Van Ness

    Summary

    This post reviewed evidence from systems-level physiology that indicates important differences in physiological responses to acute exercise between people with deconditioning compared to people with PESE. Clearly, PESE is not deconditioning. Rather, physiological changes may be related to autonomic dysfunction, as well as direct and indirect effects of pathogenic infection, such as the novel coronavirus infection in long COVID. Insights into the physiology of PESE may be used to evaluate and treat people with long COVID and ME/CFS, as well as shape future rehabilitation research and safe clinical practices.
     
    mango, alktipping, Mithriel and 9 others like this.
  5. Kalliope

    Kalliope Senior Member (Voting Rights)

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    JOSPT Lessons from Myalgic Encephalomyelitis/Chronic Fatigue Syndrome for Long COVID Part 3: "Energy System First Aid" for People With Postexertional Symptom Exacerbation by Todd E. Davenport et al

    Summary

    First aid is an important part of rehabilitation. Energy system first aid for people with PESE focuses on helping patients to use the metabolic systems that function well, and to limit the use of the aerobic system that current evidence suggests is functioning abnormally. Working together, patients and clinicians can use widely available tools and simple insights from physiological data to promote improvements in symptoms and functioning.
     
    mango, Mithriel, bobbler and 8 others like this.
  6. Kalliope

    Kalliope Senior Member (Voting Rights)

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    JOSPT Lessons from Myalgic Encephalomyelitis/Chronic Fatigue Syndrome for Long COVID Part 4: Heart Rate Monitoring to Manage Postexertional Symptom Exacerbation by Todd E. Davenport et al

    Summary

    A combination of HRM and symptom journaling will best assist patients and clinicians to track outcomes and adjust the HRM program as needed. The patient and clinician should collaborate to determine the “Key 3” symptoms of PESE that are most functionally limiting to the patient. Symptoms may be assessed using a formalized questionnaire,1,3,9 or they may be qualitatively determined based on discussion with the patient. The presence and severity of Key 3 symptoms can be reassessed over time to determine the effectiveness of the HRM program.
     
    Sean, ahimsa, Mithriel and 5 others like this.
  7. Hutan

    Hutan Moderator Staff Member

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  8. Kalliope

    Kalliope Senior Member (Voting Rights)

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    Posts copied from the Long Covid thread.

    Podcast JOSPT Insights: Ep 77: Less is more - the mindset shift clinicians need for long COVID, ME and other post-viral illness, with Dr. Todd Davenport

    "How prepared are you to support someone who is living with post-exertion symptom exacerbation? Dr Todd Davenport wants to start a conversation about re-imagining the way most of us have thought about fatigue, physical activity and exercise."

    ETA: This is the first episode of two with Dr. Todd Davenport. The next will be focusing on pacing.
     
    Last edited by a moderator: Apr 17, 2022
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  9. Snow Leopard

    Snow Leopard Senior Member (Voting Rights)

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    I'm not the biggest fan of Todd, but I thought his interview was very good!

    Alternative source: https://podcasts.apple.com/au/podca...eed/id1522929437?i=1000557078368/id1522929437
     
    Sean, mango, Helene and 1 other person like this.
  10. Andy

    Andy Committee Member

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  11. dave30th

    dave30th Senior Member (Voting Rights)

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    Thanks, Andy! For some reason, when I paste the URL into a Virology Blog post, I can see the video in the draft version but in the published version it disappears and only the URL appears. So I've unpublished it for now. Does anyone know WordPress and what the issue is?
     
    Andy likes this.

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