Perspectives of Individuals With Long COVID on Virtual Physical Rehabilitation: A Qualitative Study 2025 Janaudis-Ferreira et al

Andy

Andy

Senior Member (Voting rights)

Abstract​

Objective​

Coronavirus disease 2019 is an infectious disease caused by the severe acute respiratory syndrome coronavirus 2, and long COVID is a chronic condition characterized by symptoms persisting for atleast 3 months after infection. To explore the perspectives of individuals with long COVID after an 8-week virtual physical rehabilitation program.

Design​

Qualitative descriptive study.

Setting​

Clinics and research cohorts.

Participants​

Adults (n=132) with confirmed or probable COVID-19 infection and persistent symptoms, including reduced mobility, muscle weakness, dyspnea, and/or fatigue, were recruited in a randomized controlled trial. Thirteen intervention group participants who completed the rehabilitation program were included in this qualitative study.

Interventions​

The intervention group (n=65) received 8 weeks of tailored, symptom-titrated exercises, weekly educational sessions, and usual care, whereas the control group (n=67) received only usual care.

Main Outcome Measures​

Semistructured videoconference interviews were conducted and analyzed using deductive thematic analysis.

Results​

Participants’ age (mean ± SD) was 48.3±15.6 years, 6 had been hospitalized during their COVID-19 infection, and the duration of long COVID (mean ± SD) was 18.8±7.2 months. Four themes were identified: (1) Motivation and confidence: most participants expressed confidence in joining the program, motivated by health goals, scientific contribution, and reassurance from professional support. (2) Program features: the program was praised for its well-organized format, ideal duration, convenient scheduling, supportive kinesiologists, and individualized exercise plans. (3) Health effects: while most reported physical and emotional improvements (eg, increased energy, mobility, and confidence), some noted challenges upon returning to work. (4) Post-program suggestions: participants intended to continue exercising but faced barriers such as fatigue and a lack of motivation, highlighting the need for continued support and resources to maintain progress.

Conclusions​

This study highlights the positive effects and relevant challenges associated with completing an 8-week personalized, symptom-titrated virtual physical rehabilitation program for individuals with long COVID, emphasizing the need for tailored support and ongoing resources to facilitate sustained recovery.

Open access
 
Sean said:
emphasizing the need for tailored support and ongoing resources to facilitate sustained recovery.​

Or for admitting that you are barking up the wrong tree.
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It's actually funny that what the patients mean by support and resources is "things that work, unlike this", but they don't get that, they're happy believing that it means "this, but, I don't know, more tailored, or whatever" except it literally means "this is nice and everything, good intentions and whatnot, but we want something effective and we're being very polite about it but, seriously, this isn't it" except because the bias is so extreme in this discipline that they would never ask any follow-up questions about what it all means.

It's like when someone serves water as a meal, and customers are polite and definitely agree they want more, meaning that water isn't food but it goes nice with food but, really, where's the food? But this is a water-only restaurant that serves water in many forms so they have no way to interpret that in any way that actually makes sense because they only ever serve water.

Medicine truly invented and perfect the absolute most perfect pseudoscience. Not because it's good, but rather because it's built perfectly to their egos, to convince them of total bullshit just because it's theirs. They're both the shady salesman and the mark, all rolled into one, but since they control everything that gets written down they can always pretend like this is a legitimate way of doing things.
 
Utsikt said:
If the people found it helpful, they would not struggle with motivation.
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They all seem happy to believe that it works and the failure is strictly down to lack of motivation, which only them can bring. Or whatever.

Cult. This is a medical cult, where they are both the golden calf and the worshippers and the priests and the whole audience. We are basically NPCs (non-playable characters, in video game parlance, meaning bots, basically) in their worldview.
 
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