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J Orthop Sports Phys Ther ; 51(5): 197-200, 2021 05.
Article in English | MEDLINE | ID: covidwho-1209238


SYNOPSIS: The term long COVID was coined by patients to describe the long-term consequences of COVID-19. One year into the pandemic, it was clear that all patients-those hospitalized with COVID-19 and those who lived with the disease in the community-were at risk of developing debilitating sequelae that would impact their quality of life. Patients with long COVID asked for rehabilitation. Many of them, including previously healthy and fit clinicians, tried to fight postviral fatigue with exercise-based rehabilitation. We observed a growing number of patients with long COVID who experienced adverse effects from exercise therapy and symptoms strikingly similar to those of myalgic encephalomyelitis (ME). Community-based physical therapists, including those in private practice, unaware of safety issues, are preparing to help an influx of patients with long COVID. In this editorial, we expose growing concerns about long COVID and ME. We issue safety recommendations for rehabilitation and share resources to improve care for those with postviral illnesses. J Orthop Sports Phys Ther 2021;51(5):197-200. doi:10.2519/jospt.2021.0106.

COVID-19/complications , Fatigue Syndrome, Chronic/etiology , Fatigue Syndrome, Chronic/therapy , Fatigue/etiology , Fatigue/therapy , Exercise Therapy/adverse effects , Humans , Quality of Life , Rest
Work ; 66(4): 751-753, 2020.
Article in English | MEDLINE | ID: covidwho-760846


The COVID-19 pandemic has led to the shutdown of much of the world's economic and social operations. Given shutdown of exercise facilities, there has been a sharp uptick in a sedentary lifestyle. As people have lost their normal daily activity patterns, it is reasonable to assume that musculoskeletal pain-related syndromes will consequently begin to increase. In addition, there has been a rise in social network, television, and online home-based workouts. In the wake of the COVID-19 pandemic, it is unclear whether previous recommendations for physical activities will remain sufficient, given cessation of normal physical activities from day-to-day life. We raise a variety of questions in dealing with the potential fallout of the COVID-19 shutdown from a musculoskeletal standpoint.

Coronavirus Infections/prevention & control , Exercise Therapy/methods , Health Behavior/physiology , Musculoskeletal Pain/epidemiology , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Sedentary Behavior , Betacoronavirus/pathogenicity , COVID-19 , Coronavirus Infections/epidemiology , Coronavirus Infections/transmission , Coronavirus Infections/virology , Exercise Therapy/adverse effects , Humans , Incidence , Musculoskeletal Pain/physiopathology , Musculoskeletal Pain/rehabilitation , Musculoskeletal Physiological Phenomena , Pneumonia, Viral/epidemiology , Pneumonia, Viral/transmission , Pneumonia, Viral/virology , Quarantine/standards , SARS-CoV-2 , Surveys and Questionnaires , Time Factors