Kalliope
Senior Member (Voting Rights)
quotes
What you need to know
World Health Organization guidance suggests that in individuals with PESE or PEM, red flags for such deteriorations should be established before commencing exercise—eg, using pulse oximetry or screening tools such as the De Paul symptom questionnaire-post exertional malaise (DSQ-PEM). Moreover, rehabilitative regimens should be personalised, grounded in realistic expectations, and be conducted in a safe and supportive environment.59 Small interventional studies have shown objectively assessed improvements in fatigue, cognition, and overall functioning following in-person programmes that included resistance, endurance, and balance training alongside an education and pacing element6061—although the latter study specifically focused on individuals who had been admitted to intensive care units during their acute illness.61 Large scale observational or interventional studies of physical interventions for brain fog which reflect the heterogeneity of the long covid population are currently lacking.
https://www.bmj.com/content/384/bmj-2023-075387
What you need to know
- Cognitive problems are common after acute SARS-CoV-2 infection and can be disabling and frightening
- Symptoms tend to improve, but this may take up to a year. Those with chronically persistent symptoms lasting more than 12 months have a lower chance of improving
- Symptoms usually fluctuate
- Assessment should be directed to documenting the nature and trajectory of the impairment and excluding alternative diagnoses
- Self-management techniques may help patients manage their condition
...
World Health Organization guidance suggests that in individuals with PESE or PEM, red flags for such deteriorations should be established before commencing exercise—eg, using pulse oximetry or screening tools such as the De Paul symptom questionnaire-post exertional malaise (DSQ-PEM). Moreover, rehabilitative regimens should be personalised, grounded in realistic expectations, and be conducted in a safe and supportive environment.59 Small interventional studies have shown objectively assessed improvements in fatigue, cognition, and overall functioning following in-person programmes that included resistance, endurance, and balance training alongside an education and pacing element6061—although the latter study specifically focused on individuals who had been admitted to intensive care units during their acute illness.61 Large scale observational or interventional studies of physical interventions for brain fog which reflect the heterogeneity of the long covid population are currently lacking.
https://www.bmj.com/content/384/bmj-2023-075387
