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

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

 

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:

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.

 

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

 

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.

 

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?

 

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’