Identifying Factors That Might Affect Outcomes of Exercise-Based Therapies in Long-COVID 2024 Grau et al

Abstract

Background: Long-COVID, which might develop after a SARS-CoV-2 infection, is a rather new disease without standardized treatment strategies. A large number of approaches that integrate physical activity have been described in the literature, and this systematic review aims to examine changes in symptom severity, physical fitness, respiratory symptoms and quality of life during training and identify factors that might influence the respective outcomes.

Methods: A literature search was conducted using the databases Pubmed, PEDro, BioMed Central, EBSCOhost, ProQuest and the ZBSport from 13 February 2024 to 27 February 2024, and 39 studies fulfilled the search criteria.

Results: The analyzed study designs varied regarding the type of intervention (isolated vs. multidisciplinary), duration and intensity of training sessions and overall length of the program. Individualized holistic concepts of physical activity paralleled by additional approaches demonstrated high effectiveness. However, many of the participants continue to suffer from Long-COVID after the intervention.

Conclusions: Long-COVID treatment should be individualized, multifactorial and not limited in time and should consider each patient’s pre-existing conditions and individual course of the disease to provide the best possible support and care.

Open access, https://www.mdpi.com/2079-9721/12/11/293

 

I think the overriding factor is whether the LC patient has ME/CFS or not.

 

Uh huh.

Hmm.

 

The absurdity of so-called evidence-based medicine never ceases to shock. There is a complete lack of ability to even question why

this is even happening despite zero evidence that it does anything whatsoever. It has nothing to do with the problem. LC is not a problem of lack of exercise or fitness, which is the only context in which exercise should be considered. Solutions that have nothing to do with the problem never work. Just like getting people to drink 8 glasses of water per day would do nothing, unless you somehow include outcomes having to do with dehydration, which is also not the problem anyway.

There is no evidence that exercise provides any benefit at all, as it's unrelated to the problem. Not even a single one. But the widespread belief is that it must. It has to. It's unquestionable that it must. Even though it has nothing to do with the problem, lacks any valid reason to be considered, and even less so has any evidence why.

So they spend years and years and years pondering how to make it work. Never even stopping to consider the fact that it clearly never has. Once the ball has started rolling, with it comes an industry that must keep it rolling at all costs. Even uphill. Even when there is absolutely zero reason to get the ball from here to there, why it must go there, or what it even means once the ball arrives at that ever-shifting location.

This is simply false. A lie, nothing more. This is not even close to be true, even discounting for 'high'.

But it has been decided, decades ago, that this is the universal generic solution to very specific problems that they can't define, differentiate or even identify. So they must keep applying the traditional rituals, because not doing so would be an admission that those decades of wasted resources on performative rituals were never anything but that.

Not only that, but they identified a subset of 39 studies, with many more not fulfilling their arbitrary selection criteria. And somehow that's not enough. They repeat the same crap 39 times, and still can't come up with anything other than why not try at least 39 times more. Then another hundred. Why not a thousand? They have literally made the process, having people exercise with no rational objective, the end in itself. Not that people exercise, that's pointless, but that they make people exercise. For no valid reason and with no rational objective in mind.

They set out to identify factors, and didn't find any. Because this is wasted performative pseudoscience. But still they have recommendations about how a solution they don't have must be performed. And it must involve being completely arbitrary and endless. Again for no reason other than if they allow the music to stop, they'll have to look at the misery they left behind, and they don't have to and you can't make them.

All despite the fact that this has been the treatment of choice, again without any valid reason or evidence, from day 1, with decades of prior identical failure, and that it's widely acknowledged that there is no treatment for LC despite literally hundreds of thousands being subjected to it. That this crap right here is exactly what people criticize when they say there is no treatment.

But they can't see any of this from all the way up in their castles, not even looking down on us because that would demean their wasted performative nonsense.