JOSPT: Humility and Acceptance: Working Within Our Limits With Long COVID and ME/CFS - Décary et al - 2021

What are the similarities, if any, between GET and standard treatment for people genuinely deconditioned, especially not convinced they are deconditioned.

 

Not sure I follow. There isn't a particular treatment for people who deconditioned other than advising them that in the long term exercise is healthy so worth doing when they are up to it. If they are not convinced they are deconditioned then it may be uphill giving advice!

 

Does "deconditioned" actually exist? Less fit than before certainly does: in my case that wouldn't take much proof. But before I had ME I was pretty fit and active. Many of my colleagues were less so. Is there a magic level at which they could be deemed to be deconditioned? Could I have been described as deconditioned because I counld have been fitter? Are all physically disabled people automatically deconditioned because they can't reach the same levels?

I don't think "deconditioned" does exist, other than being less fit than before, which of course can occur with age, or quite simply, with a change in interests or employment. After a year on and off in hospital, I am certainly much less fit and have much less strength than I did. I am slowly improving. But who defines what my target fitness level should be? Is it only acceptable when I reach my physical peaK? If so, virtually everyone is deconditioned.

And what about cognitive fitness? Do I need cogniotherapy?

 

I consider myself 'fit' if I can still lift my cast iron lid off of my Dutch oven.

 

Maybe I'm wrong then. I though people could become severely deconditioned under some circumstance, such as when totally bedridden for a long time, or a long time in space etc. I thought even bone mass could deteriorate etc. Is it always possible to get back to full health unaided, for all people?

 

I had two weeks of bronchitis 31 years ago when I was a robust 33-year-old. It took me two months not to be exhausted from anything. No one needed to tell me how to recover once I was told that a slow recovery was normal. Maybe for some people a program would be needed but I'm not sure why. I would guess that most people who are "deconditioned" after a viral illness and nothing more just do it in their own time.

 

Isn't that what we all get here in this forum?

 

People can certainly get severely deconditioned but I don't know of any evidence that they need more than following their natural body signals as they get back to doing things.

 

https://www.jospt.org/doi/full/10.2519/jospt.2021.0106 The article is now open access

 

thread on that here:
https://www.s4me.info/threads/encephalitis-lethargica-the-forgotten-epidemic.15829/

 

I took the opportunity to add the video. It's pretty interesting. Love this series by Seeker.

 

You can use Tor browser to get around that, if you'd like:

https://www.torproject.org/download/

 

Trial By Error: Journal Editorial Calls for Caution in Exercise-Based Rehab Programs for Long COVID

https://www.virology.ws/2021/05/15/...exercise-based-rehab-programs-for-long-covid/

 

One of the best descriptions I have read so far. Short, accurate. Unrecognizable to BPS zealots.

 

Absolutely. It's spot on. I shared the FB post and drew attention to that comment.

 

JOSPT podcast episode titled: Stop, rest, pace - the road ahead for long COVID, with Sabrina Poirier & Dr. Simon Décary
https://open.spotify.com/episode/15ULK6gRfoNu7WuEpEi0Nk