Rehabilitation for Patients With Persistent Symptoms Post COVID-19

This is a registered trial in Norway for Long Covid patients. It sounds horrendous.

Brief Summary:
A large proportion of persons who have had COVID-19 have reported persisted symptoms as fatigue and dyspnea months post infection which affect activities of daily living.

The aim of the study is to examine the feasibility and safety of a concentrated rehabilitation program with a mobile application follow-up for persons with persistent symptoms post COVID-19 infection. We will examine recruitment availability, adherence to the program, goal achievement, and resources requirements.

Methods: A feasibility study with one group pre-post test design with 10-20 persons between 18-67 years, with persistent symptoms post COVID-19 will be included. The intervention is 3+ 1-2 days concentrated rehabilitation with a mobile application follow-up for 3 months.

Following assessments wil be used: Cardiopulmonary exercise testing, lung function, functional performance tests, questionnaires regarding dyspnea, fatigue, anxiety, depression, work-status, health status, sleep behavior, physical activity level.

Demographic data before and after the intervention will be presented. Focus group interview will be done with the participants. The interview will be analysed using systematic text condensation



https://clinicaltrials.gov/ct2/show/NCT04836351?cond=Post+acute+covid&draw=3&rank=14

 

Oh, dear.

This is at a rehabilitation center in Norway called Helse i Hardanger. It's based on a four-day-intervention program against anxiety. They have expanded their treatment approach to several other diagnoses, and now obviously also to Long Covid. A psychiatrist who is working there says she recovered from ME/CFS by being treated by psychiatrist Bjarte Stubhaug with mindfulness. She is one of the leaders of Recovery Norge. The four-day-intervention program against anxiety was developed by Gerd Kvale, who coauthored an awful study by same psychiatrist Bjarte Stubhaug on a mindfulness-based CBT intervention program as treatment for CFS/ME (discussed in this thread).

A post about the center and their Long Covid approach here:
https://www.s4me.info/threads/bps-attempts-at-psychologizing-long-covid.16013/page-39#post-344299

 

This is one of two places in Norway that will be treating Long Covid. The other one is Sunnaas which is a well respected place for rehabilitation, but I believe with a BPS approach to ME. It seems their main treatment approach to Long Covid will be rehabilitation in form of exercise.

 

Drop out rate is better be recorded.

 

Is there a risk that believing pwLC to have a functional somatic condition, ie., the BPS model, pwLC might not be screened for cardiac problems regarding rehabilitation programs?

According to CBC News, two professional hockey players on one team have myocarditis from COVID. They will not be playing hockey for several months. I understand recommendations for early in this condition are to rest.