Musculoskeletal physiotherapy in physical sequelae of SARS‐CoV‐2 infection: A case report

Flores, Juan

doi:10.1002/pri.1938

Cited by 8 publications

(21 citation statements)

References 15 publications

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“…Management of post‐COVID muscle pain, as a new clinical problem, obviously has not so far received intensive attention and controlled studies. Santos and Flores (2022) described a case report of a patient with post‐COVID pain where the application of physical therapy was accompanied by improvements in function and quality of life. The application of any physical therapy intervention for managing post‐COVID pain of nociceptive origin should be further investigated in future studies.…”

Section: Treatment Of Post‐covid Pain Based On Phenotypementioning

confidence: 99%

Precision management of post‐COVID pain: An evidence and clinical‐based approach

Fernández‐de‐las‐Peñas

Nijs

Giordano

et al. 2023

European Journal of Pain

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BackgroundPain after a SARS‐CoV‐2 acute infection (post‐COVID pain) is becoming a new healthcare emergency but remains underestimated and most likely undertreated due to a lack of recognition of the phenomenon and knowledge of the underlying pain mechanisms. Evidence supporting any particular treatment approach for the management of post‐COVID pain is lacking. Large variability in the patient response to any standard pain treatments is clinically observed, which has led to calls for a personalized, tailored approach to treating patients with chronic post‐COVID pain (i.e. ‘precision pain medicine’). Applying the global concerted action towards precision medicine to post‐COVID pain could help guide clinical decision‐making and aid in more effective treatments.MethodsThe current position paper discusses factors to be considered by clinicians for managing post‐COVID pain ranging from identification of the pain phenotype to genetic consideration.ResultsThe ability of clinicians to phenotype post‐COVID pain into nociceptive, neuropathic, nociplastic or mixed type is suggested as the first step to better planification of a treatment programme. Further, the consideration of other factors, such as gender, comorbidities, treatments received at the acute phase of infection for onset‐associated COVID‐19 symptoms, factors during hospitalization or the presence of emotional disturbances should be implemented into a treatment programme.ConclusionsAccordingly, considering these factors, management of post‐COVID pain should include multimodal pharmacological and non‐pharmacological modalities targeting emotional/cognitive aspects (i.e. psychological and/or coping strategies), central sensitization‐associated mechanisms (i.e. pain neuroscience education), exercise programmes as well as lifestyle interventions (e.g. nutritional support and sleep management).SignificanceThis position paper presents an evidence‐based clinical reasoning approach for precision management of post‐COVID pain.

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Section: Treatment Of Post‐covid Pain Based On Phenotypementioning

confidence: 99%

Precision management of post‐COVID pain: An evidence and clinical‐based approach

Fernández‐de‐las‐Peñas

Nijs

Giordano

et al. 2023

European Journal of Pain

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“…A total of 433 patients with post-COVID-19 syndrome condition (60% women) were included in the nine studies [40][41][42][43][44][45][46][47][48] selected for this structured narrative review, with ages ranging from 37 years [42] to 69 [40] years. Respiratory muscle training (RMT) [40,42,43,45,46], skeletal muscle strength training [41,42,44,48] and aerobic training (AE) [41,42,44,48] were the exercise interventions performed in the included studies.…”

Section: Characteristics Of the Participants And Interventionsmentioning

confidence: 99%

“…Respiratory muscle training (RMT) [40,42,43,45,46], skeletal muscle strength training [41,42,44,48] and aerobic training (AE) [41,42,44,48] were the exercise interventions performed in the included studies. Seven studies [41,42,[44][45][46][47][48] employed concurrent training as the intervention tool: RMT, strength training and AE [42,45,46] or AE and strength training [41,42,44,47,48]. The initiation of ThEx interventions occurred after overcoming the acute phase of SARS-CoV-2 infection [40][41][42][43][44][46][47][48], mild [42][43][44], moderate [40,47,48], severe/serious [41,46,48], in a period after SARS-CoV-2 infection of between 20 days [45] and 6 months [40].…”

Section: Characteristics Of the Participants And Interventionsmentioning

confidence: 99%

“…Seven studies [41,42,[44][45][46][47][48] employed concurrent training as the intervention tool: RMT, strength training and AE [42,45,46] or AE and strength training [41,42,44,47,48]. The initiation of ThEx interventions occurred after overcoming the acute phase of SARS-CoV-2 infection [40][41][42][43][44][46][47][48], mild [42][43][44], moderate [40,47,48], severe/serious [41,46,48], in a period after SARS-CoV-2 infection of between 20 days [45] and 6 months [40]. Only Pancera et al [45] started ThEx treatment in their only patient in the active phase of SARS-CoV-2 infection who required hospitalization in the intensive care unit (ICU).…”

Section: Characteristics Of the Participants And Interventionsmentioning

confidence: 99%

“…Strength was evaluated in seven studies [41,42,[44][45][46][47][48]. Substantial improvements in strength were obtained between the start and end of the ThEx program in all three clinical cases evaluated [41,42,47].…”

Section: Strengthmentioning

confidence: 99%

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Efficacy of Therapeutic Exercise in Reversing Decreased Strength, Impaired Respiratory Function, Decreased Physical Fitness, and Decreased Quality of Life Caused by the Post-COVID-19 Syndrome

Fernández-Lázaro

Santamaría

Sánchez-Serrano

et al. 2022

Viruses

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In the current global scenario, many COVID-19 survivors present a severe deterioration in physical strength, respiratory function, and quality of life due to persistent symptoms and post-acute consequences of SARS-CoV-2 infection. These alterations are known as post-COVID-19 syndrome for which there is no specific and effective treatment for their management. Currently, therapeutic exercise strategies (ThEx) are effective in many diseases by reducing the appearance of complications and side effects linked to treatment, and are consequently of great relevance. In this study, we review the effect of ThEX in reversing decreased strength, impaired respiratory function, decreased physical fitness, and decreased quality of life (QoL) caused by post-COVID-19 syndrome. A literature search was conducted through the electronic databases, Medline (PubMed), SciELO and Cochrane Library Plus for this structured narrative review for studies published from database retrieval up till 12 December 2022. A total of 433 patients with post-COVID-19 syndrome condition (60% women) were included in the nine studies which met the inclusion/exclusion criteria. Overall, post-COVID-19 syndrome patients who followed a ThEx intervention showed improvements in strength, respiratory function, physical fitness and QoL, with no exercise-derived side effects. Thus, ThEx based on strength, aerobic and respiratory training could be an adjuvant non-pharmacological tool in the modulation of post-COVID-19 syndrome.

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A comprehensive systematic scoping review for physiotherapy interventions for people living with long COVID

et al. 2023

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Background: A diverse spectrum of long COVID symptoms (LCS) have the scope of physical rehabilitation. Due to limited resources, very little is known about the physiotherapy and rehabilitation interventions for LCS and their clinical application. This study aims to explore the role of physiotherapy and rehabilitation interventions in the management of musculoskeletal, neurological, cognitive, cardiorespiratory, mental health, and functional impairments of LCS. Methods: The study was a systematic scoping review of the literature published between April 2020 and July 2022. Results: 87 articles were extracted followed by a standard process of The Preferred Reporting Items for Systematic reviews and meta-analysis (PRISMA) extension for Scoping reviews (PRISMA-ScR). The included studies had a 3223 LCS population. All types of primary and secondary articles were retrieved except for qualitative studies. The evidence was evaluated by an appraisal scoring tool followed by the guidelines of the “Enhancing the Quality and Transparency of health Research (EQUATOR) network”. The included papers had a mean appraisal score of 0.7807 on a 0 to 1 scale (SD 0.08), the minimum score was for study protocols (0.5870), and the maximum score was for Cohort studies (.8977). Sixty seven (67) evidence-based interventions were documented from 17 clinical categories. Conclusion: LCS can be treated by physiotherapy, exercise, and physical rehabilitation for musculoskeletal, neurological, cognitive, cardio-respiratory, mental health, and functional impairments at home or in clinical setups such as primary care settings by in-person care or telerehabilitation.

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Musculoskeletal physiotherapy in physical sequelae of SARS‐CoV‐2 infection: A case report

Cited by 8 publications

References 15 publications

Precision management of post‐COVID pain: An evidence and clinical‐based approach

Precision management of post‐COVID pain: An evidence and clinical‐based approach

Efficacy of Therapeutic Exercise in Reversing Decreased Strength, Impaired Respiratory Function, Decreased Physical Fitness, and Decreased Quality of Life Caused by the Post-COVID-19 Syndrome

A comprehensive systematic scoping review for physiotherapy interventions for people living with long COVID

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