Rehabilitation bei Multipler Sklerose: multimodal, interdisziplinär, wirksam

Flachenecker, Peter; Dettmers, Christian; Henze, Thomas

doi:10.1055/a-0803-5493

Cited by 2 publications

(1 citation statement)

References 33 publications

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“…However, as general treatment for patients is scarce or unavailable [ 7 ], multidisciplinary teams need to specialize in rehabilitating the various symptoms associated with this condition. As fatigue (ongoing and constant exhaustion in mental and physical aspects that does not improve with resting/sleeping) and exhaustion (short-term lack of energy that improves after taking a rest), for instance, emerged among the most prevalent symptoms reported, future research should focus on validating the use of techniques such as psychoeducation [ 47 ], energy management [ 47 ], training based on cognitive-behavioral-therapy [ 48 , 49 ], mindfulness [ 50 ] or relaxation exercises [ 51 ] in ameliorating fatigue in patients suffering from long-COVID. In addition, cognitive deficits like memory problems, trouble finding the correct words, and planning-oriented thinking [ 52 , 53 ] are common long-COVID symptoms and require tailored cognitive rehabilitation programs.…”

Section: Discussionmentioning

confidence: 99%

Characteristics and burden of acute COVID-19 and long-COVID: Demographic, physical, mental health, and economic perspectives

Leitner,

Pötz,

Berger

et al. 2024

PLoS ONE

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Background COVID-19 infection and its associated consequence, known as long-COVID, lead to a significant burden on the global healthcare system and limitations in people’s personal and work lives. This study aims to provide further insight into the impact of acute and ongoing COVID-19 symptoms and investigates the role of patients’ gender and vaccination status. Methods 416 individuals (73.9% female) between the ages of 16 and 80 years (M = 44.18, SD = 12.90) with self-reported symptoms of long-COVID participated in an online survey conducted between March and May 2022. Results 6.0%, 74.3%, and 19.7% of all respondents reported having had an asymptomatic, mild, or severe acute illness, respectively. Out of all participants, 7.8% required hospitalization. The most prevalent symptoms during the acute infection (Mdn = 23.50 symptoms, IQR = 13–39) included fatigue, exhaustion, cough, brain fog, and memory problems. The median long-COVID disease duration was 12.10 months (IQR = 2.8–17.4). Among 64 inquired long-COVID symptoms (Mdn = 17.00 symptoms, IQR = 9–27), participants reported fatigue, exhaustion, memory problems, brain fog, and dyspnea as the most common ongoing symptoms, which were generally experienced as fluctuating and deteriorating after physical or cognitive activity. Common consequences of long-COVID included financial losses (40.5%), changes in the participants’ profession (41.0%), stress resistance (87.5%), sexual life (38.1%), and mood (72.1%), as well as breathing difficulties (41.3%), or an increased drug intake (e.g., medicine, alcohol; 44.6%). In addition, vaccinated individuals exhibited a shorter acute illness duration and an earlier onset of long-COVID symptoms. In general, women reported more long-COVID symptoms than men. Conclusion Long-COVID represents a heterogeneous disease and impacts multiple life aspects of those affected. Tailored rehabilitation programs targeting the plurality of physical and mental symptoms are needed.

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