Evidence map›Paper›PMID 36834176›Full record

SynthesisInternational journal of environmental research and public health2023

Non-Pharmacological Therapies for Post-Viral Syndromes, Including Long COVID: A Systematic Review.

Joht Singh Chandan, Kirsty R Brown, Nikita Simms-Williams, Nasir Z Bashir, Jenny Camaradou, Dominic Heining, Grace M Turner, Samantha Cruz Rivera, Richard Hotham, Sonica Minhas and 12 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
10.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Definitions and symptoms of the post-COVID syndrome: an updated systematic umbrella review.European archives of psychiatry and clinical neuroscience · 2025
    Pooled it
  2. Pooled it
  3. Cost-Effectiveness of a Personalised Self-Management Intervention for People Living With Long Covid: The LISTEN Randomised Controlled Trial.Health expectations : an international journal of public participation in health care and health policy · 2025
    Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Bridging Gaps in Long COVID Therapy: A Review.Current medicinal chemistry · 2026
    Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Long COVID Symptom Management Through Self-Care and Nonprescription Treatment Options: A Narrative Review.International journal of environmental research and public health · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors at 9 institutions in 1 country.

Joht Singh ChandanInstitute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.
Kirsty R BrownInstitute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.ORCID 0000-0001-9403-1593
Nikita Simms-WilliamsInstitute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.
Nasir Z BashirSchool of Oral and Dental Sciences, University of Bristol, Bristol BS8 1TH, UK.
Jenny CamaradouSchool of Health Sciences, University of East Anglia, Norwich NR4 7TJ, UK.ORCID 0000-0002-5742-2840
Dominic HeiningDepartment of Microbiology, Royal Wolverhampton NHS Trust, Wolverhampton WV10 0QP, UK.
Grace M TurnerInstitute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.ORCID 0000-0002-9783-9413
Samantha Cruz RiveraInstitute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.
Richard HothamInstitute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.
Sonica MinhasInstitute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.ORCID 0000-0001-9271-8623
Krishnarajah NirantharakumarInstitute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.ORCID 0000-0002-6816-1279
Manoj SivanSchool of Medicine, University of Leeds, Leeds LS2 9JT, UK.ORCID 0000-0002-0334-2968
Kamlesh KhuntiDiabetes Research Centre, University of Leicester, Leicester LE1 7RH, UK.
Devan RaindiSchool of Dentistry, Institute of Clinical Sciences, University of Birmingham, Birmingham B5 7EG, UK.
Steven MarwahaInstitute for Mental Health, University of Birmingham, Birmingham B15 2TT, UK.
Sarah E HughesInstitute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.ORCID 0000-0001-5656-1198
Christel McMullanInstitute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.
Tom MarshallInstitute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.
Melanie J CalvertInstitute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.ORCID 0000-0002-1856-837X
Shamil HaroonInstitute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.
Olalekan Lee AiyegbusiInstitute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.
TLC Study
University of Birmingham · GBNational Institute for Health Research · GBBirmingham and Solihull Mental Health NHS Foundation Trust · GBHealth Data Research UK · GBThe Royal Wolverhampton NHS Trust · GBUniversity Of Bristol Dental Hospital · GBUniversity of East Anglia · GBUniversity of Leeds · GBUniversity of Leicester · GB

Funding

Department of HealthMedical Research Council MC_PC_20050
6 · The paper itself

Abstract

backgroundPost-viral syndromes (PVS), including Long COVID, are symptoms sustained from weeks to years following an acute viral infection. Non-pharmacological treatments for these symptoms are poorly understood. This review summarises the evidence for the effectiveness of non-pharmacological treatments for PVS.

methodsWe conducted a systematic review to evaluate the effectiveness of non-pharmacological interventions for PVS, as compared to either standard care, alternative non-pharmacological therapy, or placebo. The outcomes of interest were changes in symptoms, exercise capacity, quality of life (including mental health and wellbeing), and work capability. We searched five databases (Embase, MEDLINE, PsycINFO, CINAHL, MedRxiv) for randomised controlled trials (RCTs) published between 1 January 2001 to 29 October 2021. The relevant outcome data were extracted, the study quality was appraised using the Cochrane risk-of-bias tool, and the findings were synthesised narratively.

findingsOverall, five studies of five different interventions (Pilates, music therapy, telerehabilitation, resistance exercise, neuromodulation) met the inclusion criteria. Aside from music-based intervention, all other selected interventions demonstrated some support in the management of PVS in some patients.

interpretationIn this study, we observed a lack of robust evidence evaluating the non-pharmacological treatments for PVS, including Long COVID. Considering the prevalence of prolonged symptoms following acute viral infections, there is an urgent need for clinical trials evaluating the effectiveness and cost-effectiveness of non-pharmacological treatments for patients with PVS. REGISTRATION: The study protocol was registered with PROSPERO [CRD42021282074] in October 2021 and published in BMJ Open in 2022.

Indexed as

COVID-19Virus DiseasesHumansMental HealthPost-Acute COVID-19 SyndromeCOVID-19Long COVIDnon-pharmacological interventionpost-acute sequelae of SARS-CoV-2 infection (PASC)post-COVID-19 conditionpost-viral syndromesPVSrehabilitationsystematic review

Identifiers

PMID36834176
PMCPMC9967466
OpenAlexW4321105323

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.