Evidence map›Paper›PMID 38658496›Full record

ArticleSports medicine - open2024

Practical Recommendations for Exercise Training in Patients with Long COVID with or without Post-exertional Malaise: A Best Practice Proposal.

Rainer Gloeckl, Ralf H Zwick, Ulrich Fürlinger, Tessa Schneeberger, Daniela Leitl, Inga Jarosch, Uta Behrends, Carmen Scheibenbogen, Andreas Rembert Koczulla

Abstract read
In one paragraph

Article in Sports medicine - open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  11. Rehabilitation needs of long COVID patients in British Columbia.PM & R : the journal of injury, function, and rehabilitation · 2026
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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

9 authors.

Rainer GloecklDepartment of Pulmonary Rehabilitation, Philipps-University of Marburg, Marburg, Germany.ORCID http://orcid.org/0000-0002-2741-2748
Ralf H ZwickTherme Wien Med, Ludwig Boltzmann Institute for Rehabilitation Research, Vienna, Austria.
Ulrich FürlingerTherme Wien Med, Ludwig Boltzmann Institute for Rehabilitation Research, Vienna, Austria.
Tessa SchneebergerDepartment of Pulmonary Rehabilitation, Philipps-University of Marburg, Marburg, Germany.
Daniela LeitlDepartment of Pulmonary Rehabilitation, Philipps-University of Marburg, Marburg, Germany.
Inga JaroschDepartment of Pulmonary Rehabilitation, Philipps-University of Marburg, Marburg, Germany.
Uta BehrendsChildrens' Hospital, School of Medicine, Technical University of Munich, Munich, Germany.
Carmen ScheibenbogenInstitute of Medical Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt Universität Zu Berlin, Berlin, Germany.
Andreas Rembert KoczullaDepartment of Pulmonary Rehabilitation, Philipps-University of Marburg, Marburg, Germany. RKoczulla@schoen-klinik.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

People with long COVID may suffer from a wide range of ongoing symptoms including fatigue, exertional dyspnea, reduced exercise performance, and others. In particular, impaired exercise performance is a condition that can be recovered in many people through an individualized physical exercise training program. However, clinical experience has shown that the presence of post-exertional malaise (PEM) is a significant barrier to physical exercise training in people with long COVID. Currently, there is no guideline or consensus available on how to apply exercise training in this cohort. Therefore, we conducted a literature review in the PubMed library using the following search terms: "COVID", "post-COVID", "long COVID" and "exercise" searching for studies from January 2020 to January 2024. Data from 46 trials were included. Exercise training regimes were very heterogeneous and none of these studies reported on the management of PEM in the context of an exercise training program. Based on the feedback from an additional survey that was answered by 14 international experts in the field of exercise training in long COVID, combined with the authors´ own extensive practical experience, a best practice proposal for exercise training recommendations has been developed. This proposal differentiates exercise procedures according to the presence of no, mild/moderate or severe PEM in people with long COVID. These recommendations may guide allied healthcare professionals worldwide in initiating and adjusting exercise training programs for people with long COVID, stratified according to the presence and severity of PEM.

Indexed as

COVID-19FatiguePEMPESEPost-COVIDPost exertional symptom exacerbationPulmonary rehabilitationRehabilitationSARS-CoV-2

Identifiers

PMID38658496
PMCPMC11043268

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.