Reporting of pre-existing multiple long-term conditions in physical rehabilitation for long COVID: a scoping review

Background Physical rehabilitation may improve health and wellbeing outcomes for some adults living with long COVID. However, individuals living with pre-existing multiple long-term conditions (MLTCs) and long COVID may have additional rehabilitation challenges. This scoping review aims to identify...

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Main Authors: Lucy Gardiner, Hannah M.L. Young, Holly Drover, Emily Morgan-Selvaratnam, Michael Natt, Nikki Smith, Enya Daynes, Mark W. Orme, Rod S. Taylor, Sally J. Singh, Rachael A. Evans
Format: Article
Language:English
Published: European Respiratory Society 2024-11-01
Series:European Respiratory Review
Online Access:http://err.ersjournals.com/content/33/174/240123.full
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author Lucy Gardiner
Hannah M.L. Young
Holly Drover
Emily Morgan-Selvaratnam
Michael Natt
Nikki Smith
Enya Daynes
Mark W. Orme
Rod S. Taylor
Sally J. Singh
Rachael A. Evans
author_facet Lucy Gardiner
Hannah M.L. Young
Holly Drover
Emily Morgan-Selvaratnam
Michael Natt
Nikki Smith
Enya Daynes
Mark W. Orme
Rod S. Taylor
Sally J. Singh
Rachael A. Evans
author_sort Lucy Gardiner
collection DOAJ
description Background Physical rehabilitation may improve health and wellbeing outcomes for some adults living with long COVID. However, individuals living with pre-existing multiple long-term conditions (MLTCs) and long COVID may have additional rehabilitation challenges. This scoping review aims to identify the available evidence describing physical rehabilitation interventions for adults living with long COVID, to systematically map the reporting of pre-existing MLTCs, and to describe the characteristics of physical rehabilitation interventions used in adults with both pre-existing long-term conditions (LTCs) and long COVID. Methods MEDLINE, CINAHL, Scopus, APA PsycInfo, medRxiv, OpenGrey and MedNar were searched from January 2020 to July 2023. Eligibility criteria included adults with long COVID, rehabilitation interventions including a physical component in any setting and any study design investigating interventions or intervention content except case series/reports. Results Of 5326 unique records, 50 articles met the inclusion criteria, of which 25 (50%) made reference to pre-existing LTCs. These articles included four protocols and one consensus statement. Four of the remaining 20 studies (20%) reported the number of pre-existing LTCs, enabling the differentiation of individuals with MLTCs. One study reported outcomes of individuals with MLTCs separately to those without. The interventions described (k=24) typically consisted of combined aerobic and strength exercises (k=17 (71%)) in an outpatient setting (k=13 (54%)). Conclusions There is limited and inconsistent reporting of the presence of MLTCs in studies of physical rehabilitation for adults with long COVID. Clarity and consistency of reporting of MLTCs is required to enable evaluation and adaptation of interventions to improve health and wellbeing for this population.
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spelling doaj-art-0c34e6c716de4e8c82bdee92eba9abbf2025-08-20T02:42:57ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172024-11-013317410.1183/16000617.0123-20240123-2024Reporting of pre-existing multiple long-term conditions in physical rehabilitation for long COVID: a scoping reviewLucy Gardiner0Hannah M.L. Young1Holly Drover2Emily Morgan-Selvaratnam3Michael Natt4Nikki Smith5Enya Daynes6Mark W. Orme7Rod S. Taylor8Sally J. Singh9Rachael A. Evans10 Department of Respiratory Sciences, University of Leicester, Leicester, UK NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK Department of Respiratory Sciences, University of Leicester, Leicester, UK NIHR Leicester Biomedical Research Centre – Respiratory, University of Leicester, Leicester, UK Long COVID LTC Study Patient Advisory Group, Leicester, UK Long COVID LTC Study Patient Advisory Group, Leicester, UK Department of Respiratory Sciences, University of Leicester, Leicester, UK Department of Respiratory Sciences, University of Leicester, Leicester, UK MRC/CSO Social and Public Health Sciences Unit and Robertson Centre for Biostatistics, University of Glasgow, Glasgow, UK Department of Respiratory Sciences, University of Leicester, Leicester, UK Department of Respiratory Sciences, University of Leicester, Leicester, UK Background Physical rehabilitation may improve health and wellbeing outcomes for some adults living with long COVID. However, individuals living with pre-existing multiple long-term conditions (MLTCs) and long COVID may have additional rehabilitation challenges. This scoping review aims to identify the available evidence describing physical rehabilitation interventions for adults living with long COVID, to systematically map the reporting of pre-existing MLTCs, and to describe the characteristics of physical rehabilitation interventions used in adults with both pre-existing long-term conditions (LTCs) and long COVID. Methods MEDLINE, CINAHL, Scopus, APA PsycInfo, medRxiv, OpenGrey and MedNar were searched from January 2020 to July 2023. Eligibility criteria included adults with long COVID, rehabilitation interventions including a physical component in any setting and any study design investigating interventions or intervention content except case series/reports. Results Of 5326 unique records, 50 articles met the inclusion criteria, of which 25 (50%) made reference to pre-existing LTCs. These articles included four protocols and one consensus statement. Four of the remaining 20 studies (20%) reported the number of pre-existing LTCs, enabling the differentiation of individuals with MLTCs. One study reported outcomes of individuals with MLTCs separately to those without. The interventions described (k=24) typically consisted of combined aerobic and strength exercises (k=17 (71%)) in an outpatient setting (k=13 (54%)). Conclusions There is limited and inconsistent reporting of the presence of MLTCs in studies of physical rehabilitation for adults with long COVID. Clarity and consistency of reporting of MLTCs is required to enable evaluation and adaptation of interventions to improve health and wellbeing for this population.http://err.ersjournals.com/content/33/174/240123.full
spellingShingle Lucy Gardiner
Hannah M.L. Young
Holly Drover
Emily Morgan-Selvaratnam
Michael Natt
Nikki Smith
Enya Daynes
Mark W. Orme
Rod S. Taylor
Sally J. Singh
Rachael A. Evans
Reporting of pre-existing multiple long-term conditions in physical rehabilitation for long COVID: a scoping review
European Respiratory Review
title Reporting of pre-existing multiple long-term conditions in physical rehabilitation for long COVID: a scoping review
title_full Reporting of pre-existing multiple long-term conditions in physical rehabilitation for long COVID: a scoping review
title_fullStr Reporting of pre-existing multiple long-term conditions in physical rehabilitation for long COVID: a scoping review
title_full_unstemmed Reporting of pre-existing multiple long-term conditions in physical rehabilitation for long COVID: a scoping review
title_short Reporting of pre-existing multiple long-term conditions in physical rehabilitation for long COVID: a scoping review
title_sort reporting of pre existing multiple long term conditions in physical rehabilitation for long covid a scoping review
url http://err.ersjournals.com/content/33/174/240123.full
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