Due to the COVID-19 pandemic, the world has seen the need to identify groups of patientswho experience various effects in the medium and long term after recovering from theinitial illness. These medium- and long-term effects are collectively known as thepost-COVID-19 condition, Long-COVID, or prolonged COVID. Current evidence indicates, withconservative estimates, that between 10% and 20% of the population could be affected. Itsnature is varied and ranges from physical conditions such as chronic fatigue, dyspnea andmuscle weakness, to neurocognitive (compromised memory, decreased concentration) andpsychological (anxiety, depression, anguish, stress). Early recognition and treatment ofthis symptom burden is essential for physical recovery and mental health. Due to itsmultivariate nature, it has been suggested that optimal recovery of patients' quality oflife would only be achieved to the extent that their main symptoms are addressed from aninterdisciplinary perspective.
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Other: Multimodal intervention in Long Covid19
The intervention will consist of physical, psychological, cognitive and nutritional
training and treatment to be carried out at the Teaching and Research Assistance Center
of the University of Magellanus (CADI UMAG), program includes 12 sessions of cognitive
behavioral therapy sessions, 12 kinesic rehabilitation sessions, 12 treatment sessions
per nutrition professional, 12 rehabilitation sessions with occupational therapy
professional and 12 rehabilitation sessions with a speech therapist.
Inclusion Criteria:
Inclusion criteria will be: Adults between 40 and 80 years of age. Individuals will be
included if they have had a positive polymerase chain reaction (PCR) test diagnosis of
SARS-CoV-2 virus, presence of dyspnea and/or fatigue greater than 3 months after COVID-19
diagnosis, at least 1 point higher on the modified Medical Research Council Scale (mMRC)
compared to the period before infection. All participants must have no contraindications
to perform the exercise and training tests and must be able to read, understand and sign
the information and consent form.
Exclusion Criteria:
Individuals with one of the exclusion criteria will not be eligible for our research
project these are: pulmonary embolism; absolute and relative contraindication to
cardiopulmonary stress testing or physical training; severe exercise intolerance,
significant cardiac arrhythmias or ischemia during low intensity exercise, severe
pulmonary hypertension; severe pulmonary disease (e.g.: chronic obstructive pulmonary
disease, severe COVID-19 related symptoms, severe asthma); recent cardiovascular event
(cardiac decompensation, angioplasty or cardiac surgery less than 4 weeks old, valvular
heart disease requiring surgical correction, pericarditis, ventricular rhythm
disturbances and unstable despite treatment); renal failure requiring dialysis; Heart
failure (NYHA III or IV).
Universidad de Magallanes
Punta Arenas, Provincia De Magallanes, Chile
Not Provided