Hot off the press…

 

Pierce, MN. Ai Chi for Long COVID: Transitioning to a Post-Rehabilitation Community Program. J Aquat Phys Ther. 2022:30(3):60-64. DOI: 10.1097/PXT.0000000000000019

Abstract

Background: 

As the COVID-19 pandemic continues to impact lives around the world, long COVID symptoms plague a significant number of survivors in their daily lives. Guidelines are available for individualized rehabilitation during acute and subacute phases; however, safe community options are needed for those with lingering symptoms who are transitioning away from formal rehabilitation. A lack of access or resistance to COVID-19 vaccination worldwide, and the emergence of more aggressive coronavirus variants, is predicted to result in many more positive COVID-19 cases and consequentially in more long haulers, increasing the need for community resources.

Discussion: 

Ai Chi is a gentle aquatic body-mind practice employed worldwide by aquatic therapists and trainers to reduce stress, enhance breathing, strengthen core muscles, extend joint range of motion, improve balance, stabilize heart rate, and promote focus and centering. It can address some of the common persisting symptoms in medically stable individuals with long COVID including pain, difficulty breathing, muscle weakness, and stress. While Ai Chi is a promising community aquatic intervention, exercise providers need to be aware of special considerations that may impact this population in community programming, such as postexertional malaise, cardiac impairment, oxygen desaturation, and autonomic nervous system dysfunction when providing exercise programs. Research is needed to validate the effectiveness of Ai Chi with post-rehabilitation COVID long haulers in a community setting.

This would be an ideal research area for physical therapy and occupational therapy students as an educational experience, and would help make the world a better place.

Some important factors to consider:

1. Participants must be medically stable COVID long haulers. Recruiting could come from Long COVID clinics, Long COVID support groups, or from social media outreach.
2. A warm water pool (86-93 degrees F) is needed, where participants can work at shoulder depth with slightly flexed knees. Pools that offer an Arthritis Foundation Exercise Program (AFEP) often meet these parameters.
3. Teaching is typically done on the pool deck for groups by a provider who has been trained in Ai Chi.
4. Background and practical understanding of specific issues pertinent to this population is key when providing exercise programming, including post-exertional malaise, orthostatic hypotension, cardiac impairment, oxygen desaturation and autonomic nervous system dysfunction.
5. Depending on the research focus areas, evidence based examination tools such as the DePaul Symptoms Questionnaire screen for post-exertional malaise (DSQ PEM), the Timed Up and Go test (TUG), the 6-minute walk test (6MWT), the Berg Balance Scale (BBS), functional surveys or cognitive tests could be utilized.

Correspondence: Melinda Nygren Pierce, PT, MS, CEEAA, ATRIC [email protected]

Full article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9665893/

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