Returning to exercise after COVID-19

The Cardio-Respiratory Special Interest Group of Physiotherapy New Zealand has developed a flow chart that aims to guide healthcare providers in offering accurate recommendations for individuals with long COVID as they resume physical activities. Its primary goal is to guide screening questions and support decision-making in the process of returning to activities or sport.

It adopts a cautious approach to ensure return to activities and exercise is safe and does not cause a worsening of symptoms, taking into account post-exertional malaise. There is guidance on when to consider an onward referral to a cardio-respiratory physiotherapist and a detailed table outlining how to progress exercise without exacerbating symptoms.

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