Returning to physical activity after covid-19

Authors: David Salman, academic clinical fellow in primary care12,  Dane Vishnubala, consultant in sports and exercise medicine and honorary senior lecturer in primary care and public health23,  Peter Le Feuvre, military physiotherapist and research fellow in complex trauma rehabilitation15,  Thomas Beaney, academic clinical fellow in primary care2,  Jonathan Korgaonkar, consultant in sports and exercise medicine4,  Azeem Majeed, professor of primary care and public health2,  Alison H McGregor, professor of musculoskeletal biodynamics1

What you need to know

  • Risk stratify patients before recommending a return to physical activity in people who have had covid-19. Patients with ongoing symptoms or who had severe covid-19 or a history suggestive of cardiac involvement need further clinical assessment
  • Only return to exercise after at least seven days free of symptoms, and begin with at least two weeks of minimal exertion
  • Use daily self monitoring to track progress, including when to seek further help

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