ORCiD

Todd E. Davenport: 0000-0001-5772-7727

Document Type

Article

Publication Title

Orthopaedic Physical Therapy Practice

Volume

35

Issue

1

First Page

17

Last Page

21

Publication Date

1-1-2023

Abstract

Background: The purpose of this case study is to describe how post-exertional symptom exacerbation (PESE), a hallmark of long COVID, may affect the clinical course of physical therapy. Physical therapists can provide patient education and activity guidance to individuals with long COVID to improve clinical outcomes. Case Description: The patient was a 39-year-old female with a 20-year history of bilateral knee pain. Following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the patient developed PESE and increased bilateral knee joint effusion and pain, affecting her ability to perform cognitive tasks and walk, respectively. Outcomes: Following 8 weeks of intervention, the patient’s Lower Extremity Functional Scale score improved from 35/80 to 59/80 and numeric pain rating scale decreased from 7/10 to 4/10 at maximum, but she experienced an apparent PESE relapse. Discussion: Post-exertional symptom exacerbation can affect multiple body systems, which may affect a patient’s ability to participate in physical therapy. Clinical Relevance: Physical therapy management of individuals with long COVID must include monitoring during and after exertion for signs and symptoms of PESE.

Download

Share

COinS