Key result
Stepwise symptom-guided return to exercise is recommended for recreational athletes recovering from mild-to-moderate COVID-19.
Why the study?
The wide range of disease expression after mild-to-moderate COVID-19 presents a challenge for clinicians seeking to counsel patients wishing to return to exercise.
Provides evidence-based considerations and recommendations for clinicians guiding recreational athletes on safely returning to activity after mild-to-moderate COVID-19.
Supports symptom-guided stepwise return to exercise post-mild COVID-19 in recreational athletes; leaves open need for prospective validation.
The COVID-19 pandemic has resulted in significant morbidity and mortality around the world. The spectrum of COVID-19 is broad, from clinical disease requiring intensive medical care to less severe symptoms that are treated with supportive care. The majority of COVID-19 cases fall into the mild-to-moderate category, with symptoms lasting less than 6 weeks. Nevertheless, the morbidity from COVID-19 is significant and can affect multiple body systems, most frequently the cardiac, pulmonary, hematologic, musculoskeletal, and gastrointestinal systems. For patients who wish to return to exercise after mild-to-moderate COVID-19, the wide range of disease expression presents a challenge for clinicians seeking to offer counsel. This literature review on return to activity following mild to moderate COVID-19 in the recreational athlete includes evidence-based considerations and recommendations for clinicians in guiding the safest return to activity.
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Metzl et al. (2020) conducted a review in Mild-to-moderate COVID-19. Return to exercise guidelines was evaluated. A gradual, stepwise return to exercise guided by symptom monitoring across cardiac, pulmonary, and other body systems is recommended for recreational athletes recovering from mild-to-moderate COVID-19.
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