What is Safe Long COVID Rehabilitation?

critical importance given that some have experienced complications such as acute events, symptom exacerbation, or deterioration following traditional approaches to rehabilitation (i.e., involving progressive loading, physical or cognitive activity, or exercise), as well as perceived lack of support from health care providers who at times question the validity of symptom reports.The discussion session involved people living with Long COVID, clinicians, and researchers with expertise and experiences related to Long COVID rehabilitation.The 10 speakers involved in this session met in advance of the Forum to share experiences and ideas, identify potential themes for discussion, and deliberate proposed recommendations.These were then presented to the international community at the Forum where themes and recommendations were discussed, debated, solidified, and are presented in this editorial (summary available in Table 1).1) Safe Long COVID rehabilitation should include identifying red flags or complications where commencing rehabilitation could cause an acute event or deterioration.People living with Long COVID often experience worsening symptoms following activity, including physical tasks Long COVID is a term coined and preferred by people with the condition that describes persistent effects of Coronavirus Disease (COVID-19) [1].Long COVID is known by other names including "Post COVID-19 Condition" (World Health Organization (WHO)[2] and "Post-Acute Sequelae of COVID-19" (United States).Long COVID is estimated to affect more than 145 million people around the globe[3] and results in wide diversity of symptoms,[4] episodic disability,[5] reduced quality of life,[6] and work loss,[7] irrespective of hospitalisation or acute disease severity [8].Improved understanding of appropriate health care and rehabilitation interventions to reduce the burden of Long COVID have been identified as an international research priority.[9].In September 2022, the patient-led association Long COVID Physio organized the two-day online Long COVID Physio International Forum, bringing lived experiences to Long COVID, disability, rehabilitation, and research.Long COVID Physio is an international, patient-led association of physiotherapists (physical therapists) living with Long COVID and allies, working internationally across peer support, education, research, and advocacy [10].At the Forum, a discussion session was held to address the question, "What is Safe Long COVID Rehabilitation?