Identification and Physical Therapy Management of Long Covid: From Symptoms to Systems
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This series was hosted by four academies: APTA Acute Care, APTA Federal, Academy of Cardiovascular & Pulmonary Physical Therapy, and Academy of Orthopaedic Physical Therapy.
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Contains 4 Component(s), Includes Credits
(ACUTE-CARE-LONG-COVID-4) This webinar is part 4 of a four-part series on the physical therapy management of patients with Long COVID, hosted by four academies: APTA Acute Care, APTA Federal, Academy of Cardiovascular & Pulmonary Physical Therapy, and Academy of Orthopaedic Physical Therapy. In this fourth part, the presenters will provide an overview and clinical examples of commercially available wearable technologies and apps to assess heart rate and heart rate variability for pacing. Outcome measures in a ‘clinic without walls’ setting will be discussed, and presenters will utilize case examples at the individual and clinic/health system level to discuss how this technology may be integrated into clinical care.
Learning Objectives:
By the conclusion of this webinar, the learner will be able to:
- Identify common wearable sensors and apps that may be used to design energy conservation and pacing programs
- Design activity biofeedback programs using heart rate and heart rate variability in activity biofeedback
- Apply principles of heart biofeedback to a patient’s case
- Discuss how data from wearable sensors may be used in the context of telehealth and learning health systems
Course Outline:
Abnormalities in autonomic, metabolic, and cardiopulmonary functioning in people with Long Covid suggest that biofeedback based on heart rates may be a useful tool for people living with Long Covid and the physical therapists who are assisting them. In this fourth part of a 4-part series, the presenters will provide an overview and clinical examples for using commercially available wearable technologies and apps to use heart rate and heart rate variability for pacing. Other potentially useful data will be discussed as outcomes measures in a ‘clinic without walls’ setting. The presenters will use case examples at the individual and clinic/health system level of how data from wearable sensors may be integrated into clinical care and learning health systems for Long Covid.
Alana C. Patrick, PT, DPT
Physical Therapist
Minneapolis Veterans Affairs Health Care System
Alana C. Patrick, PT, DPT, GCS is a staff Physical Therapist at the Minneapolis Veterans Affairs Health Care System with board certification in geriatrics. Since 2020, Alana has provided physical therapy treatment to patients with COVID across the spectrum of care: from ICU to acute care to inpatient rehabilitation unit to outpatient clinic. She co-developed the Minneapolis VA’s outpatient COVID Rehabilitation Clinic to serve veterans experiencing persistent symptoms of SARS-CoV-2 infection. Her passion is utilizing evidence-based care plans to facilitate improvement in the physical function and quality of life of veterans recovering from COVID.
Allison M. Gustavson, PT, DPT, PhD
Core Investigator
Minneapolis Veterans Affairs Health Care System
Allison M. Gustavson, PT, DPT, PhD is a Core Investigator in the Center for Care Delivery and Outcomes Research, Minneapolis Veterans Affairs Health Care System, and Assistant Professor, University of Minnesota Department of Medicine. Dr. Gustavson is founder and co-lead of the Veterans Health Administration Long COVID Community of Practice. Her efforts have focused on systematically engaging stakeholders and supporting a grassroots effort to advocate for high-quality, equitable, and veteran-centered Long COVID care. In addition, she has worked with VA research leadership to provide several briefings on Long COVID care to congress and operational leadership to advocate for the research & policy support necessary to address the complexity and evolving nature of long-COVID care.
Todd Davenport, PT, DPT, MPH
Professor and Vice Chair
University of the Pacific, School of Health Sciences
Todd Davenport, PT, DPT, MPH, OCS serves as tenured full Professor and Vice Chair in the Department of Physical Therapy in the School of Health Sciences at the University of the Pacific in Stockton, California. Dr. Davenport is a graduate of the University of Southern California’s DPT and Orthopaedic Physical Therapy Residency programs. Dr. Davenport is also a graduate of the Master of Public Health program at the Berkeley campus of the University of California. He is a past clinical research fellow at the Warren G. Magnusson Clinical Center at the National Institutes of Health in Bethesda, Maryland, where his work included construction and validation of function-based physical capacity tests for patients with chronic fatiguing illnesses. He has extended this early work into the identification of optimal rehabilitation programs for people with chronic post-viral fatigue.
Course Instructions
- Click on the Contents tab to watch the course recording.
- Click the Take Quiz button to complete the assessment. Learners will have 3 attempts to pass and must answer at least 70% of questions correctly.
- Click Fill Out Survey under the Evaluation listing to provide valuable course feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
- Click the View/Print Your Certificate button under the Certificate listing. You can view/print your certificate at any time by visiting the APTA Learning Center and clicking the CEU Certificate/Transcript link on the left-hand side of the page.
Need Assistance?
For assistance logging in, accessing activities, claiming credit, or for other questions or concerns, please e-mail learningcenter@apta.org.
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Contains 4 Component(s), Includes Credits
(ACUTE-CARE-LONG-COVID-3) This webinar is part 3 of a four-part series on the physical therapy management of patients with Long COVID, hosted by four academies: APTA Acute Care, APTA Federal, Academy of Cardiovascular & Pulmonary Physical Therapy, and Academy of Orthopaedic Physical Therapy. This third part discusses the rationale and practices associated with energy conservation for people with Long Covid who have post exertional symptom exacerbation (PESE). The presenters will provide specific ideas that may be used to implement effective pacing programs with patients and clients.
Learning Objectives:
By the conclusion of this webinar, the learner will be able to:
- Discuss the rationale for energy conservation based on an Energy System First Aid approach
- Identify how to implement models of pacing with patients.
- Design an energy conservation program appropriate for a patient or client living with Long Covid
- Describe effective models of care that involve energy conservation
Course Outline:
Post exertional symptom exacerbation (PESE) is a symptom experienced by many people with Long Covid. The activity dependence associated with its symptoms, signs, disablement, and underlying pathophysiology suggests the importance of energy conservation approaches for initial management. This third part of a 4-part series discusses the rationale and practices associated with energy conservation for people with Long Covid who have PESE. The presenters will provide specific ideas that may be used to implement effective pacing programs with patients and clients.
Alana C. Patrick, PT, DPT
Physical Therapist
Minneapolis Veterans Affairs Health Care System
Alana C. Patrick, PT, DPT, GCS is a staff Physical Therapist at the Minneapolis Veterans Affairs Health Care System with board certification in geriatrics. Since 2020, Alana has provided physical therapy treatment to patients with COVID across the spectrum of care: from ICU to acute care to inpatient rehabilitation unit to outpatient clinic. She co-developed the Minneapolis VA’s outpatient COVID Rehabilitation Clinic to serve veterans experiencing persistent symptoms of SARS-CoV-2 infection. Her passion is utilizing evidence-based care plans to facilitate improvement in the physical function and quality of life of veterans recovering from COVID.
Allison M. Gustavson, PT, DPT, PhD
Core Investigator
Minneapolis Veterans Affairs Health Care System
Allison M. Gustavson, PT, DPT, PhD is a Core Investigator in the Center for Care Delivery and Outcomes Research, Minneapolis Veterans Affairs Health Care System, and Assistant Professor, University of Minnesota Department of Medicine. Dr. Gustavson is founder and co-lead of the Veterans Health Administration Long COVID Community of Practice. Her efforts have focused on systematically engaging stakeholders and supporting a grassroots effort to advocate for high-quality, equitable, and veteran-centered Long COVID care. In addition, she has worked with VA research leadership to provide several briefings on Long COVID care to congress and operational leadership to advocate for the research & policy support necessary to address the complexity and evolving nature of long-COVID care.
Todd Davenport, PT, DPT, MPH
Professor and Vice Chair
University of the Pacific, School of Health Sciences
Todd Davenport, PT, DPT, MPH, OCS serves as tenured full Professor and Vice Chair in the Department of Physical Therapy in the School of Health Sciences at the University of the Pacific in Stockton, California. Dr. Davenport is a graduate of the University of Southern California’s DPT and Orthopaedic Physical Therapy Residency programs. Dr. Davenport is also a graduate of the Master of Public Health program at the Berkeley campus of the University of California. He is a past clinical research fellow at the Warren G. Magnusson Clinical Center at the National Institutes of Health in Bethesda, Maryland, where his work included construction and validation of function-based physical capacity tests for patients with chronic fatiguing illnesses. He has extended this early work into the identification of optimal rehabilitation programs for people with chronic post-viral fatigue.
Course Instructions
- Click on the Contents tab to watch the course recording.
- Click the Take Quiz button to complete the assessment. Learners will have 3 attempts to pass and must answer at least 70% of questions correctly.
- Click Fill Out Survey under the Evaluation listing to provide valuable course feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
- Click the View/Print Your Certificate button under the Certificate listing. You can view/print your certificate at any time by visiting the APTA Learning Center and clicking the CEU Certificate/Transcript link on the left-hand side of the page.
Need Assistance?
For assistance logging in, accessing activities, claiming credit, or for other questions or concerns, please e-mail learningcenter@apta.org.
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Contains 4 Component(s), Includes Credits
(ACUTE-CARE-LONG-COVID-2) This webinar is part 2 of a four-part series on the physical therapy management of patients with Long COVID, hosted by four academies: APTA Acute Care, APTA Federal, Academy of Cardiovascular & Pulmonary Physical Therapy, and Academy of Orthopaedic Physical Therapy. In this second part, the presenters will draw from current evidence and practice in Long COVID to discuss pathophysiology and abnormal recovery responses to activity. They will emphasize specific, actionable recommendations to help your patients and clients on your next clinic day.
Learning Objectives:
By the conclusion of this webinar, the learner will be able to:
- Analyze a patient’s case for potential abnormalities in autonomic, cardiopulmonary, immune, and metabolic functioning that are associated with Long Covid
- Discuss the role of prior physical and cognitive activity as a potential aggravating factor to the pathophysiology of Long Covid
- Describe strategies to discuss the pathophysiology of Long Covid with patients and clients
Course Outline:
Long Covid involves episodic disability related to a whole host of symptoms and signs. Recent studies have started to elucidate the unique multifactorial underlying pathophysiology of Long Covid, which appears to underlie the pattern of disablement. In this second part of a 4-part series, the presenters will draw from current evidence and practice in Long COVID to discuss pathophysiology and abnormal recovery responses to activity, using perspectives from myalgic encephalomyelitis research to supplement gaps in the Long Covid literature as needed. They will emphasize specific, actionable recommendations to help you bring the current knowledge base regarding the pathophysiology of Long Covid to help your patients and clients on your next clinic day.
Alana C. Patrick, PT, DPT
Physical Therapist
Minneapolis Veterans Affairs Health Care System
Alana C. Patrick, PT, DPT, GCS is a staff Physical Therapist at the Minneapolis Veterans Affairs Health Care System with board certification in geriatrics. Since 2020, Alana has provided physical therapy treatment to patients with COVID across the spectrum of care: from ICU to acute care to inpatient rehabilitation unit to outpatient clinic. She co-developed the Minneapolis VA’s outpatient COVID Rehabilitation Clinic to serve veterans experiencing persistent symptoms of SARS-CoV-2 infection. Her passion is utilizing evidence-based care plans to facilitate improvement in the physical function and quality of life of veterans recovering from COVID.
Allison M. Gustavson, PT, DPT, PhD
Core Investigator
Minneapolis Veterans Affairs Health Care System
Allison M. Gustavson, PT, DPT, PhD is a Core Investigator in the Center for Care Delivery and Outcomes Research, Minneapolis Veterans Affairs Health Care System, and Assistant Professor, University of Minnesota Department of Medicine. Dr. Gustavson is founder and co-lead of the Veterans Health Administration Long COVID Community of Practice. Her efforts have focused on systematically engaging stakeholders and supporting a grassroots effort to advocate for high-quality, equitable, and veteran-centered Long COVID care. In addition, she has worked with VA research leadership to provide several briefings on Long COVID care to congress and operational leadership to advocate for the research & policy support necessary to address the complexity and evolving nature of long-COVID care.
Todd Davenport, PT, DPT, MPH
Professor and Vice Chair
University of the Pacific, School of Health Sciences
Todd Davenport, PT, DPT, MPH, OCS serves as tenured full Professor and Vice Chair in the Department of Physical Therapy in the School of Health Sciences at the University of the Pacific in Stockton, California. Dr. Davenport is a graduate of the University of Southern California’s DPT and Orthopaedic Physical Therapy Residency programs. Dr. Davenport is also a graduate of the Master of Public Health program at the Berkeley campus of the University of California. He is a past clinical research fellow at the Warren G. Magnusson Clinical Center at the National Institutes of Health in Bethesda, Maryland, where his work included construction and validation of function-based physical capacity tests for patients with chronic fatiguing illnesses. He has extended this early work into the identification of optimal rehabilitation programs for people with chronic post-viral fatigue.
Course Instructions
- Click on the Contents tab to watch the course recording.
- Click the Take Quiz button to complete the assessment. Learners will have 3 attempts to pass and must answer at least 70% of questions correctly.
- Click Fill Out Survey under the Evaluation listing to provide valuable course feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
- Click the View/Print Your Certificate button under the Certificate listing. You can view/print your certificate at any time by visiting the APTA Learning Center and clicking the CEU Certificate/Transcript link on the left-hand side of the page.
Need Assistance?
For assistance logging in, accessing activities, claiming credit, or for other questions or concerns, please e-mail learningcenter@apta.org.
-
Contains 4 Component(s), Includes Credits
(ACUTE-CARE-LONG-COVID-1) This webinar is part 1 of a four-part series on the physical therapy management of patients with Long COVID, hosted by four academies: APTA Acute Care, APTA Federal, Academy of Cardiovascular & Pulmonary Physical Therapy, and Academy of Orthopaedic Physical Therapy. In this first session, the speakers will discuss the clinical features and definitions of Long Covid. They will provide specific patient case examples and considerations for the health care environment.
Learning Objectives:
By the conclusion of this webinar, the learner will be able to:
- Formulate questions as part of an evidence-based subjective examination to identify Long Covid in the outpatient setting
- Discuss patient-specific considerations to identify Long Covid symptoms and disablement in the outpatient setting
- Design a health care environment to accommodate Long Covid symptoms and disablement
Course Outline:
Physical therapists are learning something new each day about the clinical presentation and disablement of Long Covid. As post-viral fatigue syndromes are not new in human history, some of what we know about Long Covid is derived from prior literature about other syndromes that may occur after infectious disease, such as myalgic encephalomyelitis. An accumulating body of research also informs us of the clinical presentation and disablement specific to Long Covid. In this first session of a 4-part series, the speakers will discuss the clinical features and definitions of Long Covid. They will provide specific patient case examples and considerations for the health care environment.
Alana C. Patrick, PT, DPT
Physical Therapist
Minneapolis Veterans Affairs Health Care System
Alana C. Patrick, PT, DPT, GCS is a staff Physical Therapist at the Minneapolis Veterans Affairs Health Care System with board certification in geriatrics. Since 2020, Alana has provided physical therapy treatment to patients with COVID across the spectrum of care: from ICU to acute care to inpatient rehabilitation unit to outpatient clinic. She co-developed the Minneapolis VA’s outpatient COVID Rehabilitation Clinic to serve veterans experiencing persistent symptoms of SARS-CoV-2 infection. Her passion is utilizing evidence-based care plans to facilitate improvement in the physical function and quality of life of veterans recovering from COVID.
Allison M. Gustavson, PT, DPT, PhD
Core Investigator
Minneapolis Veterans Affairs Health Care System
Allison M. Gustavson, PT, DPT, PhD is a Core Investigator in the Center for Care Delivery and Outcomes Research, Minneapolis Veterans Affairs Health Care System, and Assistant Professor, University of Minnesota Department of Medicine. Dr. Gustavson is founder and co-lead of the Veterans Health Administration Long COVID Community of Practice. Her efforts have focused on systematically engaging stakeholders and supporting a grassroots effort to advocate for high-quality, equitable, and veteran-centered Long COVID care. In addition, she has worked with VA research leadership to provide several briefings on Long COVID care to congress and operational leadership to advocate for the research & policy support necessary to address the complexity and evolving nature of long-COVID care.
Todd Davenport, PT, DPT, MPH
Professor and Vice Chair
University of the Pacific, School of Health Sciences
Todd Davenport, PT, DPT, MPH, OCS serves as tenured full Professor and Vice Chair in the Department of Physical Therapy in the School of Health Sciences at the University of the Pacific in Stockton, California. Dr. Davenport is a graduate of the University of Southern California’s DPT and Orthopaedic Physical Therapy Residency programs. Dr. Davenport is also a graduate of the Master of Public Health program at the Berkeley campus of the University of California. He is a past clinical research fellow at the Warren G. Magnusson Clinical Center at the National Institutes of Health in Bethesda, Maryland, where his work included construction and validation of function-based physical capacity tests for patients with chronic fatiguing illnesses. He has extended this early work into the identification of optimal rehabilitation programs for people with chronic post-viral fatigue.
Course Instructions
- Click on the Contents tab to watch the course recording.
- Click the Take Quiz button to complete the assessment. Learners will have 3 attempts to pass and must answer at least 70% of questions correctly.
- Click Fill Out Survey under the Evaluation listing to provide valuable course feedback. Scroll down on all questions as there may be answer options that expand past the size of the window.
- Click the View/Print Your Certificate button under the Certificate listing. You can view/print your certificate at any time by visiting the APTA Learning Center and clicking the CEU Certificate/Transcript link on the left-hand side of the page.
Need Assistance?
For assistance logging in, accessing activities, claiming credit, or for other questions or concerns, please e-mail learningcenter@apta.org.