The toll Long COVID can have is still being researched, its symptoms have much in common with a number of neurological conditions. Here, specialists from Neuro Physio Wales share their thoughts on why early intervention could be crucial.
Early intervention with symptoms of Long COVID can be vital in mitigating long-term effects, specialist neurophysiotherapists have said.
While the effects of Long COVID are still being realised, with the condition only recently being recognised as a lasting impact of COVID-19, accepted symptoms include fatigue, brain fog, joint or muscle pain, dizziness, depression or anxiety and pins and needles.
Such symptoms are very commonly associated with many neurological conditions, such as multiple sclerosis (MS), and while they will be new to the thousands of people experiencing Long COVID, they can be amplified for those who have lived with them through pre-existing conditions.
For neurophysiotherapists, they are symptoms that are regularly dealt with through their work with neuro patients, and by tackling them at the earliest point, that could help alleviate further problems down the line.
And while many people are shielding or self-isolating and may not wish to seek in-person support, the access to virtual resources including telerehab is proving popular among many who are living with Long COVID.
“We’re well used to treating all of these symptoms but as part of different conditions, they go hand in hand with so many other things we help people with, so I think neurophysiotherapists are well equipped to support people with Long COVID,” says Sara Davis, clinical director at Neuro Physio Wales.
“For many people who have had COVID and have been really poorly with it, they will have lost strength and muscle mass, and may have to work on their general strength and balance as they recover. This is a condition which we continue to learn more about all the time, so there is no set formula in what to do.
“But getting the support they need is really so important because – as with neurophysio in general – many people are losing out on their best chance of recovery through a lack of access to the physio services they need, or else not recognising they need it, so we would urge anyone struggling with symptoms of Long COVID to seek some support.”
While several clients continue to attend Neuro Physio Wales’s base near Bridgend in person, others have opted to stay at home and seek support using telerehab – but reaching out when needed is the main thing, says Helena Cook, a specialist neurological physiotherapist.
“We are still getting new calls and referrals, such as from people who have had a stroke and have just been discharged from hospital, but we have quite a few clients who are happy without in-person appointments and to have us just monitoring their progress,” says Helena.
“I think people are thinking twice about coming out, particularly with much being said about this current lockdown potentially lasting until Easter, but we’re happy to work with our clients based on the decisions they’ve made.
“In ordinary circumstances, more people would come to us when they leave hospital, but they’re definitely more hesitant now. We understand that and can support them from afar, using video or telephone call, if that’s what they prefer.
“I have one client who I haven’t seen for a year now, but I do hear from his wife, who gives us a call to ask advice. It’s nice that people know we’re here for them in whatever form they need us.”
Having opted to close completely in the early stages of the pandemic last year, Neuro Physio Wales is again operating both clinic and home visits, but with some changes to its usual way of operation in the centre.
“We closed down until the point we could be absolutely confident in our clients’ safety in coming in to the centre, and we now welcome them back knowing we are operating in a very safe environment. I don’t think it could be any cleaner and we have very stringent protocols in place, although we have had to change our working practices so that we have up to 30 minutes between appointments to ensure proper cleaning,” says Sara.
“We’re really pleased that many of our clients are coming back into the clinic, but we know they miss the social contact,” adds Helena.
“We used to have a ‘Friday morning club’ where we would have two therapists in, some clients would come at the same time, the next person would come a bit early for a chat, and it was a lovely environment.
“We have lost that for now, but we appreciate that for many of our clients this is a vital social opportunity, often the only one they will have, so as soon as it is safe and possible for us to bring that back, we will do so.”
Learn more about virtual reality in rehab
Event is an opportunity to hear from expert Dr Katherine Dawson, Consultant Clinical Neuropsychologist.
An event later this month will give neuro-rehab professionals an opportunity to learn more about the use of virtual reality in the field.
The virtual webinar, on 26th January at 1.20pm to 2.30pm, features an in-depth talk by Dr Katherine Dawson, Consultant Clinical Neuropsychologist.
A Guide to Virtual Reality, which can be booked by emailing email@example.com, will cover:
– Growth of digital health
– Virtual Reality(VR) / Telerehabilitation evidence base
– Virtual tour of the Brain Recovery Zone VR platform
– Where does the Brain Recovery Zone sit in a clinical pathway
– Clinical outcomes, case studies, and research trial
Dr. Katherine Dawson has over 15 years experience working in various rehabilitation settings (both within the NHS and private sector) with individuals who have a wide range of neurological conditions.
She has a particular interest in cognitive rehabilitation, and working with individuals and families to manage emotional and behavioural changes following Acquired Brain Injury (ABI).
She is currently involved in research with the NHS regarding ABI and telerehabilitation, and has recently published a book exploring adjustment to brain injury from the perspectives of clients, family members and clinicians.
In December 2017, Katherine set up a local neuro-rehab service (Sphere Rehab) with her business partner, focusing on community integration post ABI. She also co-founded the Brain Recovery Zone neuro rehab Virtual Reality platform in the summer of 2019. The team are commissioned by several local CCGs and also work within the private sector.
Ahead of the event, she said: “I just wanted to say a massive thank you to Think Therapy 1st for inviting me to talk about VR and the Brain Recovery Zone. Virtual Reality has great potential in neuro rehab – both to ‘up’ the dosage of rehab, in addition to promoting ongoing engagement and self management.
“I am really looking forward to delivering this webinar and discussing some of the clinical outcomes including the work completed together with Think Therapy 1st and other clients.”
Helen Merfield, Managing Director, Think Therapy 1st, which is organising the event, said: “I am really excited about our VR event we have used Dr Dawson on a number of cases with amazing results and her VR really has changed lives.
“So much so that we are partnering with her company Sphere as a preferred provider for both VR through Brain Recovery Zone and Clinical and Neuro psychology. Close working ties can only improve outcomes which for both our companies are already impressive.”
To register for the event email firstname.lastname@example.org.
Sport and exercise ‘have key role in mental health and wellbeing’
The Moving for Mental Health report highlights the role of physical activity in supporting mental resilience and recovery
Physical activity and sport can play a key role in supporting mental health and wellbeing and helping people to recover from the ongoing impact of the COVID-19 pandemic, a new report has concluded.
The Moving for Mental Health report includes better training for health professionals to prescribe movement as a means of effectively tackling the vast growth in people experiencing mental health issues.
Produced following the onset of the pandemic, the report sets out evidence that developing a healthy relationship with physical activity and being involved in linked programmatic interventions and social networks is beneficial, can improve people’s mental health and wellbeing, and help tackle social isolation.
The project, by the Sport for Development Coalition and Mind, highlights how COVID-19 has exposed the weaknesses of single-sector responses to addressing complex mental health problems and tackling growing health inequalities.
The report recommends physical activity and community sport be further embedded in health policy and integrated care systems while calling for an enhanced role for experts by experience and diverse communities leading in the design, implementation and evaluation of future strategy and programming.
Launched at an online meeting of the All-Party Parliamentary Group for Sport, it is also designed to support and inspire public bodies, funders, commissioners and policy-makers as well as community-based programme providers aiming to enhance the impact of movement for mental health.
Paul Farmer, chief executive of Mind, said: “While Mind’s research suggests that half of adults and young people have relied on physical activity to cope during the pandemic, we also know that physical activity levels for people with long-term health conditions, including mental health problems, have declined.
“Considering how vital physical activity is for many people’s mental health, it is clear that we need a collective effort to reach those who need support the most.”
Andy Reed, chair of the Sport for Development Coalition, said: “This report is aimed at supporting and informing policy-makers about how we can maximise the contribution of targeted sport and physical activity-based interventions at this crucial time.”
The research was led by a team of academic researchers from Edge Hill University and Loughborough University, and draws on evidence and submissions from over 70 organisations including sport and mental health organisations, public bodies and Government departments.
Andy Smith, professor of sport and physical activity at Edge Hill University, said: “The impact of Covid-19 on people’s mental health and wellbeing cannot be overstated.
“It has brought to light the significant mental health inequalities which existed prior to COVID-19, but which have since worsened further, especially among those living in under-served and low-income communities.
“Our research is calling on the Government and other public bodies to invest in the provision of movement opportunities for mental health across multiple policy sectors, and to use the evidence presented as a basis for making more effective policy decisions which benefit everyone’s mental health and which tackle deep-seated inequalities.”
Moving for Mental Health is the first policy report in a series being published throughout 2022 by the Coalition and relevant partners. The reports are aimed at maximising the contribution of targeted sport-based interventions to helping ‘level up’ communities facing disadvantage and deprivation and tackling deep-seated health and societal inequalities which have been exacerbated by COVID-19.
Calvert Trust announces new trustees
Louise Dunn, Judith Gate, Emily Flynn and Victoria Notman bring their expertise to the Trust, which also runs Calvert Reconnections
The Lake District Calvert Trust (LDCT), which runs brain injury rehabilitation centre Calvert Reconnections, has started 2022 by announcing the appointment of four new trustees.
Louise Dunn, Judith Gate, Emily Flynn and Victoria Notman will bring their respective expertise to supporting the further development of the charity and its vital services.
Louise Dunn is a communications consultant and academic with over 25 years’ experience of management and leadership roles in the pharmaceutical industry and at Alder Hey Children’s NHS Foundation Trust and Charity.
Commenting on her appointment, Louise said: “As a Keswick resident, I’m delighted to be able to get involved with this extraordinary organisation, that has such a positive impact for people living with disabilities in our community and all over the UK.
“I am looking forward to learning more about how I can help the team and contributing to their exciting plans for the future.”
Judith Gate has extensive experience in the charity and public sectors including leading the volunteering and customer care functions for a national charity.
She currently leads a continuous improvement programme with a focus on delivering efficiency and improved customer experience through business process improvement and digital transformation.
Judith said: “I applied to be trustee because I wanted to use my skills to deliver as much positive impact as possible. As an outdoor enthusiast I feel a genuine connection to the Calvert Trust‘s mission of making outdoor activity accessible to everyone
“I am really excited to join the board and look forward to using my knowledge and experience to help support the Trust achieve its ambitions over the coming years.”
Emily Flynn has over 21 years’ experience as a military officer and communications-electronics engineer across a wide spectrum of business areas including: senior leadership/board-level management; digital optimisation; resource planning; engineering, operations and risk management; trusteeship; and mountaineering leadership.
Commenting on her appointment, Emily said: “I am delighted to become a trustee of the Lake District Calvert Trust.
“The military introduced me to the benefits of outdoor education as a means of expanding personal confidence and stretching comfort zones in a controlled environment. It also led me to become a mountaineer.
“I hope to be able to bring my previous experience as a leader, mountaineer, engineer and trustee to help the Calvert Trust
continue to deliver amazing outdoor education to its participants and to help it grow over the next few years.”
Victoria Notman is legal director at the employment team at Burnetts Solicitors in Carlisle and has over 20 years’ experience as an employment lawyer.
She also has a first-class honours degree in physiotherapy and experience in the rehabilitation and development of adults and young people with mild to severe physical and mental impairments and learning needs.
Victoria said: “I am looking forward to applying my knowledge and skills to become integrated into the fabric of the Trust to such a degree that all the experience I have to offer can really make a difference to the lives and happiness of those accessing Calvert Lakes and Calvert Reconnections.”
Welcoming the charity’s new trustees, Giles Mounsey-Heysham, chairman of the LDCT Trustees, said: “After a detailed recruitment process, we are delighted to welcome our new Trustees.
“Together they bring a wealth of skills, experience and shared passion to the Lake District Calvert Trust. We welcome their contributions moving forward.”
The Lake District Calvert Trust has been supporting people with disabilities from its specialist Calvert Lakes residential centre and accessible riding centre near Keswick in the Lake District for almost 45 years.
Calvert Lakes has grown from being the UK’s first dedicated activity centre for people with disabilities, to welcoming around 3,500 visitors to stay each year.
These include individuals, family groups, specialist schools, accessible sports clubs, disability charity groups, supported living organisations and care homes across the UK.
Last year, the charity also opened Calvert Reconnections, the UK’s first residential brain injury rehabilitation programme combining traditional clinical therapies with physical activity in the outdoors.
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