POST-COVID-19 Long Haulers Acute and Chronic Effects: Evaluation and Treatment – Michel (Shelly) Denes and Karen Pryor

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They are your peers. Your family. Your friends. Your patients. And now, many weeks after diagnosis, they still feel like they’re running at 60%.

Technically speaking, they’ve recovered from COVID-19, yet the symptoms still linger – sometimes for over 100 days. This group is now known as the “long haulers”.

Whether you work in a hospital, long- term care, skilled care or home health, this course will provide a pathway toward rehabilitation and recovery. With 89 years combined experience, Karen Pryor PhD, PT, DPT, ND, CH, CFPS and Shelly Denes PT, CFPS, C/NDT will provide a framework to: 

• Create a multi-system evaluation 
• Reset the autonomic nervous system and
• Successfully treat post-COVID patients 

They’ll show you how to immediately apply these strategies in your work. With their tried and true techniques, you will feel confident in your ability to help this growing population recover quickly and resume their normal lifestyle. 

1. Determine neurological, musculoskeletal and organ system challenges during the evaluation process.
2. Determine cytokine storms and how it relates to multi-organ failure and coagulation. 
3. Investigate post-viral autonomic dysregulation and how to rewire with neuroplasticity techniques. 
4. Differentiate, accommodate, and treat rehabilitation challenges such as brain fog with poor memory of home program, tachycardia, POTS, and immune system challenges. 
5. Investigate autonomic symptoms of night sweats, temperature dysregulation, gastroparesis, peripheral vasoconstriction. 
6. Appraise anxiety levels and discuss changes in the emotional environment of the patient. 
7. Justify proning in patients to increase oxygen saturation levels. 
8. Appraise nervous system involvement HPA axis – hypothalamic-pituitary-adrenal dysregulation related to COVID-19 and how simple therapy techniques can assist with re-regulation.

Post-Acute COVID Syndrome

• Define ‘Long Haulers’ and why they are called that? 
• Symptoms and Emergency Warning Signs 
• The Hyper Immune response that causes more problems than it solves 
• The Inflammatory Response seen in this disease
• COVID-19 can induce a cytokine storm

Addressing the Long-Term Symptoms in Long Haulers

• Profound fatigue 
• SOBOE 
• Brain Fog 
• Myalgias 
• Neuropathies 
• Gait and Balance issues 
• Pain 
• Anxiety 
• Brain Fog 
• Headaches 
• Memory Loss 
• Tremors 

POTS: Retrain the ANS 

• New continuum for getting out of bed or standing 
• Compression socks 
• Increase plasma volume 
• Abdominal binder 
• Benefits of supine positioning 
• Incorporating neuroplasticity techniques 

Targeted Interventions for Long Hauler Challenges 

• Nasal breathing 
• Sleep
• Strategies to address POTS 
• Fatigue 
• Reduce fall risk 
• Case Study 
• Home Tips