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ArticleFrontiers in rehabilitation sciences2025

Design and validation of an energy level diary for fatigue management in patients with post-COVID syndrome.

Maryam Balke, René Garbsch, Jessica Cormann, Pantea Pape, Frank C Mooren, Boris Schmitz

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in rehabilitation sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06883500 (Design and Validation of an Energy Level Diary for Fatigue Management in Patients With Post-COVID Syndrome), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06883500 completednot on this map

Design and Validation of an Energy Level Diary for Fatigue Management in Patients With Post-COVID Syndrome

TypeobservationalSponsorUniversity of Witten/HerdeckeRan2022 to 2024Enrolled66ConditionsPost COVID Syndrome, Chronic Fatigue SymptomsArmsEnergy diary
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Maryam Balke *Department of Early Neurological Rehabilitation, Cellitinnen Hospital St. Mary Cologne, Cologne, Germany.
René Garbsch *Department of Rehabilitation Sciences, Faculty of Health, University of Witten/Herdecke, Witten, Germany.
Jessica CormannDepartment of Early Neurological Rehabilitation, Cellitinnen Hospital St. Mary Cologne, Cologne, Germany.
Pantea PapeDepartment of Early Neurological Rehabilitation, Cellitinnen Hospital St. Mary Cologne, Cologne, Germany.
Frank C MoorenDepartment of Rehabilitation Sciences, Faculty of Health, University of Witten/Herdecke, Witten, Germany.
Boris SchmitzDepartment of Rehabilitation Sciences, Faculty of Health, University of Witten/Herdecke, Witten, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Post-COVID syndrome (PCS) is a frequent condition with an incidence of 7.8-10.6 per 100 unvaccinated and 3.5-5.3 events per 100 vaccinated persons. Cognitive and motor fatigue are common clinical manifestations, limiting patients' occupational, educational, and social activities severely. Objective: This study aimed to develop a diary to keep record of daily changes in energy levels of patients with PCS to adapt their rehabilitation program. Material and methods: We conducted a prospective observational study at two German rehabilitation centers in a codesign approach with repeated feedback loops. Daily energy changes were analyzed and validated using the Multidimensional Fatigue Inventory-20 (MFI-20). Results: The final diary revealed that morning and evening energy levels of patients with PCS differed significantly, with 49.6 ± 18.6% and 33.4 ± 19.7%, respectively ( Discussion/conclusion: This diary is a valid and user-friendly tool to detect and control the effects of daily therapy during the rehabilitation of patients with PCS. It will facilitate individual planning and adaptation of therapies in PCS and other fatigue groups and may help to implement an effective relation of exercise load to load capacity (pacing) for optimal coping with the disease and an improved handling of daily activities in patients' lives. Clinical Trial Registration: Clinicaltrials.gov, identifier (NCT06883500).

Indexed as

chronic fatigue syndromediary approachneurorehabiliationpost-COVID-19post-COVID syndrome

Identifiers

PMID40761505
PMCPMC12318978

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.