Evidence map›Paper›PMID 42895360›Full record

SynthesisJournal of rehabilitation medicine2026

Effectiveness of physical, psychological, and alternative interventions for post-COVID-19 condition: a systematic review.

Akram Negm, Maike Stolz, Christian Krauth

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of rehabilitation medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Akram NegmInstitute of Epidemiology, Social Medicine and Health System Research, Hannover Medical School, Hannover, Germany. negm.akram@mh-hannover.de.
Maike StolzInstitute of Epidemiology, Social Medicine and Health System Research, Hannover Medical School, Hannover, Germany.
Christian KrauthInstitute of Epidemiology, Social Medicine and Health System Research, Hannover Medical School, Hannover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate supervised physical, psycho-logical, and alternative non-pharmacological interventions for improving patient-reported and objective functional outcomes in adults with post-COVID-19 condition.

designSystematic review of randomized controlled trials.

methodsPubMed, Web of Science Core Collection, APA PsycInfo, and Scopus were searched from 1 January 2020 to 29 January 2026. Eligible studies were supervised, face-to-face trials evaluating physical, psychological, or alternative non-pharmacological interventions against usual care, placebo/sham, or active comparators in adults with World Health Organization defined post-COVID-19 condition. Risk of bias was assessed using Cochrane RoB 2. Due to clinical and methodological heterogeneity, a narrative synthesis was performed.

results27 trials (1,998 participants) were included and evaluated physical, psychological, and alternative therapies. Supervised cardiopulmonary rehabilitation and multimodal exercise consistently improved cardiorespiratory fitness and walking capacity. Cognitive-behavioural therapy and lifestyle adjustments significantly reduced fatigue and subjective concentration complaints. Findings for neuromodulation, complementary, and oxygen therapies were heterogeneous, often showing no benefit over placebo. Only 18.5% of trials had low risk of bias, limited by small samples, unblinding, and short follow-ups.

conclusionSupervised physical rehabilitation and CBT show promising evidence for improving functional capacity and symptoms in post-COVID-19 condition. Larger trials with longer follow-up are needed to confirm effectiveness and inform clinical guidelines.

Indexed as

Complementary TherapiesCOVID-19Physical Therapy ModalitiesCognitive Behavioral TherapyExercise TherapyHumansPost-Acute COVID-19 SyndromeRandomized Controlled Trials as TopicSARS-CoV-2Treatment Outcome

Identifiers

PMID42895360
PMCPMC13685423

What OpenQuestion holds

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Registered trials

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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.