--- title: "Physical Therapy for Long COVID: Does It Help?" description: Physical therapy helps long COVID recovery but is not the whole solution. Many patients need a multidisciplinary approach to resolve long COVID symptoms. image: https://www.cognitivefxusa.com/hubfs/Physical%20therapy%20covid%20(2).png --- ![Light-Mode-Sun-Icon-SVG](https://www.cognitivefxusa.com/hubfs/Sun.svg) ![Dark-Mode-Moon-Icon-SVG](https://www.cognitivefxusa.com/hubfs/moon.svg) ###### 280 W River Park Drive Suite 110 Provo, UT ###### [+1 385 446-4161](tel:+13854464161) ###### [hello@cognitivefxusa.com](mailto:hello@cognitivefxusa.com) [![Main_Logo_500px 1](https://www.cognitivefxusa.com/hubfs/Main_Logo_500px%201.svg) ](https://www.cognitivefxusa.com/) [**Get Started** ](https://cta-redirect.hubspot.com/cta/redirect/2921058/881eced2-ed9a-4b23-a8ba-b17b0921e4b3) - [Brain Injury Treatments](https://www.cognitivefxusa.com/treatment) ![down arrow](https://www.cognitivefxusa.com/hubfs/down-arrow-1.svg) ### Your Treatment ###### [Post-Concussion Syndrome Treatment Our intensive EPIC program helps patients recover from symptoms that haven't responded to traditional care.](https://www.cognitivefxusa.com/treatment) ###### [POTS Treatment POTS treatment clinic using neurological retraining, vestibular recalibration & CO₂ therapy. 5-day intensive program in Utah.](https://www.cognitivefxusa.com/pots-treatment) ###### [Viral Brain Injury Treatment Long Covid-19, Post-Treatment Lyme, Encephalitis. We utilize cutting-edge treatments to help you regain function.](https://www.cognitivefxusa.com/viral-brain-injury) ###### [What does CFX do for PCS? Learn more about post-concussion.](https://www.cognitivefxusa.com) ###### [Book Consult Schedule a 30-minute call with one of our doctors to see if CFX precision treatment approach is right for you.](https://cognitivefxusa.typeform.com/consult-intake) ###### [Pricing Pricing for each of our treatment packages and other important financial information.](https://www.cognitivefxusa.com/pricing) ###### [Learn about the Brain Scan fNCI Standard brain scans show structure. fNCI shows function. It's the difference between a "normal scan" and being able to see what is wrong and treat it.](https://www.cognitivefxusa.com/fnci-brain-scan-at-cognitive-fx-56-regions-measured) ###### [TIA Mini Stroke Treatment Still struggling with brain fog, fatigue, or memory issues after a TIA or mini stroke? Cognitive FX uses functional brain imaging and an intensive 5-day program to treat the symptoms standard care misses.](https://www.cognitivefxusa.com/tia-mini-stroke-treatment-for-lingering-symptoms-cognitive-fx) - [TMS Treatments](https://www.cognitivefxusa.com/precision-mental-health-fmri-guided-transcranial-magnetic-stim) ![down arrow](https://www.cognitivefxusa.com/hubfs/down-arrow-1.svg) ### Depression Treatment ###### [Depression Treatment fMRI Guided TMS Depression treatment with precision brain imaging meets advanced TMS protocols for depression that hasn't responded to medication.](https://www.cognitivefxusa.com/precision-mental-health-fmri-guided-transcranial-magnetic-stim) ###### [One-Day Depression TMS Treatment Protocol Accelerated depression treatment TMS protocol that compresses weeks of treatment into one day intensive session.](https://www.cognitivefxusa.com/one-d-tms-one-day-tms-accelerated-depression-treatment-protocol) ###### [Depression Treatment Resistant Quiz Tried multiple antidepressants with no relief? This free quiz evaluates your treatment history, symptoms, and risk factors to help you understand your next steps.](https://www.cognitivefxusa.com/treatment-resistant-depression-quiz-free-self-assessment-no-email) ###### [Schedule Consultation Schedule a 30-minute telehealth visit with our team to discuss potential TMS treatment.](https://www.cognitivefxusa.com/tms-consultation-signup) ###### [Depression Treatment Blogs Learn more about TMS treatment for depression. And how effective it can be for patients with treatment-resistant depression.](https://www.cognitivefxusa.com/blog/topic/transcranial-magnetic-stimulation-tms) - [Treatment Results](https://www.cognitivefxusa.com/our-patients) ![down arrow](https://www.cognitivefxusa.com/hubfs/down-arrow-1.svg) ### Patient Results ###### [Publications Learn more about post-concussion.](https://www.cognitivefxusa.com/our-research) ###### [Patient Results We see patients from all over the world with different types of brain injuries. Learn more about who our patients are.](https://www.cognitivefxusa.com/treatment-outcomes) ###### [Patient Stories Our patients say it best! Watch our past patients' stories.](https://www.cognitivefxusa.com/patient-stories) ###### [Other Brain Injuries We have found our approach to concussion treatment also works for other types of brain injuries. Check out our non-concussion patients' improvements with EPIC Treatment.](https://www.cognitivefxusa.com/other-types-of-injuries) ###### [How We Measure Success Learn more about how we measure the success of EPIC Treatment through our fNCI scan and symptom measurements.](https://www.cognitivefxusa.com/treatment-outcomes) ###### [Treatment Summary Whitepaper Learn more about the outcomes and studies done on targeted fMRI guided treatment for brain injuries.](https://www.cognitivefxusa.com/hubfs/Treatment%20and%20Research%20Summary/Treatment%20%26%20Research%20Summary%20(web).pdf?hsLang=en-us) - [Symptom Trackers](https://www.cognitivefxusa.com/post-concussion-symptom-tracker) ![down arrow](https://www.cognitivefxusa.com/hubfs/down-arrow-1.svg) ### Your Treatment ###### [Post Concussion Symptom Tracker Free post-concussion symptom tracker tool. Can measure symptoms daily or weekly, all data stored locally.](https://www.cognitivefxusa.com/post-concussion-symptom-tracker) ###### [POTS Symptom Tracker Learn more about your symptoms. Log heart rate (lying/standing), blood pressure, and triggers daily. No account needed.](https://www.cognitivefxusa.com/free-pots-symptom-tracker-log-vitals-triggers-cognitive-fx) - [Blog](https://www.cognitivefxusa.com/blog) ![down arrow](https://www.cognitivefxusa.com/hubfs/down-arrow-1.svg) ### The Cognitive FX Head Injury Blog ###### [Post Concussion Treament Learn more about post-concussion syndrome.](https://www.cognitivefxusa.com/blog/topic/post-concussion-treatment) ###### [Transcranial Magnetic Stimulation Learn more about TMS for depression, anxiety, and concussion.](https://www.cognitivefxusa.com/blog/topic/transcranial-magnetic-stimulation-tms) ###### [Long Covid - Viral Infection Treatment Learn more about how we treat viral infections that impact the brain. COVID-19, Lyme, etc.](https://www.cognitivefxusa.com/blog/topic/covid) ###### [Other Brain Injuries Treated Read about other types of brain injury we treat. Stroke, TIA, Tinnitus, etc.](https://www.cognitivefxusa.com/blog/topic/traumatic-brain-injury) ###### [Patient Outcomes and Stories Learn more about the specific symptoms and issues our patients have faced.](https://www.cognitivefxusa.com/blog/topic/patient-stories) ###### [Browse more topics here! Browse through all of the brain injury topics and posts from the Cognitive FX Blog home.](https://www.cognitivefxusa.com/blog) [**Get Started** ](https://cta-redirect.hubspot.com/cta/redirect/2921058/881eced2-ed9a-4b23-a8ba-b17b0921e4b3) #### [Back to Blog](https://www.cognitivefxusa.com/blog) #### Content #### Proven Results Improvement in 77% of Participants Published peer-reviewed research shows that Cognitive FX treatment leads to meaningful symptom reduction in post-concussion symptoms for 77% of study participants. Cognitive FX is the only PCS clinic with third-party validated treatment outcomes. [ READ FULL STUDY ](https://www.tvnp.nl/inhoud/tijdschrift_artikel/NP-19-2-3/Cognitive-FX-behandeling-voor-aanhoudende-klachten-na-een-hersenschudding-Observatie-van-verandering-in-functioneren) 1. [ Home ](https://www.cognitivefxusa.com) 2. [ Blog ](https://www.cognitivefxusa.com/blog) 3. Physical Therapy for Long COVID: Does It Help? # Physical Therapy for Long COVID: Does It Help? ![Image of Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/hubfs/Alina_150px.webp) Dr. Alina Fong, Ph.D. • Updated on 16 July, 2024 • Medically Reviewed by [Dr. Mark Allen](https://www.cognitivefxusa.com/dr-mark-allen-phd) [mailto:?subject=Check%20out%20https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid%20&body=Check%20out%20https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid&media=https://2921058.fs1.hubspotusercontent-na1.net/hubfs/2921058/Physical%20therapy%20covid%20%282%29.png](mailto:?subject=Check%20out%20https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid%20&body=Check%20out%20https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid&media=https://2921058.fs1.hubspotusercontent-na1.net/hubfs/2921058/Physical%20therapy%20covid%20%282%29.png) Long COVID symptoms such as fatigue, muscle weakness, joint pain, poor endurance, and respiratory problems can have a significant impact on your daily routine. Some long COVID patients’ symptoms are so severe that they need a reduced work schedule or are no longer working due to their illness. Persistent symptoms can follow both mild COVID and cases that required treatment in the ICU. Health professionals are starting to [recognize](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7337734/) how physical rehabilitation can be beneficial for these patients. For example, an organization called World Physiotherapy — which includes 125 member organizations and represents more than 660,000 physiotherapists worldwide — published a briefing [paper](https://world.physio/sites/default/files/2021-06/COVID-19-Briefing-Paper-2-rehabilitation-FINAL-2021.pdf) arguing that physical therapy is a fundamental part of long COVID-19 recovery and can improve function in people living with long-term symptoms.  Physical therapy is an important component of the treatment regimen we offer long COVID patients at our clinic, Cognitive FX. But for most patients, **physical therapy**** is not the whole solution.** Many patients need a combination of therapies in order to resolve the underlying issues causing their post-COVID symptoms. That’s why we offer a multidisciplinary approach that is tailored to each patient and which produces better results than relying on a single therapy.  In this article, we’ll look at … - [Why and how physical therapy helps long COVID patients](https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid#PT) - [Why physical therapy alone falls short](https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid#short) (and what we offer at Cognitive FX instead) *Our treatment was originally designed to help post-concussion patients recover from **persistent symptoms**. After just one week of treatment, over 90% of our patients show improvement. Thus far, we’ve seen similar results with **long COVID** patients who pass our current screening criteria. To discuss your specific **symptoms of long COVID** and determine whether you’re eligible for treatment at our clinic, *[*schedule a consultation*](https://www.cognitivefxusa.com/post-covid-19-syndrome)*.* ## How Does Physical Therapy Help Long COVID Patients?![Learn ways that physical therapy can help long covid patients. ](https://www.cognitivefxusa.com/hs-fs/hubfs/Physical%20therapy%20covid%20(6).jpg?width=1000&height=445&name=Physical%20therapy%20covid%20(6).jpg) Long COVID patients often feel fatigued, have trouble breathing, and can struggle to climb stairs or walk a few minutes down the block. As a result, they spend more time sitting or lying down, which further contributes to low endurance, exercise intolerance, and poor muscle strength.   Physical therapy can help these patients [improve](https://academic.oup.com/ptj/article/101/1/pzaa181/5912500?login=false) their range of movement and return to their prior level of functioning. Studies show that it can lead to significant improvements in many post-COVID-19 symptoms — not just [physical](https://www.frontiersin.org/articles/10.3389/fresc.2022.907603/full) symptoms, such as fatigue and fitness, but also emotional symptoms, such as anxiety and depression. Typically, sessions include a variety of different exercises, ranging from resistance training and aerobic exercises to respiratory exercises and balance training. Some interventions focus primarily on specific symptoms, such as respiratory problems or poor balance, while others offer a more generalized approach to improve fitness and increase quality of life. If you engage in physical therapy, make sure your therapist is not simply offering a generic “one-size-fits-all” program that may not be suitable for your condition.  [Physical therapy](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7443542/) for those recovering from long COVID-19 aims to:  - [Improve respiratory function](https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid#respiratory) - [Reduce fatigue](https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid#fatigue) - [Improve cardiovascular endurance](https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid#cardio) - [Increase fitness and muscle strength](https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid#muscles) - [Relieve joint pain](https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid#joints) - [Improve sleep](https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid#sleep) - [Reduce depression and anxiety](https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid#depression) ### Improve Respiratory Function [Poor respiratory function is common in COVID-19 patients.](https://www.cognitivefxusa.com/blog/how-long-does-covid-shortness-of-breath-last) Even patients who were previously fit and active may start to struggle with shortness of breath just from climbing stairs. Physical therapy is a way to address these issues. [Studies](https://www.frontiersin.org/articles/10.3389/fresc.2022.907603/full) show that it can improve endurance, muscle strength, and posture, which all contribute to better lung capacity. In other words, physical therapy helps your lungs function more efficiently and take in more oxygen with each breath, increasing oxygen saturation so you can breathe easier.  With targeted exercises and breathing techniques, your therapist can help you recover strength and redevelop more efficient breathing patterns. ### Reduce Fatigue Fatigue is another common [symptom](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8496765/) of long COVID-19. For some patients, [post-COVID fatigue](https://www.cognitivefxusa.com/blog/how-long-covid-fatigue-lasts-what-it-feels-like-how-to-recover) appears during physical exercise (exercise intolerance) or after engaging in exercise or cognitive activities (known as post-exertional malaise). For others, the fatigue is always present. Some patients may be diagnosed with chronic fatigue syndrome by providers who don’t recognize the presence of long-haul COVID. In this case, physical therapists can offer [guidance](https://wchh.onlinelibrary.wiley.com/doi/full/10.1002/pnp.698), education, and reassurance. They work to help patients gradually recover energy levels and return to their normal daily activities. Physical therapists typically use aerobic exercises and resistance training to improve mobility and fitness. Therapists also teach patients when to be active and when to rest, as well as relaxation techniques and how to pace themselves during the day to avoid becoming overtired.  ### Improve Cardiovascular Endurance![The right kind of exercise can improve cardiovascular endurance without worsening symptoms. ](https://www.cognitivefxusa.com/hs-fs/hubfs/Physical%20therapy%20covid%20(4).jpg?width=1999&height=1333&name=Physical%20therapy%20covid%20(4).jpg) Cardiac injury is reported in many [studies](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7097841/?report=reader) as an important COVID-19 manifestation. For example, just over 19% of hospitalized patients in the cited study experienced cardiac injury. This [value](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273093/?report=reader) increases dramatically in patients with pre-existing heart issues. [Physical therapists](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8004041/) can guide patients with serious heart problems through gentle exercises that are not strenuous. These exercises aim to improve range of motion and prevent deconditioning and stiffness. For milder cases, typical exercise sessions may involve resistance training and aerobic exercises on equipment such as a stationary bike or treadmill. Many [physical](https://www.mdpi.com/2075-1729/11/3/259) therapists will closely monitor your heart rate, blood pressure, respiration rate, and oxygen level while you exercise to assess how your body responds. If you experience chest tightness or pain, difficulty in breathing, dizziness, palpitations, sweating, or balance issues, inform your therapist.  ### Increase General Fitness and Muscle Strength After long periods of inactivity and not engaging in physical exercise, some patients recovering from SARS-CoV-2 infection experience muscle [weakness](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7921277/), which can severely affect their everyday lives.  Physical therapists can use a [range](https://www.frontiersin.org/articles/10.3389/fmed.2022.866055/full) of exercises, including aerobic sessions and endurance training, to help patients improve their [balance](https://www.ijmhr.org/ijpr.9.6/IJPR.2021.200.pdf), posture, and muscle strength, as well as to reduce breathing problems and improve quality of life. Stretching and strength exercises also help restore your general fitness and ability to move. ### Relieve Joint Pain Joint pain is a common [symptom](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8450986/) in long COVID patients that can affect a specific area or spread more widely. Many patients complain about sore and stiff joints, especially the shoulders, neck, back, hips, and knees. As you start using these joints less than you would normally, they can become weak and deconditioned. As a result, you might find it hard to grip objects, lift your arms above your head, or even just stand up.  In this case, your therapist will suggest stretching exercises to increase your range of motion. The aim of these exercises is to help reduce joint pain and make you feel more in control of them. Certain strengthening exercises and training on proper posture and body mechanics help in this situation as well. ### Improve Sleep Many post-COVID syndrome patients [complain](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286239/) of sleep impairments, including waking up frequently during the night, struggling to go to sleep, and daytime drowsiness.  [Studies](https://pubmed.ncbi.nlm.nih.gov/22884182/) show that engaging in regular physical activity can help with sleep. Your physical therapist can teach you various exercises to stretch and strengthen your muscles before going to bed to help you sleep better. Physiotherapists can also help improve your quality of sleep with massage therapy and exercises designed to relieve any pain you may have.  ### Reduce Depression and Anxiety The effects of COVID-19 [can include](https://www.ijhsr.org/IJHSR_Vol.12_Issue.4_April2022/IJHSR09.pdf) a wide range of psychological difficulties, such as anxiety, panic, stress, and depression. For these [patients](https://www.frontiersin.org/articles/10.3389/fresc.2022.907603/full), aerobic sessions combined with breathing exercises and mindfulness can be [effective](https://ejpt.journals.ekb.eg/article_195441_2e4e05c1a09561a126c67bd2f26d1194.pdf) in reducing symptoms. For example, breathing techniques can help relieve tightness in the chest, ease breathing, and promote relaxation.  ## Multidisciplinary Therapy Regimens Are Better than Physical Therapy Alone![Physical therapy only address part of the issue. ](https://www.cognitivefxusa.com/hs-fs/hubfs/Physical%20therapy%20covid%20(5).jpg?width=1999&height=1333&name=Physical%20therapy%20covid%20(5).jpg) Physical therapy sessions help reduce pain, improve overall health and well-being, and contribute to long COVID patients’ return to their previous level of functioning. But long COVID can cause a number of complications (sequelae) in the body that physical therapy *alone* cannot address. - The coronavirus often causes widespread inflammation throughout the body that [does not always resolve](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9279918/) when acute COVID-19 infection ends. - [We’ve observed dysfunctional neurovascular coupling in long COVID patients](https://www.cognitivefxusa.com/blog/covid-long-haulers-treatment/) (in short, miscommunication between brain regions and the blood vessels that dynamically supply them with resources). Long COVID seems to affect the brain in a manner similar to concussion. - [COVID-19 infections can affect the nervous system](https://www.cognitivefxusa.com/blog/does-covid-affect-your-nervous-system) and result in autonomic nervous system dysfunction. ([Dysautonomia and POTS are common post-COVID conditions](https://www.cognitivefxusa.com/blog/long-covid-pots-and-dysautonomia/).) - Many [long COVID patients experience headaches](https://www.cognitivefxusa.com/blog/long-covid-headache-treatment), difficulty reading, dizziness, and other symptoms related to [post-COVID vision problems](https://www.cognitivefxusa.com/blog/blurry-vision-and-other-vision-problems-after-covid). Some patients also experience [vestibular dysfunction](https://www.frontiersin.org/articles/10.3389/fneur.2022.956515/full).  In most patients, several of these conditions are concurrent. While physical therapy can facilitate improvements in brain function, and there are providers who take this into account, specialists are often needed for vision, vestibular, and autonomic rehabilitation. And for more complete brain recovery, multimodal approaches are more effective. At Cognitive FX, we specialize in treating lingering symptoms from brain injury. Our typical patient suffers from [post-concussion syndrome (PCS)](https://www.cognitivefxusa.com/blog/post-concussion-syndrome-and-post-concussion-symptoms-pcs). PCS patients continue to experience symptoms for months or even years afterward a concussion. Shortly after the COVID-19 pandemic started, we noticed that COVID long haulers had surprisingly similar symptom profiles to those of PCS patients.   [We scanned the brains of a few long COVID patients](https://www.cognitivefxusa.com/blog/covid-long-haulers-treatment/) and confirmed that they were suffering from the same type of brain dysfunction that we treat at our clinic. We adjusted our recovery program accordingly for the needs of COVID long haulers (such as accommodating certain pulmonary problems and heart complications, although there are some complications we can’t accommodate). Now, our rehabilitation program is available to any long COVID patient who passes our screening criteria. [*(You can start the process here.)*](https://www.cognitivefxusa.com/post-covid-19-syndrome) ### Long COVID Treatment at Cognitive FX ### ![A patient balances on a Bosu ball while use the Dynavision board. ](https://www.cognitivefxusa.com/hs-fs/hubfs/Physical%20therapy%20covid%20(2).jpg?width=251&height=342&name=Physical%20therapy%20covid%20(2).jpg) Before treatment starts, patients undergo a full examination with our clinicians, including a check of medical history and current symptoms. Our patients also receive a brain imaging scan called [functional Neurocognitive Imagining (fNCI)](https://www.cognitivefxusa.com/about-fnci), which allows our team to determine how the COVID virus affected your brain.  In a healthy brain, neurons receive oxygen and nutrients from a network of blood vessels in the brain. This process, called neurovascular coupling (NVC), allows nerve cells to request the right amount of resources at the right time and in the right location. The problem is that long COVID disrupts this connection, often affecting regions throughout the brain. As a result, patients experience a wide range of symptoms (depending on what areas were affected), such as headaches, [brain fog](https://www.cognitivefxusa.com/blog/post-concussion-brain-fog-months-later), difficulty tracking conversations, sleep disruptions, and more.  Using the fNCI scan, our team can identify exactly what areas of the brain were affected by NVC dysfunction. The scan assesses blood flow dynamics throughout 56 regions in the brain while the patient performs a series of cognitive tasks. fNCI also looks at communication between brain regions.![Physical therapy covid (3)-1](https://www.cognitivefxusa.com/hs-fs/hubfs/Physical%20therapy%20covid%20(3)-1.jpg?width=552&height=303&name=Physical%20therapy%20covid%20(3)-1.jpg) Our therapists then use the imaging results to design a custom-made treatment plan for each patient to address the affected areas identified in the scan. We call our treatment Enhanced Performance in Cognition Treatment (EPIC treatment).  During EPIC treatment, patients go through a repeating, three-stage cycle: - Prepare the brain for therapy. - Activate the brain with selected therapies. - Recover and rest (before the next cycle). #### **Prepare** #### **![A patient exercises on a treadmill. ](https://www.cognitivefxusa.com/hs-fs/hubfs/Physical%20therapy%20covid%20(1).jpg?width=292&height=334&name=Physical%20therapy%20covid%20(1).jpg)** Patients engage in short bursts of cardio, followed by breathing exercises. This improves blood flow in the brain and triggers the [release](https://pubmed.ncbi.nlm.nih.gov/33172145/) of neurochemicals that improve the brain’s ability to respond to therapy. One of these chemicals is called brain-derived neurotrophic factor (BDNF), which promotes the growth of brain cells and improves communication between different areas of the brain. In practical terms, every time you exercise, BDNF makes your brain more flexible and able to [benefit more](https://pubmed.ncbi.nlm.nih.gov/30036102/) from subsequent therapy.  During these sessions, patients are closely monitored by our therapists. If needed, they can adjust exercise intensity if patients start to experience trouble breathing, heart issues, or any other medical conditions. We find that many long COVID patients need [shorter bursts of exercise](https://www.frontiersin.org/articles/10.3389/fcvm.2021.643626/full) followed by a longer recovery period. Many COVID patients need additional help with breathing exercises. #### **Activate![A therapist demonstrates how to us a Dynavision board. ](https://www.cognitivefxusa.com/hs-fs/hubfs/Physical%20therapy%20covid%20(3).jpg?width=1999&height=1333&name=Physical%20therapy%20covid%20(3).jpg)** After exercise, patients complete a series of different therapies including: - [Neuromuscular and physical therapy](https://www.cognitivefxusa.com/blog/physical-therapy-for-post-concussion-syndrome) - Sensorimotor therapy  - [Cognitive therapy](https://www.cognitivefxusa.com/blog/cognitive-therapy-for-brain-injury) - Occupational therapy - Neurointegration therapy - Psychotherapy - Vision therapy - [Vestibular therapy](https://www.cognitivefxusa.com/blog/vestibular-therapy-for-concussion-symptoms) - And others These therapies cover a wide range of exercises. For example, our therapists may ask you to balance on a Bosu ball while tossing color-coordinated tennis balls back and forth and naming a food for each letter of the alphabet. This activity engages brain regions responsible for balance, hand-eye coordination, and word recall at the same time.![Therapies cover a wide range of exercises.](https://www.cognitivefxusa.com/hs-fs/hubfs/Physical%20therapy%20covid%20(7).jpg?width=1999&height=1333&name=Physical%20therapy%20covid%20(7).jpg) Or, during neurointegration therapy, you might combine visual and vestibular function by seeking out and tapping letters of the alphabet positioned around you in a 3D cage (pictured above). #### **Recover![How to Recover from Chronic Concussion Syndrome (3)-1](https://www.cognitivefxusa.com/hs-fs/hubfs/How%20to%20Recover%20from%20Chronic%20Concussion%20Syndrome%20(3)-1.jpg?width=552&height=246&name=How%20to%20Recover%20from%20Chronic%20Concussion%20Syndrome%20(3)-1.jpg)** Patients have multiple periods of rest and relaxation during the day. This may include: - Neuromuscular massage to the neck and shoulders to relieve tension, improve circulation, and alleviate pain. It’s common for long COVID patients to experience neck stiffness and headaches, so this type of massage can be very beneficial. - Patients can relax in a dark room with ambient sounds while listening to binaural beats. The app produces two close sound frequencies that the brain averages into one single frequency. After a while, natural brain waves begin to copy that frequency, a process similar to what you may experience through meditation. This helps the patient to relax and the brain to rest. - Patients also learn mindfulness techniques. This is a type of meditation where you focus on what you’re feeling in the moment. Mindfulness involves breathing techniques, guided imagery, and other practices to relax the body and mind and help reduce stress. At the end of the treatment, patients receive a second fNCI scan. This allows our team to understand how your brain is responding to treatment. After your follow-up scan, one of our clinicians will also meet with you to go over your results and give you some “homework.” Homework typically includes some combination of aerobic exercise, cognitive games, and cognitive rest to do at home. It’s an important part of your recovery journey. ## Continue Your Recovery Journey at Cognitive FX![How to Recover from Chronic Concussion Syndrome (4)-1](https://www.cognitivefxusa.com/hs-fs/hubfs/How%20to%20Recover%20from%20Chronic%20Concussion%20Syndrome%20(4)-1.jpg?width=552&height=306&name=How%20to%20Recover%20from%20Chronic%20Concussion%20Syndrome%20(4)-1.jpg) There aren’t many good healthcare options for COVID-19 survivors who suffer from ongoing symptoms. Many primary care doctors don’t have the resources to treat it and may not have established referral relationships with reliable, local treatment providers. But at Cognitive FX, we’ve seen an average of 60% symptom improvement after just one treatment week. Many people experience improvements after just the first day. We can provide more types of therapy at one time than any other treatment provider. We make the most of your time with us. Your symptoms are real, they have a cause, and they can get better with appropriate treatment. *To determine if you are eligible for our treatment program, please fill out our online form and *[*schedule a consultation*](https://www.cognitivefxusa.com/post-covid-19-syndrome)*.* --- ![Image of Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/hs-fs/hubfs/Alina_150px.webp?height=150&name=Alina_150px.webp) ### About the author [Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) Alina Fong, Ph.D. is a clinical neuropsychologist and the Clinical Director and Co-Founder of Cognitive FX. She earned her Ph.D. in Clinical Neuropsychology with an emphasis in Neuroimaging from Brigham Young University, where she received the American Psychological Association Division 40 Graduate Student Research Award for her neuroimaging research. Dr. Fong has over 17 years of clinical experience treating traumatic brain injury, beginning with her work at the VA Salt Lake City Healthcare System and Utah Valley Regional Medical Center, where she directed the neurotrauma rehabilitation and sports concussion clinics. She developed the EPIC Treatment protocol and has personally overseen treatment for nearly 8,000 brain injury patients, including professional athletes from the NFL, NHL, and Olympics. She serves as Vice President of the Brain Injury Alliance of Utah, sits on the board of the United States Brain Injury Alliance, and advises PINK Concussions. Dr. Fong has authored peer-reviewed research on functional MRI and concussion treatment and has presented at over 60 medical conferences, including the Federal Interagency Conference on TBI and the American Medical Society for Sports Medicine. [Follow me on my website ](https://www.cognitivefxusa.com/dr-alina-k-fong-phd) ## Related Posts ![Long COVID in Children is Real and It Can Be Treated](https://www.cognitivefxusa.com/hs-fs/hubfs/long-covid-in-children-long-term-effects.png?height=175&name=long-covid-in-children-long-term-effects.png) ### Long COVID in Children is Real and It Can Be Treated ![Image of Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/hs-fs/hubfs/Alina_150px.webp?height=70&name=Alina_150px.webp) [Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) When the pandemic started, we were told that children wouldn’t be seriously affected by the virus. And while most children only experience a mild version of the disease, evidence shows that some... [Read the full article ](https://www.cognitivefxusa.com/blog/long-covid-in-children-long-term-effects) ![How We Found a Viable Treatment for COVID-19 Long-Haulers](https://www.cognitivefxusa.com/hs-fs/hubfs/How%20We%20Found%20a%20Viable%20Treatment%20for%20COVID-19%20Long-Haulers.png?height=175&name=How%20We%20Found%20a%20Viable%20Treatment%20for%20COVID-19%20Long-Haulers.png) ### How We Found a Viable Treatment for COVID-19 Long-Haulers | Cognitive FX ![Image of Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/hs-fs/hubfs/Alina_150px.webp?height=70&name=Alina_150px.webp) [Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) Even after you've recovered from the acute symptoms of COVID-19, you might find yourself struggling with short-term memory loss, concentration issues, and other cognitive symptoms. If it's been weeks... [Read the full article ](https://www.cognitivefxusa.com/blog/covid-long-haulers-treatment) ![Yes, COVID Can Cause Long Term Problems. Here's What to Do.](https://www.cognitivefxusa.com/hs-fs/hubfs/covid-can-cause-long-term-problems.png?height=175&name=covid-can-cause-long-term-problems.png) ### Yes, COVID Can Cause Long-Term Problems. Here's What to Do. ![Image of Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/hs-fs/hubfs/Alina_150px.webp?height=70&name=Alina_150px.webp) [Dr. Alina Fong, Ph.D.](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) Long COVID is real. Data shared by the Centers for Disease Control and Prevention (CDC) from the[Household Pulse Survey](https://www.cdc.gov/nchs/covid19/pulse/long-covid.htm)(July/August 2022) show that more than 40% of adults in the United States have... [Read the full article ](https://www.cognitivefxusa.com/blog/covid-can-cause-long-term-problems) ![How This Family of Eight Overcame Long COVID Symptoms](https://www.cognitivefxusa.com/hs-fs/hubfs/long-covid-sharp-family-story-1.png?height=175&name=long-covid-sharp-family-story-1.png) ### How This Family of Eight Overcame Long COVID Symptoms | Cognitive FX ![Image of Alex Reis](https://www.cognitivefxusa.com/hs-fs/hubfs/alex-reis-headshot.jpeg?height=70&name=alex-reis-headshot.jpeg) [Alex Reis](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) You’d think a family of eight with the foresight to pull their children out of school earlier than the rest of the nation would be safe during the COVID-19 pandemic. Instead, seven out of the eight... [Read the full article ](https://www.cognitivefxusa.com/blog/long-covid-sharp-family-story) ![Cognitive FX’s Long Haul COVID Treatment Protocol](https://www.cognitivefxusa.com/hs-fs/hubfs/long-haul-covid-treatment-protocol.jpeg?height=175&name=long-haul-covid-treatment-protocol.jpeg) ### Cognitive FX’s Long Haul COVID Treatment Protocol ![Image of Dr. Mark Allen, Ph.D.](https://www.cognitivefxusa.com/hs-fs/hubfs/Mark_150px.webp?height=70&name=Mark_150px.webp) [Dr. Mark Allen, Ph.D.](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) Most patients with COVID-19 recover within a few days or weeks after a brief acute infection. However,[about 10%](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9839201/)experience long-term symptoms such as brain fog, fatigue, headaches, shortness of... [Read the full article ](https://www.cognitivefxusa.com/blog/long-haul-covid-treatment-protocol) ![Mild COVID Linked to Brain Damage: What That Means for You](https://www.cognitivefxusa.com/hs-fs/hubfs/Mild%20COVID%20Linked%20to%20Brain%20Damage%20What%20That%20Means%20for%20You.png?height=175&name=Mild%20COVID%20Linked%20to%20Brain%20Damage%20What%20That%20Means%20for%20You.png) ### Mild COVID Linked to Brain Damage: What That Means for You ![Image of Dr. Mark Allen, Ph.D.](https://www.cognitivefxusa.com/hs-fs/hubfs/Mark_150px.webp?height=70&name=Mark_150px.webp) [Dr. Mark Allen, Ph.D.](https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd) COVID-19 can cause cognitive symptoms in some patients, such as [short-term memory loss](https://www.cognitivefxusa.com/blog/memory-loss-after-covid-19), difficulties concentrating, problems recalling words, and brain fog (a condition known as long COVID). While... [Read the full article ](https://www.cognitivefxusa.com/blog/mild-covid-linked-to-brain-damage) #### Proven Results Improvement in 77% of Participants Published peer-reviewed research shows that Cognitive FX treatment leads to meaningful symptom reduction in post-concussion symptoms for 77% of study participants. Cognitive FX is the only PCS clinic with third-party validated treatment outcomes. [ READ FULL STUDY ](https://www.tvnp.nl/inhoud/tijdschrift_artikel/NP-19-2-3/Cognitive-FX-behandeling-voor-aanhoudende-klachten-na-een-hersenschudding-Observatie-van-verandering-in-functioneren) [![Main_Logo_500px](https://www.cognitivefxusa.com/hs-fs/hubfs/Main_Logo_500px.png?width=257&height=78&name=Main_Logo_500px.png "Main_Logo_500px")](https://www.cognitivefxusa.com) Comprehensive Traumatic Brain Injury Treatment 280 W River Park Drive Suite 110 Provo, UT 84604 [Follow us on Facebook ](https://www.facebook.com/cognitivefx) [Follow us on Instagram ](https://www.instagram.com/cognitive_fx) #### Quick Links - [Blog](https://www.cognitivefxusa.com/blog) - [Sign-Up for Free Consultation](https://www.cognitivefxusa.com/start-here-paperwork-old) #### Support - [Contact Us](https://www.cognitivefxusa.com/contactus) - [Patient Results](https://www.cognitivefxusa.com/treatment-outcomes) - [Privacy Policy](https://www.cognitivefxusa.com/privacypolicy) - [Terms & Conditions](https://www.cognitivefxusa.com/terms-and-conditions) #### Solutions - [Good Fit Quiz](https://www.cognitivefxusa.com/start-here-paperwork-old) - [EPIC Treatment](https://www.cognitivefxusa.com/treatment) - [Post-Concussion Syndrome Information](https://www.cognitivefxusa.com/blog/post-concussion-syndrome-and-post-concussion-symptoms-pcs) - [fNCI Brain Scan](https://www.cognitivefxusa.com/about-fnci) - [Online Course](https://cognitivefx.thinkific.com/courses/headaches) #### Company - [About](https://www.cognitivefxusa.com/research-history) - [Press & Media](https://www.cognitivefxusa.com/media) - [Our Team](https://www.cognitivefxusa.com/our-team) ### Sign Up For Our Newsletter Copyright © Cognitive FX 2024. All Rights Reserved. | [Privacy Policy](https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid#) ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Dr. Alina Fong, Ph.D.", "url" : "https://www.cognitivefxusa.com/blog/author/dr-alina-fong-phd" }, "dateModified" : "2024-07-16T18:37:21.956Z", "datePublished" : "2022-12-08T15:10:56.000Z", "headline" : "Physical Therapy for Long COVID: Does It Help?", "image" : [ "https://www.cognitivefxusa.com/hubfs/Physical%20therapy%20covid%20(2).png" ], "mainEntityOfPage" : { "@id" : "https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://www.cognitivefxusa.com/hubfs/Cognitive-Final-Logo-BlBlk-Med.png" }, "name" : "Cognitive FX" } } ``` ```json { "@context" : "https://schema.org", "@type" : "Article", "about" : { "@type" : "MedicalCondition", "name" : "" }, "audience" : { "@type" : "Audience", "audienceType" : [ "patient", "caregiver" ] }, "author" : { "@type" : "Person", "affiliation" : { "@type" : "MedicalOrganization", "name" : "Cognitive FX", "url" : "https://www.cognitivefxusa.com" }, "name" : "Dr. Alina Fong, Ph.D." }, "dateModified" : "16 July, 2024", "datePublished" : "2022-12-08 15:10:56", "description" : "Physical therapy helps long COVID recovery but is not the whole solution. Many patients need a multidisciplinary approach to resolve long COVID symptoms.", "headline" : "Physical Therapy for Long COVID: Does It Help?", "image" : "", "mainEntityOfPage" : { "@id" : "https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid", "@type" : [ "MedicalWebPage" ], "breadcrumb" : { "@type" : "BreadcrumbList", "itemListElement" : [ { "@type" : "ListItem", "item" : "https://www.cognitivefxusa.com", "name" : "Cognitive FX Home", "position" : 1 }, { "@type" : "ListItem", "item" : "https://www.cognitivefxusa.com/blog", "name" : "Blog Home", "position" : 2 }, { "@type" : "ListItem", "item" : "https://www.cognitivefxusa.com/blog/physical-therapy-for-long-covid", "name" : "Physical Therapy for Long COVID: Does It Help?", "position" : 3 } ] }, "lastReviewed" : "1721155041961", "reviewedBy" : { "@type" : "Person", "name" : "" } }, "publisher" : { "@type" : "Organization", "brand" : { "@type" : "Organization", "name" : "Cognitive FX", "sameAs" : [ "https://www.linkedin.com/in/cognitive-fx-usa/", "https://www.instagram.com/cognitive_fx/", "https://twitter.com/cognitivefx", "https://www.facebook.com/cognitivefx/", "https://www.pinterest.com/cognitivefx/", "https://www.tiktok.com/@cognitivefx" ] }, "name" : "Cognitive FX", "url" : "https://www.cognitivefxusa.com" } } ```