PTMeta-AnalysisPhysical therapy2025

Functional Recovery of Adults Following Acute COVID-19: A Systematic Review and Meta-Analysis.

Sophie Middleton, Christos V Chalitsios, Tanvi Mungale and 4 others

PMID 38386981

WHAT IT FOUND

More than three months after COVID-19, adults still walk shorter distances, have weaker grip and lower exercise capacity than healthy people their age, and walking was still below average at 11 months.

Function improves with longer follow-up.

Key findings

01Three to five months after infection, adults who had had COVID-19 walked an average of 494.57 m in six minutes, which is 84.3% of the distance predicted for their age, sex, weight and height.

02Physical function improved the longer people were followed, but at 11 months or more walking distance was still below the healthy population average.

03Pooled walking distance did not differ between people over and under 60, or between those who were hospitalised, those who were not, and those admitted to intensive care.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Most of the 106 included studies were single-site observational cohorts with no control group, and most were graded only moderate quality. Results varied enormously between studies (I² above 94% for almost every analysis), so the averages hide wide differences between studies and populations. Individual patient data were not available, so the results could not be adjusted for age, sex or body mass index, and the grip strength figures were not adjusted for age or sex. Physical function before COVID-19 was not known in most studies, so it is unclear how much of the reduced function came from the infection itself. Only 3 studies reported on non-hospitalised patients alone and few reported intensive care subgroups, which limits the subgroup comparisons. Several outcomes, such as the Short Physical Performance Battery and the one-minute sit-to-stand test, were reported by only a handful of studies.

Declared interests

The only funding statement given names the NIHR Nottingham Biomedical Research Centre. No conflicts of interest are stated in the text provided.

The easy way to misread this

Do not assume these results describe people who had mild COVID-19 at home. Most of the included studies (76 of 106) reported on patients who had been hospitalised, and the few studies of non-hospitalised patients were pooled together with the hospitalised ones.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →