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Beyond the basics: exploring non-conventional treatment for fatigue in post-acute COVID-19 syndrome

Year: 2025
Type: article
Abstract: INTRODUCTION: Post-acute 2019 coronavirus disease syndrome (PACS) is a multifaceted, multisystem disorder affecting an estimated 75 million individuals globally (in May 2024). Defined by symptoms persisting beyond four weeks post-infection, PACS manifests in subacute (4-12 weeks) and chronic (>12 weeks) phases, with fatigue being a prominent and debilitating feature. Comprehensive management of PACS-associated fatigue needs diverse therapeutic strategies extending beyond conventional rehabilitation. AIM: This narrative review explored non-conventional interventions for PACS-related fatigue, focusing on treatments involving nutritional rehabilitation, physical modalities, and other innovative therapies. METHODS: Narrative review. RESULTS: Treatments reported in the literature include melatonin, QingjinYiqi, nutritional supplements, aromatherapy, antioxidants, Tai Chi, acupuncture, yoga, singing, hyperbaric oxygen therapy (HBOT), pulsed electromagnetic field therapy, and whole-body vibration. Melatonin and QingjinYiqi have shown notable improvements in fatigue and overall health. Nutritional supplements such as vitamin-minerals combinations have demonstrated enhancements in muscle strength, physical performance, and quality of life. Tai Chi, acupuncture, and yoga have shown positive effects on fatigue, muscle strength, and overall well-being. Aromatherapy, singing, HBOT, pulsed electromagnetic field therapy, and whole-body vibration effectively reduce fatigue while enhancing physical and cognitive functions. CONCLUSION: These non-conventional treatments offer promising supplementary benefits to conventional rehabilitation.
Authors: Habib Hajji, Amine Kalai, Amr Chaabeni, Houda Migaou, Besma Jebali, Zohra Ben Salah Frih, Helmi Ben Saad, Anis Jellad
Language: English
Subfield: Neurology
Field: Medicine
Open Access status: diamond
OpenAlex ID: W7115578993
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