Intended for healthcare professionals


NICE cautions against using graded exercise therapy for patients recovering from covid-19

BMJ 2020; 370 doi: (Published 21 July 2020) Cite this as: BMJ 2020;370:m2912

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  1. Ingrid Torjesen
  1. London

Graded exercise therapy may not be appropriate for treating post-viral fatigue in patients recovering from covid-19, the National Institute for Health and Care Excellence (NICE) has told doctors.

In a statement NICE said that it was aware of concerns related to the impact of graded exercise therapy (GET) for managing post-viral fatigue in patients recovering from covid-19. It noted that its current advice on managing chronic fatigue may not be appropriate for this group of patients and acknowledged that it could also be out of date for other groups.1

“NICE’s guideline on ME/CFS [chronic fatigue syndrome] (CG53) was published in 2007,2 many years before the current pandemic, and it should not be assumed that the recommendations apply to people with fatigue following covid-19,” the statement said.

It emphasised that the recommendations on GET in this guideline applied only …

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