Returning to Functional Activities and Exercise After COVID-19

In 2023, Jen Mepham, with contributions from the Cardio-Respiratory Special Interest Group (CRSIG) of Physiotherapy New Zealand, developed the Long COVID Return to Exercise Flow Chart. This tool aims to guide healthcare providers in offering accurate recommendations for individuals with Long COVID as they resume physical activities.

The primary goal of the chart is to guide screening questions and support decision making in the process of returning to activities or sport. It adopts a cautious approach to ensure return to activities and exercise is safe and does not cause a worsening of symptoms, taking into account post-exertional malaise. There is guidance when to consider an onward referral to a cardio-respiratory physiotherapist and a detailed table outlining how to progress exercise without exacerbating symptoms.

Thank you to the CRSIG for making this available.

Read the Long COVID Return to Exercise Flow Chart


Page updated March 2024