Table 2.
Available Screening Tools for Detecting Potential Complications from Rehabilitation in People Living with Long COVID
Name of Assessment or Screening Tool | Brief Description of Screening Tool | Resources |
---|---|---|
DePaul Symptom Questionnaire – Post-Exertional Malaise (DSQ-PEM) | This is a brief, standardized questionnaire that aims to detect experiences with post-exertional malaise [16]. | May be downloaded and used free of charge from: https://csh.depaul.edu/about/centers-and-institutes/ccr/myalgic-encephalomyelitis-cfs/Pages/measures.aspx |
10-Minute NASA Lean Test | Positional test that assesses for postural orthostatic tachycardiasyndrome. | Instructions are available from: https://solvecfs.org/wp-content/uploads/2021/07/10-Minute-NASA-Lean-Test-Clinicians.pdf |
Pulse Oximetry |
Pulse oximetry under clinical supervision has been recommended to screen for exertional desaturation using tests such as the 1-minute sit-to-stand test [2], the 40-step walk test [15], or during home observation. A drop in pulse oxygen saturation of more than 3–4% from baseline or to 94% or below is considered desaturation [2]. Exercise testing for exertional desaturation should be avoided or modified (within tolerable limits for the individual) in the presence of Post-Exertional Symptom Exacerbation. |
Pulse oximeter is required. Rapid exercise tests for exertional desaturation are not recommended for use outside a supervised care setting if resting pulse oximeter saturation is < 96% [15]. |
Adapted Autonomic Profile (aAP) | The adapted Autonomic Profile (aAP) is a home-based test for the evaluation of neuro-cardiovascular autonomic dysfunction. This screening test may clarify the relationship between symptoms and common triggers in daily life, informing self-management and rehabilitation of episodic conditions such as Postural Orthostatic Tachycardia Syndrome. | The test involves measuring blood pressure and heart rate at various times throughout the day while at home. Detailed instructions for conducting the aAP have been published [17]. |