What are the recommendations for returning athletes who have experienced long term COVID-19 symptoms?

References

• WHO. WHO Coronavirus (COVID-19) Dashboard [Internet] WHO; 2021. [updated 2021 Oct 1; cited Oct 2] Available from: https://covid19.who.int/
   Google Scholar
• NICE. COVID-19 rapid guideline: managing the long-term effects of COVID-19 NICE guideline [NG188] [Internet] NICE; 2020. [updated 2020 Dec 18; cited 2021 Aug 17]. Available from: https://www.nice.org.uk/guidance/NG188
   Google Scholar
• NHS. Long-term effects of coronavirus (long COVID) [Internet] NHS; 2021 [updated 2021 Aug 5; cited Aug 12] Available from: https://www.nhs.uk/conditions/coronavirus-covid-19/long-term-effects-of-coronavirus-long-covid/
   Google Scholar
• Hatmi ZN. A systematic review of systematic reviews on the COVID-19 pandemic. SN Compr Clin Med. 2021;1–18. Epub ahead of print
   PubMedGoogle Scholar
• Rajan S, Khunti K, Alwan N, et al. In the wake of the pandemic: preparing for Long COVID 2021. WHO; 2021 [cited 2021 Aug 20]. Available from: https://apps.who.int/iris/bitstream/handle/10665/339629/Policy-brief-39-1997-8073-eng.pdf
   Google Scholar
• Office for National Statistics. Prevalence of ongoing symptoms following coronavirus (COVID-19) infection in the UK: 5 August 2021 [Internet] ONS; 2020. [updated 2021 Aug 5; cited 2021 Aug 17]. Available from: https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/bulletins/prevalenceofongoingsymptomsfollowingcoronaviruscovid19infectionintheuk/5august2021.
   Google Scholar
• NIHR. Living with Covid19- second review [Internet]. NIHR 2021. [updated 2021 Mar 16; cited 2021 August 17]. Available from: https://www.nihr.ac.uk/news/nihr-publishes-second-themed-review-on-long-covid/27232.
   Google Scholar
• Cipollaro L, Giordano L, Padulo J, et al. Musculoskeletal symptoms in SARS-CoV-2 (COVID-19) patients. J Orthop Surg Res. 2020;15(1):178.
   PubMed Web of Science ®Google Scholar
• Hull J, Loosemore M, Schwellnus M. Respiratory health in athletes: facing the COVID-19 challenge. Lancet Respir Med. 2020;8(6):557–558.
   PubMed Web of Science ®Google Scholar
• Hull JH, Wootten M, Moghal M, et al. Clinical patterns, recovery time and prolonged impact of COVID-19 illness in international athletes: the UK experience. Br J Sports Med. 2021;:bjsports-2021-104392.
   Web of Science ®Google Scholar
• Rawal G, Yadav S, Kumar R. Post-intensive care syndrome: an Overview. J Transl Int Med. 2017;5(2):90–92.
   PubMed Web of Science ®Google Scholar
• Salamanna F, Veronesi F, Martini L, et al. Post-COVID-19 syndrome: the persistent symptoms at the post-viral stage of the disease. A systematic review of the current data. Front Med (Lausanne). 2021;8:653516.
   PubMed Web of Science ®Google Scholar
• Kim JH, Levine BD, Phelan D, et al. Coronavirus disease 2019 and the athletic heart: Emerging perspectives on pathology, risks, and return to Play. JAMA Cardiol. 2021;6(2):219–227.
   PubMed Web of Science ®Google Scholar
• Halle M, Bloch W, Niess AM, et al. Exercise and sports after COVID-19-Guidance from a clinical perspective. Transl Sports Med. 2021;4(3):310–318.
   PubMedGoogle Scholar
• Schellhorn P, Klingel K, Burgstahler C. Return to sports after COVID-19 infection. Eur Heart J. 2020;41(46):4382–4384.
   PubMed Web of Science ®Google Scholar
• Wilson MG, Hull JH, Rogers J, et al. Cardiorespiratory considerations for return-to-play in elite athletes after COVID-19 infection: a practical guide for sport and exercise medicine physicians. Br J Sports Med. 2020; 54(19):1157–1161.
   PubMed Web of Science ®Google Scholar
• Elliott N, Martin R, Heron N, et al. Infographic. Graduated return to play guidance following COVID-19 infection. Br J Sports Med. 2020;54(19):1174–1175.
   PubMed Web of Science ®Google Scholar
• Verwoert GC, de Vries ST, Bijsterveld N, et al. Return to sports after COVID-19: a position paper from the Dutch Sports Cardiology Section of the Netherlands Society of Cardiology. Neth Heart J. 2020;28(7-8):391–395.
   PubMed Web of Science ®Google Scholar
• McKinney J, Connelly KA, Dorian P, et al. COVID-19-Myocarditis and return to play: Reflections and recommendations from a canadian working group. The Canadian Journal of Cardiology. 2021;37(8):1165–1174. Nov.
   PubMed Web of Science ®Google Scholar
• Biswas A, Elliott N, Martin R, et al. The BASES Expert Statement on Gradu-ated Return to Play Following Covid-19 infection [Internet].The Sport and Exercise Scientist. 2021. 67 [cited 2021 Aug 17]. Available at: https://www.bases.org.uk/imgs/0000_bas_tses___spring_2021_online_pg8_9575.pdf
   Google Scholar
• NHS. After a Stay On An Intensive Care Unit [Internet]. NHS 2021. [cited 2021 Aug 17]. Available from: https://www.yourcovidrecovery.nhs.uk/what-is-covid-19/after-a-stay-on-icu/
   Google Scholar
• Jain U. Effect of COVID-19 on the organs. Cureus. 2020;12(8):e9540.
   PubMed Web of Science ®Google Scholar
• Nassar M, Chung H, Dhayaparan Y, et al. COVID-19 vaccine induced rhabdomyolysis: Case report with literature review. Diabetes Metab Syndr. 2021;15(4):102170
   PubMed Web of Science ®Google Scholar
• Echemendia RJ, Meeuwisse W, McCrory P, et al. The sport concussion assessment tool 5th edition (SCAT5): background and rationale. Br J Sports Med. 2017;51(11):848–850.
   PubMed Web of Science ®Google Scholar
• Sun P, Qie S, Liu Z, et al. Clinical characteristics of hospitalized patients with SARS-CoV-2 infection: a single arm Meta-analysis. J Med Virol. 2020;92(6):612–617. DOI:
   PubMed Web of Science ®Google Scholar
• Salamanna F, Veronesi F, Martini L, et al. Post-COVID-19 syndrome: the persistent symptoms at the post-viral stage of the disease. A Systematic Review of the Current Data. Frontiers in Medicine. 2021;8:653516.
   Google Scholar
• Barker-Davies RM, O'Sullivan O, Senaratne KPP, et al. The stanford hall consensus statement for post-COVID-19 rehabilitation. Br J Sports Med. 2020;54(16):949–959.
   PubMed Web of Science ®Google Scholar
• Bruinvels G, Lewis NA, Blagrove RC, et al. COVID-19-Considerations for the female athlete. Front Sports Act Living. 2021;3:606799.
   PubMedGoogle Scholar
• European College of Sport Science and the American College of Sports Medicine. Prevention, diagnosis, and treatment of the overtraining syndrome. Med Sci Sports Exercise. 2013;45(1):186–205.
   PubMed Web of Science ®Google Scholar
• Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71.
   PubMed Web of Science ®Google Scholar