Positives

• One person with fibromyalgia found that occupational therapy helped manage symptoms that were “tied to happening after physical exertion,” providing strategies to cope with post-exertional malaise Reddit.
  
  
• One person with Long COVID noted that occupational therapy offered valuable recommendations during appointments to address cognitive issues, despite ongoing challenges from previous concussions Reddit.
  
  

Negatives

• One patient reported trying PT/OT for six weeks at relatively mild intensity but had no improvement in strength or stamina and was actually worse at the six-week reevaluation, adding that “PT does not help PEM; it all has to do with energy envelope management” Mayo Clinic Connect.
• There are no validated rehabilitation interventions for Long COVID to date and current OT practice is largely trial-and-error, with over-exertion potentially harming patients who have PEM Jefferson Nexus.

Hurdles & Side Effects

• One patient highlighted the difficulty in accurately testing blood oxygen levels during activity, which can complicate the assessment of occupational therapy's effectiveness in real-time scenarios Reddit.