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Addressing persistent symptoms in post-COVID condition: Through a multimodal intervention delivered in two
Mar Ariza1,2, Neus Cano1,3, Anna Carnes-Vendrell4
1Clinical Research Group for Brain, Cognition and Behavior, Consorci Sanitari de Terrassa- Hospital Universitari (CST), Terrassa, Barcelona, Spain.
Digital Health
|April 30, 2026
Summary
Digital rehabilitation, including immersive virtual reality (IVR) and online programs, shows promise for improving cognitive and functional outcomes in individuals with post-COVID-19 condition (PCC). These accessible formats offer domain-specific benefits, supporting multimodal rehabilitation approaches.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Digital Health
Background:
- Persistent symptoms after acute COVID-19, known as post-COVID-19 condition (PCC), are a significant cause of disability.
- The World Health Organization recommends early, multidisciplinary rehabilitation using accessible, hybrid care models for PCC.
- Currently, there is a lack of standard protocols and limited research on digital rehabilitation formats for PCC.
Purpose of the Study:
- To evaluate the effects of two digital rehabilitation formats—immersive virtual reality (IVR) and a self-guided online program—on cognitive and functional outcomes in individuals with PCC.
Main Methods:
- A nonrandomized, quasiexperimental pre-post design was employed with 172 adults diagnosed with PCC.
- Participants engaged in a 12-week multimodal program incorporating cognitive training, physical activity, and mindfulness.
- Interventions included either IVR or a self-guided online program, with a usual-care control group.
Main Results:
- Significant group-by-time interactions were observed across multiple domains.
- IVR demonstrated improvements in global cognition, immediate recall, recognition memory, and response inhibition.
- The online intervention led to improvements in verbal recognition, mindfulness, and perceived health-related quality of life.
Conclusions:
- Both IVR and online multimodal interventions provided domain-specific cognitive and functional benefits for individuals with PCC.
- These findings support the utility of multicomponent rehabilitation strategies delivered through digital platforms.
- The study highlights that observed effects may reflect differential developmental trajectories rather than solely immediate postintervention differences.