Summary
Physical Therapy is tracked by OSMF as an investigational option for Long COVID; no regulator has approved it for this indication, and most post-viral conditions have no approved disease-modifying therapy at all. ClinicalTrials.gov lists 1 registered trial linking Physical Therapy to Long COVID: 1 is active or not yet recruiting. None of the registered studies carries a drug-development phase label, which is typical for behavioural, device and supplement protocols. It plans or enrolled 48 participants. Registered activity dates to 2025. The literature layer holds 34 publications for this pair: 8 systematic reviews, 7 clinical trial publications and 19 other publications. Because at least one synthesis-level source exists (systematic review, meta-analysis or Cochrane review), this pair has been assessed beyond single studies, although the synthesis may concern a different indication.
Long COVID / PASC is tracked on the OSMF post-viral programme alongside ME/CFS, Long COVID, POTS and MCAS. Across the programme, 423 candidate agents are logged for Long COVID, most of them preliminary; this page isolates the record for one of them.
Evidence table
| Evidence tier | C · Preliminary |
|---|---|
| Evidence score | 38.0 (trials 3.0, literature 30.0, tier 5, approved bonus 0.0) |
| Registered trials | 1 total: 0 recruiting, 1 active / not yet recruiting, 0 completed, 0 other |
| Linked publications | 34 (19 other publications, 8 systematic reviews, 7 clinical trial publications) |
| Agent type | Other (Other / Unclassified) |
| Development stage (any indication) | Investigational |
| Mechanism / class | Not recorded |
| Data sources | OSMF therapeutic agent database, ClinicalTrials.gov, PubMed |
How the evidence score is calculated
- Each registered trial scores by status (recruiting / active / enrolling 3, completed 2.5, not yet recruiting 2, unknown 1, terminated / withdrawn / suspended 0.5) plus a phase bonus (phase 3-4 +2, phase 2 +1, phase 1 +0.5). The trial component is capped at 30.
- Each literature item scores by design (Cochrane review 5, meta-analysis 4, systematic review 3, RCT 3, clinical trial publication 2, curated reference 1.5, other PubMed record 1). The literature component is capped at 30.
- The existing evidence tier adds 15 (A / Strong), 10 (B / Moderate), 5 (C / Preliminary) or 0 (D / Anecdotal).
- Agents approved for any indication (max clinical phase 4) add 5, because an approved agent has an established safety profile that lowers the barrier to repurposing trials.
- The score ranks what has been studied, not what works. It does not read effect sizes or directions of effect.
Registered clinical trials
| NCT ID | Title | Status | Phase | Enrolment |
|---|---|---|---|---|
| NCT07254377 | Design and Validation of Innovative Strategies Based on Dual-Task Approach I.R.C.C.S. Fondazione Santa Lucia · 2025 | active, not recruiting | Not applicable | 48 |
Published literature
- Clinical trial publication (PubMed validation search) PubMed record PMID 41840063
- Clinical trial publication (PubMed validation search) PubMed record PMID 41237918
- Clinical trial publication (PubMed validation search) PubMed record PMID 39920519
- Clinical trial publication (PubMed validation search) PubMed record PMID 38752418
- Clinical trial publication (PubMed validation search) PubMed record PMID 37836950
- Clinical trial publication (PubMed validation search) PubMed record PMID 37271020
- Clinical trial publication (PubMed validation search) PubMed record PMID 35954922
- Review (PubMed validation search) PubMed record PMID 42320154
- Review (PubMed validation search) PubMed record PMID 41883910
- Review (PubMed validation search) PubMed record PMID 41816409
- Review (PubMed validation search) PubMed record PMID 41753114
- Review (PubMed validation search) PubMed record PMID 40950566
- Review (PubMed validation search) PubMed record PMID 40769733
- Review (PubMed validation search) PubMed record PMID 40492581
- Review (PubMed validation search) PubMed record PMID 40366711
- Case series (PubMed validation search) PubMed record PMID 40171061
- Case series (PubMed validation search) PubMed record PMID 39178603
- Case series (PubMed validation search) PubMed record PMID 38961771
- Case series (PubMed validation search) PubMed record PMID 35620174
- Case series (PubMed validation search) PubMed record PMID 33492400
- Case report (PubMed validation search) PubMed record PMID 39925354
- Case report (PubMed validation search) PubMed record PMID 40729136
- Case report (PubMed validation search) PubMed record PMID 38249761
- Case report (PubMed validation search) PubMed record PMID 38064402
- Case report (PubMed validation search) PubMed record PMID 37323003
- Case report (PubMed validation search) PubMed record PMID 37032935
- Systematic review (PubMed validation search) PubMed record PMID 42041273
- Systematic review (PubMed validation search) PubMed record PMID 41168795
- Systematic review (PubMed validation search) PubMed record PMID 39667587
- Systematic review (PubMed validation search) PubMed record PMID 38841775
- Systematic review (PubMed validation search) PubMed record PMID 38389299
- Systematic review (PubMed validation search) PubMed record PMID 37725376
- Systematic review (PubMed validation search) PubMed record PMID 37587411
- Systematic review (PubMed validation search) PubMed record PMID 36032234
Mechanism and notes
No mechanism of action is recorded for this pair in the source databases.
Clinical notes: Investigational for listed conditions. 1 associated trial(s) and 0 study reference(s) in current data. Review primary sources and consult specialists before use.
Safety: Limited specific safety data in these populations. Review full prescribing information and consult specialist. Many agents used off-label or investigational.
Dosing in studies: See linked studies/trials for reported doses and durations; typical protocols vary widely.
Frequently asked questions
Is Physical Therapy approved for Long COVID?
Physical Therapy is tracked by OSMF as an investigational option for Long COVID; no regulator has approved it for this indication, and most post-viral conditions have no approved disease-modifying therapy at all. Approval status for the specific indication should always be confirmed with the relevant regulator and prescribing information.
Is Physical Therapy in clinical trials for Long COVID?
ClinicalTrials.gov lists 1 registered trial linking Physical Therapy to Long COVID: 1 is active or not yet recruiting. None of the registered studies carries a drug-development phase label, which is typical for behavioural, device and supplement protocols. It plans or enrolled 48 participants. Registered activity dates to 2025.
What does the evidence show for Physical Therapy in Long COVID?
Trials of Physical Therapy in Long COVID are registered but none has completed, so there is no outcome evidence from those studies yet; the record is a signal of research interest. OSMF's existing evidence tier for this pair is C (Preliminary), taken from the OSMF therapeutic agent database, which grades agents by the volume and design of condition-specific evidence rather than by effect size.
Cite this page
Data: ClinicalTrials.gov, PubMed, Open Targets, ChEMBL, DGIdb and the OSMF therapeutic agent database. Last updated 2026-10-07. Page built 2026-10-07.