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COVID-19ACUQiGNCT05289154

Acupressure and Qigong in Chronic Fatigue Post COVID-19.

A study testing self- applied acupressure plus Qigong course plus advice literature and advice literature with naturopathy in people with COVID-19 and Post-COVID-19 Syndrome, run by Charite University, Berlin, Germany at 1 site in Germany.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

International observational studies confirm the high incidence of post-infectious residual syndrome after infection with severe acute respiratory syndrome corona virus 2 (SARS-COV2), which can occur in 10-15% of all infected persons, regardless of the severity of the acute infection. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
COVID-19, Post-COVID-19 Syndrome
What is being tested?
self- applied acupressure plus Qigong course plus advice literature and advice literature with naturopathy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
1 siteGermany
Study dates
14 Jun 2022to 1 Oct 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • diagnosis of chronic fatigue (after SARS-CoV2 infection)
  • with at least 3 of 7 criteria at time of study inclusion: sleeping disorder, headaches, joint pain/muscle pain, anxiety/depression, memory impairment/ concentration problems, anosmia, exercise intolerance.
  • acute SARS-CoV2 infection at least 12 weeks ago
  • age 18-60 years
  • visual analogue scale (0-100 mm) physical resilience of maximum 60 mm
  • SF-36 physical function of maximum 65
  • technically equipped to participate in the online intervention and willing to follow the study procedure, acupressure and Qigong to perform the exercise series at home
  • written informed consent available.

Who cannot join

  • fatigue already present before the SARS-CoV2 infection
  • other underlying diseases leading to symptoms of chronic fatigue, such as major depression, oncological diseases, multiple sclerosis, fibromyalgia and drug abuse
  • other serious underlying diseases, such as severe pulmonary, cardiac, psychiatric or infectious diseases, which could interfere with study participation or affect the results
  • ongoing opioid therapy or opioid therapy in the week prior to study entry
  • chronic use of cannabinoids before or during the study.
  • start of psychotherapy or interruption of ongoing therapy during study participation
Show all 10Show fewer
  • female participants: pregnancy or breastfeeding
  • participation in another clinical intervention study during study participation
  • ongoing pension procedure or planned claiming of a pension procedure due to disability
  • planned inpatient rehabilitation measures during study participation due to PostCOVID-19 -

Trial locations and contacts

1 site in 1 country.

Germany1 site, 1 recruiting
  • Charité Universitätsmedizin Campus Mitte

    Berlin, 10117

    Benno Brinkhaus, MD, PhD, +49 30 450 529 002, benno.brinkhaus@charite.de

    Joanna Dietzel, MD, +49 30 450 529 005, joanna.dietzel@charite.de

    Recruiting

Other trials in Germany

About this study

Official title: Self- Applied Acupressure and Online Qigong for Patients Suffering From Chronic Fatigue After Corona Virus Infection 19 (COVID-19) - a Randomized Controlled Mixed-methods Study.

International observational studies confirm the high incidence of post-infectious residual syndrome after infection with severe acute respiratory syndrome corona virus 2 (SARS-COV2), which can occur in 10-15% of all infected persons, regardless of the severity of the acute infection. Post corona virus disease 19 (postCOVID-19) patients suffer mostly from symptoms such as fatigue, muscle pain, problems to focus, depression and sleep disturbances.

So far, there are no results of interventional studies for the treatment of chronic fatigue post COVID-19, but there are indicators that post COVID-19 syndrome is a chronic subclinical inflammation, similar to Chronic Fatigue Syndrome / Myalgic Encephalomyelitis CSF/ME, which also often develops from a postviral syndrome. Previously tested and effective strategies for the treatment of chronic fatigue syndrome / myalgic encephalomyelitis (CFS/ME) will be tested in the treatment of chronic fatigue postCOVID-19, in this randomized controlled trial a combination of acupressure and Qigong.

The aim of this project is to evaluate an acupressure treatment plus a Qigong exercise series specifically tailored for chronic fatigue postCOVID-19 , used daily by the patients themselves and regularly supervised, in comparison to the advice literature on the treatment of PostCOVID-19 syndrome alone.

Read the detailed description

Prospective two-arm (parallel groups) randomised controlled confirmatory intervention study with mixed methods approach in 2x 100 patients (n=200).

Intervention: self-applied acupressure and online Qigong course over 8 weeks and follow up at week 16.

Group 1: Acupressure + Qigong: Massage of the points daily for 3 minutes per point with the finger or an acupuncture pen (some points can be massaged bilaterally, therefore total approx. 20 min). In addition, twice a week an online guided Qigong course with a duration of 30-45 min. The patients should practise Qigong at least 3 times a week (including the course date). In addition, all patients will receive the guidebook literature for the treatment of complaints after SARS-CoV2 infection.

Group 2: Patients will receive advice literature on the treatment of chronic fatigue after SARS-CoV2 infection. After the end of this study the patients of this group will receive written information and video material regarding the acupressure and Qigong exercises.

Being tested
self- applied acupressure plus Qigong course plus advice literature, advice literature with naturopathy
Keywords
post COVID-19, sequelae, chronic fatigue
Medical subject headings
COVID-19, Post-Acute COVID-19 Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • self- applied acupressure plus Qigong course plus advice literatureOther

    daily self applied acupressure over 20min plus 2 times per week online live Qigong course of each 45min- both over 8 weeks.

  • advice literature with naturopathyBehavioural

    advice literature with naturopathic remedies will be handed out and application will be supported with dairies and phone calls

Study groups in NCT05289154
Study groupRoleWhat they receive
self- applied acupressure plus Qigong plus advice literatureExperimentaldaily 20 min of self- applied acupressure over 8 weeks on acupuncture points Yintang, LI4, Pe6, ST36, SP6 and depending on further symptoms plus DU23/24 in hyposmia, LU7 in dyspnoea, GB34 in pain conditions, GB20 in headache OR Anmian in sleeping disorders. The 16 sessions of 45 min Qigong course over 8 weeks will contain live online guided exercises with breathing, stretching and tapping of meridians and exercises such as the crane exercise.
Receives: Other: self- applied acupressure plus Qigong course plus advice literature
advice literatureActive comparatoradvice literature contains naturopathic remedies such as application of massage-oils, use of herbal teas, meditation techniques, breathing exercises for reconvalescence after COVID19.
Receives: Behavioral: advice literature with naturopathy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. SF-36 Physical Function subscale

    Primary study objective is to assess the changes in the mean score of the SF-36 Physical Function subscale between the two study arms assessing the degree of fatigue.

    Measured: week 8

Secondary outcomes (11)
  1. EQ5D (EuroQoL 5 domains)

    disease specific QoL

    Measured: week 8 and 16

  2. SF36 PFS (Short Form 36 physical function subscale)

    changes in the mean score of the SF-36 Physical Function subscale- assessing the degree of fatigue

    Measured: week 16

  3. Chalder Fatigue-Scale

    Fatigue severity

    Measured: week 8 and 16

  4. VAS physical resilience (visual analogue scale)

    visual analogue scale for subjective physical resilience

    Measured: week 8 and 16

  5. PHQ9 (Patient Health Questionnaire 9)

    Patient Health Questionnaire assessing depression

    Measured: week 8 and 16

  6. VAS pain (visual analogue scale)

    visual analogue scale for subjective pain

    Measured: week 8 and 16

  7. hand grip strength

    hand grip strength

    Measured: week 8 and 16

  8. Spirometry

    forced expiratory volume

    Measured: week 8 and 16

  9. autonomic dysfunction orthostasis test

    heart rate and blood pressure analysis in orthostasis

    Measured: week 8 and 16

  10. d2- test

    test for concentration- ability to focus

    Measured: week 8 and 16

  11. qualitative substudy

    interviews regarding experience of illness and therapy

    Measured: week 8 and 16

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Mar 2022
  2. Study start14 Jun 2022
  3. Primary completion1 Sep 2023 (estimated)
  4. Study completion1 Oct 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Prospective, randomised controlled, confirmatory intervention study with mixed methods approach
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05289154
Sponsor's protocol ID
ACUQiG
Acronym
ACUQiG
Status last verified
Jan 2023
First submitted
18 Mar 2022
Last updated
23 Jan 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Arnold DT, Hamilton FW, Milne A, Morley AJ, Viner J, Attwood M, Noel A, Gunning S, Hatrick J, Hamilton S, Elvers KT, Hyams C, Bibby A, Moran E, Adamali HI, Dodd JW, Maskell NA, Barratt SL. Patient outcomes after hospitalisation with COVID-19 and implications for follow-up: results from a prospective UK cohort. Thorax. 2021 Apr;76(4):399-401. doi: 10.1136/thoraxjnl-2020-216086. Epub 2020 Dec 3.

    PubMed 33273026
  • Carfi A, Bernabei R, Landi F; Gemelli Against COVID-19 Post-Acute Care Study Group. Persistent Symptoms in Patients After Acute COVID-19. JAMA. 2020 Aug 11;324(6):603-605. doi: 10.1001/jama.2020.12603.

    PubMed 32644129
  • Chan JSM, Ng SM, Yuen LP, Chan CLW. Qigong exercise for chronic fatigue syndrome. Int Rev Neurobiol. 2019;147:121-153. doi: 10.1016/bs.irn.2019.08.002.

    PubMed 31607352
  • Jason L, Brown M, Evans M, Anderson V, Lerch A, Brown A, Hunnell J, Porter N. Measuring substantial reductions in functioning in patients with chronic fatigue syndrome. Disabil Rehabil. 2011;33(7):589-98. doi: 10.3109/09638288.2010.503256. Epub 2010 Jul 9.

    PubMed 20617920
  • Glasier CM, Seibert JJ, Williamson SL, Seibert RW, Corbitt SL, Rodgers AB, Lange TA. High resolution ultrasound characterization of soft tissue masses in children. Pediatr Radiol. 1987;17(3):233-7. doi: 10.1007/BF02388167.

    PubMed 3295732
  • Weyand CM, Goronzy JJ. The role of infectious agents in the etiopathogenesis of chronic rheumatic diseases. Verh Dtsch Ges Inn Med. 1990;96:319-24. doi: 10.1007/978-3-642-84317-4_58. No abstract available.

    PubMed 2092449
  • Dietzel J, Bauer T, Tissen-Diabate T, Ortiz M, Siewert J, Bellmann-Strobl J, Engelhardt U, Roll S, Grabowska W, Scheibenbogen C, Willich SN, Paul F, Brinkhaus B. Acupressure and Qigong in post-infectious fatigue with impaired physical function: a randomized clinical trial. Front Med (Lausanne). 2026 Aug 10;13:1872035. doi: 10.3389/fmed.2026.1872035. eCollection 2026.

    PubMed 42638691
  • Bauer T, Grabowska W, Ortiz M, Bellmann-Strobl J, Engelhardt U, Nogel R, Hummelsberger J, Michalsen A, Roll S, Stockigt B, Batram H, Mietzner A, Scheibenbogen C, Willich SN, Paul F, Brinkhaus B, Dietzel J. Self-medication and off-label prescribing in post COVID-19 syndrome: Baseline data of a randomized acupressure and qigong trial. Integr Med Res. 2025 Sep;14(3):101197. doi: 10.1016/j.imr.2025.101197. Epub 2025 Jul 5.

    PubMed 40727709

Questions about this trial

What is this clinical trial studying?

A study testing self- applied acupressure plus Qigong course plus advice literature and advice literature with naturopathy in people with COVID-19 and Post-COVID-19 Syndrome, run by Charite University, Berlin, Germany at 1 site in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 23 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Joanna Dietzel, MD (+49 30 450 529 002, joanna.dietzel@charite.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

SF-36 Physical Function subscale (time frame: week 8). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05289154, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jan 2023.

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