Impact of mild COVID-19 on balance function in young adults, a prospective observational study

Guzik, Agnieszka; Wolan-Nieroda, Andżelina; Kochman, Maciej; Perenc, Lidia; Drużbicki, Mariusz

doi:10.1038/s41598-022-16397-8

Cited by 12 publications

(9 citation statements)

References 45 publications

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“…Prior research has noted impairments in both static and dynamic balance among COVID-19 patients ( 27–30 ). Computerized dynamic posturography was used to assess thirty-five patients who had recovered from COVID-19 (between 22 and 124 days after the disease onset) using the sensory organization test protocol to differentiate the visual, vestibular, and somatosensory components of balance control ( 28 ).…”

Section: Discussionmentioning

confidence: 99%

“…Long COVID-19 patients, with at least 12 weeks after SARS-CoV-2 infection, were found to have a strong correlation between muscle weakness (measured by dynamometry), generalized fatigue (measured by the Functional Assessment of Chronic Illness Therapy Fatigue questionnaire), and balance deficit (measured by the Berg and Tinetti scales) ( 30 ). After approximately 4.5 months of primary infection, long COVID-19 patients were observed to have static balance losses using a force platform with bipodal and unipodal support, and worse performance in dynamic tasks such as the timed up and go test, 6 min walk test, sit-to-stand test, and 15 s step test ( 27 ). Using multiple inertial sensors, it was observed that patients, 8–25 weeks after hospital discharge, experienced changes in both their range of motion and the time taken to complete the TUG task ( 13 ).…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have examined the effect of COVID-19 on balance control ( 27–30 ). However, the evidence available is limited to patients who have experienced postural control deficits for only a few months following infection despite all studies reporting indications of such deficits.…”

Section: Introductionmentioning

confidence: 99%

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Smartphone-based evaluation of static balance and mobility in long-lasting COVID-19 patients

Corrêa,

Santos,

Belgamo

et al. 2023

Front. Neurol.

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BackgroundSARS-CoV-2 infection can lead to a variety of persistent sequelae, collectively known as long COVID-19. Deficits in postural balance have been reported in patients several months after COVID-19 infection. The purpose of this study was to evaluate the static balance and balance of individuals with long COVID-19 using inertial sensors in smartphones.MethodsA total of 73 participants were included in this study, of which 41 had long COVID-19 and 32 served as controls. All participants in the long COVID-19 group reported physical complaints for at least 7 months after SARS-CoV-2 infection. Participants were evaluated using a built-in inertial sensor of a smartphone attached to the low back, which recorded inertial signals during a static balance and mobility task (timed up and go test). The parameters of static balance and mobility obtained from both groups were compared.ResultsThe groups were matched for age and BMI. Of the 41 participants in the long COVID-19 group, 22 reported balance impairment and 33 had impaired balance in the Sharpened Romberg test. Static balance assessment revealed that the long COVID-19 group had greater postural instability with both eyes open and closed than the control group. In the TUG test, the long COVID-19 group showed greater acceleration during the sit-to-stand transition compared to the control group.ConclusionThe smartphone was feasible to identify losses in the balance motor control and mobility of patients with long-lasting symptomatic COVID-19 even after several months or years. Attention to the balance impairment experienced by these patients could help prevent falls and improve their quality of life, and the use of the smartphone can expand this monitoring for a broader population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Smartphone-based evaluation of static balance and mobility in long-lasting COVID-19 patients

Corrêa,

Santos,

Belgamo

et al. 2023

Front. Neurol.

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“…The balance measures also reflected deficits in motor integration. A recent study reported that balance deficits were characteristic of a young population who have had COVID 19 (Guzik et al, 2022). the Balance Effect size was greatest when all sensory information was disrupted except the vestibular system, which forced reliance on the vestibular system.…”

Section: Discussionmentioning

confidence: 99%

Post-Concussion Assessment as a diagnostic and mechanistic framework for treating patients with Long COVID

Davidson

Noteboom

Pierro

et al. 2022

Preprint

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IntroductionDespite first coming into view over two years ago, effective diagnostic and treatment pathways for Long COVID continue to evade the medical community. The overlap in neurological-based symptoms and neuroinflammatory origin indicates that the framework of post-concussion syndrome may provide insight into new diagnostics and treatment for patients with Long COVID. The objective of this investigation was to determine whether tools from the four common domains of concussion assessment were sensitive to differentiate between patients with Long COVID from a reference group who was infected with Sars-CoV-2 and does not have Long COVID.MethodsIn this prospective cohort design, each participant self reported their group (Acute, n=28) and Long COVID Group (n=33). Each participant underwent an examination in four assessment categories: symptoms, vestibular nystagmography, Automated Neuropsychological Assessment Metrics (ANAM), and a series of balance tasks.ResultsTotal Symptom scores were separated into functional classifications and showed clear success as a tool to differentiate between Acute and Long COVID. Five of the 33 people in the Long COVID had detectable central lesions, which increases the risk of developing long COVID by 64% (Relative Risk=1.64). A wide variety of objective and quantitative measures from post-concussion care are sensitive to the Long COVID condition. Prolonged latency during random saccades eye tracking was present (p<0.01, d=0.87) in the Long COVID group corresponding to the King-Devick rapid reading test, which was highly sensitive to Long COVID (p<0.01, d=1.34). ANAM reaction time subtests had similarly large effects (p<0.01, d=0.93-1.09). Balance performance with corrupted sensory feedback was also sensitive (p<0.01, d=0.96).DiscussionOur results indicate that long-standing and validated post-concussion symptom questionnaires may be used for quantifying the severity of Long COVID. Some of the most sensitive measures (especially the King-Devick rapid reading test) are easy to implement clinically and may be effective at tracking patient progress in the context of Long COVID treatment. The results point to wide deficits in motor integration and provide a rationale for treating the subset of Long COVID patients with similar rehabilitation strategies as patients with post-concussion syndrome.

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“…As mentioned, the balance between individuals' daily activities and life patterns has changed during the COVID-19 pandemic; hence, there is a need for new interventions for this group of people (22). Several studies have examined the importance of occupational balance in COVID-19 patients, including a review study on occupational dimensions and the status of rehabilitation in COVID-19 patients (1) and the effect of inactivity caused by COVID-19 on the motor performance of older people (23), postural balance and its effect on the performance of non-hospitalized patients with COVID-19 (24), and the effect of mild COVID-19 on the occupational balance of young people (25).…”

Section: Introductionmentioning

confidence: 99%

A Comparison of Occupational Balance, Fatigue, Depression, and Anxiety in Hospital-Discharged COVID-19 Survivors with Healthy Individuals: A Cross-sectional Study

Dehmiyani

Azizi

Galougahi

et al. 2022

Ann Mil Health Sci Res

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Background: COVID-19 is accompanied by various symptoms such as fever, dry cough, and fatigue in 80% of cases. Many people with COVID-19 suffer from different symptoms after recovery, similar to the initial symptoms of this disease, such as weakness, fatigue, anxiety, and depression. Prolonged recovery time and the consequences of hospitalization and COVID-19 in these patients can affect their occupational balance. Objectives: The present study compared occupational balance, fatigue, depression, and anxiety among hospital-discharged COVID-19 survivors with healthy individuals. Methods: This cross-sectional study was conducted from March to August 2022 in Imam Reza Hospital. The statistical population consisted of hospital-discharged COVID-19 survivors and healthy individuals included in the study (70 individuals per group). Evaluations were performed in one session using the Occupational Balance Questionnaire (OB-Quest), Hospital Anxiety and Depression Scale (HADS), and Fatigue Severity Scale (FSS). Results: The mean scores of depression (8.46 ± 3.78 vs. 4.29 ± 2.91), anxiety (9.34 ± 4.38 vs. 4.46 ± 3.09), and fatigue (44.29 ± 10.02 vs. 28.49 ± 9.87) were higher in hospital-discharged COVID-19 survivors than the healthy individuals. Furthermore, the rate of depression was directly related to anxiety (r = 0.773) and occupational balance disruption (moderate and severe levels) (r = 6.77). Conclusions: According the results demonstrated that hospital-discharged COVID-19 survivors had more disrupted occupational balance than the healthy individuals and experienced higher levels of anxiety, depression, and fatigue after discharge. Given the poorer occupational balance of hospital-discharged COVID-19 survivors than the healthy individuals, they need proper training after discharge to maintain a balance between different aspects of their lives and occupations. Therapists can also design and implement new interventions to improve the occupational balance of COVID-19 survivors.

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Impact of mild COVID-19 on balance function in young adults, a prospective observational study

Cited by 12 publications

References 45 publications

Smartphone-based evaluation of static balance and mobility in long-lasting COVID-19 patients

Smartphone-based evaluation of static balance and mobility in long-lasting COVID-19 patients

Post-Concussion Assessment as a diagnostic and mechanistic framework for treating patients with Long COVID

A Comparison of Occupational Balance, Fatigue, Depression, and Anxiety in Hospital-Discharged COVID-19 Survivors with Healthy Individuals: A Cross-sectional Study

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