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

Corrêa, Bruna Danielle Campelo; Santos, Enzo Gabriel Rocha; Belgamo, Anderson; Pinto, Gustavo Henrique Lima; Xavier, Stanley Soares; Silva, Camilla Costa; Dias, Ápio Ricardo Nazareth; Paranhos, Alna Carolina Mendes; Cabral, André dos Santos; Callegari, Bianca; Costa e Silva, Anselmo de Athayde; Quaresma, Juarez Antônio Simões; Falcão, Luiz Fábio Magno; Souza, Givago Silva

doi:10.3389/fneur.2023.1277408

Cited by 2 publications

(1 citation statement)

References 51 publications

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“…A number of studies indicate that the balance disorders occur in the case of post COVID-19 patients [ 10 , 17 , 18 , 19 , 20 , 21 ]. The provisional outcome of examinations carried out within a group of individuals who recovered from COVID-19 infection as compared to the healthy individuals examined before the pandemic indicate that past infection affects the baropodometric as well as postural control parameters [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical and Functional Effects of Rehabilitation of Patients after COVID-19 Infection

Dzięcioł-Anikiej,

Kuryliszyn-Moskal,

Pociene

et al. 2024

JCM

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Background/Objectives: The most common post-acute consequences of SARS-CoV-2 include lung dysfunction, the impairment of cognitive functions and mental health, as well as the impairment of the musculoskeletal system in the form of fatigue and muscle weakness. Post-COVID-19 patients often experience impaired balance and reduced physical capacity. It is important to implement a rehabilitation program that eliminates the side effects of COVID-19 and allows for significant improvement in the patient’s functionality. The aim of our study was to assess patient functionality after a 6-week rehabilitation program on balance, foot pressure distribution, and physical capacity in post-COVID-19 patients. Methods: The clinical study group consisted of 53 people 3 months after COVID-19 infection, confirmed by a positive PCR test. Exclusion from the study included people with comorbidities that impaired balance and gait. The patients underwent a posturographic assessment—Romberg test, a baropodometric assessment—static and dynamic, and a performance assessment—a 6 min walk test determining shortness of breath on the mMRC scale, blood pressure, heart rate, and saturation. Patients participated in rehabilitation until the sixth week, after which they were assessed again. Comparisons were made using IBM SPSS Statistics 27.0 software using the Wilcoxon pairwise order test, at a significance level of p < 0.05. Results: The result of the postural control assessment showed an improvement in the ability to maintain the centre of gravity in terms of the foot support area—statistical decreases were observed in the ellipse area, from 745.28 mm2 to 453.52 mm2 (p = 0.009), as well as maximum (from 3133.5 gr/cm2 to 2994.2 gr/cm2; p = 0.065) and average load on the left foot (from 1010.1 gr/cm2 to 969.38 gr/cm2; p = 0.028). In the 6 min walk test before and after exercise, the heart rate decreased after the therapy (shortness of breath on the mMRC scale also decreased from 79.12 to 74.95). This means that patients achieved better physical fitness and efficiency. Conclusions: Rehabilitation significantly improved balance, as measured by a decrease in ellipse area during the Romberg test.

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Section: Discussionmentioning

confidence: 99%

Clinical and Functional Effects of Rehabilitation of Patients after COVID-19 Infection

Dzięcioł-Anikiej,

Kuryliszyn-Moskal,

Pociene

et al. 2024

JCM

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Influence of Gestational Age on Pelvic Floor Muscle Activity, Plantar Contact, and Functional Mobility in High-Risk Pregnant Women: A Cross-Sectional Study

Furtado,

Azevedo,

Galhardo

et al. 2024

Sensors

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During pregnancy, biomechanical changes are observed due to hormonal and physical modifications, which can lead to alterations in the curvature of the spine, balance, gait patterns, and functionality of the pelvic floor muscles. This study aimed to investigate the progressive impact of biomechanical changes that occur during gestational weeks on the myoelectric activity of the pelvic floor muscles, plantar contact area, and functional mobility of high-risk pregnant women. Methods: This was a cross-sectional observational study carried out from November 2022 to March 2023. A total of 62 pregnant women of different gestational ages with high-risk pregnancies were analyzed using surface electromyography to assess the functionality of the pelvic floor muscles, plantigraphy (Staheli index and plantar contact area), and an accelerometer and gyroscope using the timed up and go test via an inertial sensor on a smartphone. Descriptive statistics and multivariate linear regression analyses were carried out to test the predictive value of the signature. Results: Increasing weeks of gestation resulted in a decrease in the RMS value (β = −0.306; t = −2.284; p = 0.026) according to the surface electromyography analyses. However, there was no association with plantar contact (F (4.50) = 0.697; p = 0.598; R2 = 0.53). With regard to functional mobility, increasing weeks of gestation resulted in a decrease in time to standing (β = −0.613; t = −2.495; p = 0.016), time to go (β = −0.513; t = −2.264; p = 0.028), and first gyrus peak (β = −0.290; t = −2.168; p = 0.035). However, there was an increase in the time to come back (β = 0.453; t = 2.321; p = 0.025) as the number of gestational weeks increased. Conclusions: Increased gestational age is associated with a reduction in pelvic floor myoelectric activity. The plantar contact area did not change over the weeks. Advancing gestation was accompanied by a decrease in time to standing, time to go, and first gyrus peak, as well as an increase in time to come back.

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

Cited by 2 publications

References 51 publications

Clinical and Functional Effects of Rehabilitation of Patients after COVID-19 Infection

Clinical and Functional Effects of Rehabilitation of Patients after COVID-19 Infection

Influence of Gestational Age on Pelvic Floor Muscle Activity, Plantar Contact, and Functional Mobility in High-Risk Pregnant Women: A Cross-Sectional Study

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