People with Long Covid and ME/CFS Exhibit Similarly Impaired Balance and Physical Capacity: A Case-Case-Control Study

Hayes, Lawrence D.; Sanal-Hayes, Nilihan E. M.; McLaughlin, Marie; Berry, Elizabeth W.; Sculthorpe, Nicholas

doi:10.1016/j.amjmed.2023.06.028

Cited by 9 publications

(2 citation statements)

References 58 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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“…The test is simple, easy to apply, and safe for the evaluation of elderly. It only requires a timer and a ruler as equipment and the test execution takes about 15 minutes [16][17][18][19].…”

Section: Open Access Journal Of Gerontology and Geriatric Medicinementioning

confidence: 99%

Risk of Fall, Cognition and Static Posture in Aging

JS,

et al. 2022

OAJGGM

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Introduction:The elderly with impaired cognition may have mobility deficits, slowing of movements, behavioral changes and shorter reaction time in the face of imbalances, predisposing them to falls. In addition, with aging, joint flexibility is reduced, resulting in postural deviations and limitation of mobility in elderly, making it difficult to maintain static balance and safe gait. Objective:To analyze the relationship between the risk of falls, cognitive performance and static posture in aging.Method: 107 subjects participated in this research, aged between 60 and 89 years, divided into 2 groups: the first formed by 54 individuals who practice water aerobics and the second composed of 53 elderly people participating in a computer program. For data collection, the following instruments were used: Mini Mental State Examination, Fall Efficacy Scale, Berg Balance Scale and Postural Assessment Software (SAPO). Results:The results showed satisfactory means for the scales used. Furthermore, it was observed that the risk of falls is directly related to the angle of thoracic kyphosis and ankle angle. An indirect relationship between the risk of falls and the self-efficacy of falls and vertical head alignment was also identified (R2: 0.367). Conclusion:There was a significant relationship between the risk of falls, cognition and static posture in elderly people. Based on the findings of the present study, it is possible to develop measures to prevent falls in the elderly.

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Illness presentation and quality of life in myalgic encephalomyelitis/chronic fatigue syndrome and post COVID-19 condition: a pilot Australian cross-sectional study

Weigel,

Eaton-Fitch,

Thapaliya

et al. 2024

Qual Life Res

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Purpose Post COVID-19 Condition (PCC), being persistent COVID-19 symptoms, is reminiscent of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)—a chronic multi-systemic illness characterised by neurocognitive, autonomic, endocrinological and immunological disturbances. This novel cross-sectional investigation aims to: (1) compare symptoms among people with ME/CFS (pwME/CFS) and people with PCC (pwPCC) to inform developing PCC diagnostic criteria; and (2) compare health outcomes between patients and people without acute or chronic illness (controls) to highlight the illness burdens of ME/CFS and PCC. Methods Sociodemographic and health outcome data were collected from n = 61 pwME/CFS, n = 31 pwPCC and n = 54 controls via validated, self-administered questionnaires, including the 36-Item Short-Form Health Survey version 2 (SF-36v2) and World Health Organization Disability Assessment Schedule version 2.0 (WHODAS 2.0). PwME/CFS and pwPCC also provided self-reported severity and frequency of symptoms derived from the Canadian and International Consensus Criteria for ME/CFS and the World Health Organization case definition for PCC. Results Both illness cohorts similarly experienced key ME/CFS symptoms. Few differences in symptoms were observed, with memory disturbances, muscle weakness, lymphadenopathy and nausea more prevalent, light-headedness more severe, unrefreshed sleep more frequent, and heart palpitations less frequent among pwME/CFS (all p < 0.05). The ME/CFS and PCC participants’ SF-36v2 or WHODAS 2.0 scores were comparable (all p > 0.05); however, both cohorts returned significantly lower scores in all SF-36v2 and WHODAS 2.0 domains when compared with controls (all p < 0.001). Conclusion This Australian-first investigation demonstrates the congruent and debilitating nature of ME/CFS and PCC, thereby emphasising the need for multidisciplinary care to maximise patient health outcomes.

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People with Long Covid and ME/CFS Exhibit Similarly Impaired Balance and Physical Capacity: A Case-Case-Control Study

Cited by 9 publications

References 58 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

Risk of Fall, Cognition and Static Posture in Aging

Illness presentation and quality of life in myalgic encephalomyelitis/chronic fatigue syndrome and post COVID-19 condition: a pilot Australian cross-sectional study

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