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 4 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

View full text Add to dashboard Cite

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Smartphone-Based Balance Assessment Using Machine Learning

Nassajpour,

Shuqair,

Rosenfeld

et al. 2024

2024 46th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC)

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The Tinetti Balance Test Is an Effective Predictor of Functional Decline in Non-Hospitalized Post-COVID-19 Individuals: A Cross-Sectional Study

Bastos,

Ferreira,

Lopes

et al. 2024

JCM

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Background/Objectives: Individuals with post-COVID-19 conditions risk developing short- and/or long-term neuromuscular impairments, including postural imbalance. However, there is limited evidence showing whether balance deficits are associated with declines in the functional status in post-COVID-19 individuals. This study examined postural balance in non-hospitalized post-COVID-19 individuals using different assessment tools and tested the most relevant balance tools in predicting functional status. Methods: This cross-sectional study enrolled 60 adults split into control (n = 30) and post-COVID-19 (n = 30) groups. Postural balance was assessed in both groups using the Functional Reach Test (FRT), Berg Balance Scale (BBS), Timed Up and Go (TUG), Tinetti Balance Test (Tinetti), and Mini-BESTest (MBT). Functional status in the post-COVID-19 group was assessed using post-COVID-19 functional status (PCFS). Results: Significant differences in postural stability between groups were found only for the FRT. All balance tests showed a statistically significant correlation with PCFS in the post-COVID-19 group, with better performance in all tests being associated with better functional status: Tinetti (r = −0.584), FRT (r = −0.542), MBT (r = −0.530), BBS (r = −0.415) and TUG (r = 0.368). Tinetti was the independent variable that significantly played an important role in determining PCFS (adjusted R2 = 0.318, p < 0.001). Conclusions: Post-COVID-19 functional status is best determined by the Tinetti Balance Test, making it an effective tool for assessing postural balance deficits in this population, with potential implications for postural control assessment and rehabilitation.

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

Cited by 4 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

Smartphone-Based Balance Assessment Using Machine Learning

The Tinetti Balance Test Is an Effective Predictor of Functional Decline in Non-Hospitalized Post-COVID-19 Individuals: A Cross-Sectional Study

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