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Postural balance, mobility, and handgrip strength one year after hospitalization due to COVID-19.
de Godoy, Caroline Gil; Schmitt, Ana Carolina Basso; Ochiai, Gabriela Sayuri; Gouveia E Silva, Erika Christina; de Oliveira, Danielle Brancolini; da Silva, Elizabeth Mendes; de Carvalho, Celso Ricardo Fernandes; Junior, Carlos Toufen; D'Andre A Greve, Julia Maria; Hill, Keith; Pompeu, José Eduardo.
Afiliación
  • de Godoy CG; Department of Physical Therapy, Speech Therapy and Occupational Therapy, Medical School,University of São Paulo, 51, Cipotânea Street, São Paulo 05360-160, Brazil. Electronic address: caroline.gil@usp.br.
  • Schmitt ACB; Department of Physical Therapy, Speech Therapy and Occupational Therapy, Medical School,University of São Paulo, 51, Cipotânea Street, São Paulo 05360-160, Brazil. Electronic address: carolinaschmitt@usp.br.
  • Ochiai GS; Department of Physical Therapy, Speech Therapy and Occupational Therapy, Medical School,University of São Paulo, 51, Cipotânea Street, São Paulo 05360-160, Brazil. Electronic address: gabi.ochiai@usp.br.
  • Gouveia E Silva EC; Department of Physical Therapy, Speech Therapy and Occupational Therapy, Medical School,University of São Paulo, 51, Cipotânea Street, São Paulo 05360-160, Brazil. Electronic address: erikacgouveia@gmail.com.
  • de Oliveira DB; Department of Physical Therapy, Speech Therapy and Occupational Therapy, Medical School,University of São Paulo, 51, Cipotânea Street, São Paulo 05360-160, Brazil. Electronic address: danielle.brancolini@gmail.com.
  • da Silva EM; Department of Physical Therapy, Speech Therapy and Occupational Therapy, Medical School,University of São Paulo, 51, Cipotânea Street, São Paulo 05360-160, Brazil. Electronic address: beth.mendes87@gmail.com.
  • de Carvalho CRF; Department of Physical Therapy, Speech Therapy and Occupational Therapy, Medical School,University of São Paulo, 51, Cipotânea Street, São Paulo 05360-160, Brazil. Electronic address: cscarval@usp.br.
  • Junior CT; Pulmonology Division of Hearth Hospital - InCor. Hospital to School of Medicine, University of São Paulo, 44, Av. Dr. Enéas de Carvalho Aguiar, São Paulo 05403-900, Brazil. Electronic address: carlos.toufen@hc.fm.usp.br.
  • D'Andre A Greve JM; Laboratório de Estudos do Movimento, Institute of Orthopedics and Traumatology, Hospital to School of Medicine University of São Paulo, 333, R. Dr. Ovídio Pires de Campos, São Paulo 05403-010, Brazil. Electronic address: jmdgreve@gmail.com.
  • Hill K; Monash University - Peninsula Campus, Frankston, VIC, Australia. Electronic address: keith.hill@monash.edu.
  • Pompeu JE; Department of Physical Therapy, Speech Therapy and Occupational Therapy, Medical School,University of São Paulo, 51, Cipotânea Street, São Paulo 05360-160, Brazil. Electronic address: j.e.pompeu@usp.br.
Gait Posture ; 114: 14-20, 2024 Aug 22.
Article en En | MEDLINE | ID: mdl-39208539
ABSTRACT

BACKGROUND:

Symptoms such as impairment of postural balance, mobility and muscle strength can last up to 12 months post COVID-19 hospitalization, need to be better understood, as they can have repercussions in activities of daily living. RESEARCH QUESTION What happens to postural balance, mobility, and handgrip strength of COVID-19 patients after hospitalization?

METHODS:

A prospective cohort study was conducted with patients of both sexes, aged ≥18, admitted to hospital diagnosed with COVID-19. Outcomes were assessed at 1, 4, 6, and 12 months post-discharge, including postural balance - Brief-Balance Evaluation Systems Test, mobility - Timed "Up & Go" Test, and handgrip strength - dynamometry. Prevalence values of impaired postural balance and mobility and lower-than-expected handgrip strength were calculated by point estimate and 95 % confidence interval. Shapiro-Wilk test showed that our data did not have a normal distribution, so the Friedman Test and the test of proportions were used for the statistical analysis.

RESULTS:

Performance on postural balance was improved after four months of hospital discharge, but the improvement in mobility and handgrip strength only occurred after six months. After six months of discharge, the proportion of individuals with impairments began to decrease. A higher prevalence of impairments in postural balance and mobility occurred at one month post-discharge, which reduced over time. However, the values of impairments for postural balance and mobility were still high after 12 months of follow-up.

SIGNIFICANCE:

There was a high prevalence of postural balance and mobility impairment 1 month after discharge, which was still high 12 months after discharge. The prevalence of lower-than-expected handgrip strength demonstrated limited change over time. Results highlight the need for assessment of postural balance, mobility and hand grip strength in post COVID-19 related hospitalization protocols, and long-term physical therapy interventions to address these impairments when identified to improve long term outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Gait Posture Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Gait Posture Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido