Department of Dermatology, Institute of Medical Sciences, Medical College of Rzeszow University, 35-055 Rzeszow, Poland.
Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, 40-065 Katowice, Poland.
Medicina (Kaunas). 2022 Feb 17;58(2):305. doi: 10.3390/medicina58020305.
: Some respiratory viruses demonstrate neurotropic capacities. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has recently taken over the globe, causing coronavirus disease 2019 (COVID-19). The aim of the study was to evaluate the impact of COVID-19 on postural control in subjects who have recently recovered from the infection. : Thirty-three convalescents who underwent COVID-19 within the preceding 2-4 weeks, and 35 healthy controls were enrolled. The ground reaction forces were registered with the use of a force platform during quiet standing. The analysis of the resultant center of foot pressure (COP) decomposed into rambling (RAMB) and trembling (TREMB) and sample entropy was conducted. : Range of TREMB was significantly increased in subjects who experienced anosmia/hyposmia during COVID-19 when the measurement was performed with closed eyes ( = 0.03). In addition, subjects who reported dyspnea during COVID-19 demonstrated significant increase of length and velocity of COP ( < 0.001), RAMB ( < 0.001), and TREMB ( < 0.001), indicating substantial changes in postural control. : Subjects who had experienced olfactory dysfunction or respiratory distress during COVID-19 demonstrate symptoms of balance deficits after COVID-19 recovery, and the analysis using rambling-trembling decomposition method might point at less efficient peripheral control. Monitoring for neurological sequelae of COVID-19 should be considered.
一些呼吸道病毒具有神经嗜性。严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)最近在全球流行,引起 2019 年冠状病毒病(COVID-19)。本研究旨在评估 COVID-19 对感染后近期康复患者的姿势控制的影响。
共纳入 33 名在过去 2-4 周内经历过 COVID-19 的恢复期患者和 35 名健康对照者。在安静站立时使用力平台记录地面反作用力。对所得的足底压力中心(COP)进行分解,分析漫游(RAMB)和颤抖(TREMB)以及样本熵。
在 COVID-19 期间出现嗅觉丧失/嗅觉减退的患者,闭眼时 TREMB 范围显著增加( = 0.03)。此外,在 COVID-19 期间报告呼吸困难的患者的 COP(长度和速度)( < 0.001)、RAMB( < 0.001)和 TREMB( < 0.001)显著增加,表明姿势控制发生了实质性变化。
在 COVID-19 期间出现嗅觉功能障碍或呼吸窘迫的患者在 COVID-19 康复后表现出平衡缺陷症状,使用漫游-颤抖分解方法的分析可能表明外周控制效率较低。应考虑监测 COVID-19 的神经系统后遗症。