Dos Santos Patty K, Sigoli Emilly, Bragança Lorenna J G, Cornachione Anabelle S
Muscle Physiology and Biophysics Laboratory, Department of Physiological Sciences, Federal University of São Carlos (UFSCar), São Carlos, Brazil.
Front Physiol. 2022 Mar 18;13:813924. doi: 10.3389/fphys.2022.813924. eCollection 2022.
COVID-19, a disease caused by the novel coronavirus SARS-CoV-2, has been drastically affecting the daily lives of millions of people. COVID-19 is described as a multiorgan disease that affects not only the respiratory tract of infected individuals, but it has considerable effects on the musculoskeletal system, causing excessive fatigue, myalgia, arthralgia, muscle weakness and skeletal muscle damage. These symptoms can persist for months, decreasing the quality of life of numerous individuals. Curiously, most studies in the scientific literature focus on patients who were hospitalized due to SARS-CoV-2 infection and little is known about the mechanism of action of COVID-19 on skeletal muscles, especially of individuals who had the mild to moderate forms of the disease (non-hospitalized patients). In this review, we focus on the current knowledge about the musculoskeletal system in COVID-19, highlighting the lack of researches investigating the mild to moderate cases of infection and pointing out why it is essential to care for these patients. Also, we will comment about the need of more experimental data to assess the musculoskeletal manifestations on COVID-19-positive individuals.
新冠病毒病(COVID-19)是由新型冠状病毒SARS-CoV-2引起的一种疾病,已对数以百万计的人们的日常生活产生了巨大影响。COVID-19被描述为一种多器官疾病,它不仅会影响受感染个体的呼吸道,还会对肌肉骨骼系统产生相当大的影响,导致过度疲劳、肌痛、关节痛、肌肉无力和骨骼肌损伤。这些症状可能会持续数月,降低众多患者的生活质量。奇怪的是,科学文献中的大多数研究都集中在因SARS-CoV-2感染而住院的患者身上,而对于COVID-19对骨骼肌的作用机制知之甚少,尤其是对患有轻度至中度形式疾病的个体(非住院患者)。在这篇综述中,我们聚焦于目前关于COVID-19中肌肉骨骼系统的知识,强调缺乏对轻度至中度感染病例的研究,并指出为何关注这些患者至关重要。此外,我们将讨论需要更多实验数据来评估COVID-19阳性个体的肌肉骨骼表现。