COVID-19康复后社区居住老年人的平衡与跌倒风险评估：一项横断面研究
Balance and Fall Risk Assessment in Community-Dwelling Older Adults after Recovery from COVID-19: A Cross-Sectional Study.
作者信息
El-Bagalaty Amira E, Mohamed Mariam El-Sayed, Abdelraouf Osama R, Abdel Ghafar Mohamed A, Abdelaal Alshaimaa K, Abdelgalil Abdelgalil A, Mousa Gihan S
机构信息
Department of Physical Therapy for Pediatric, Faculty of Physical Therapy, Cairo University, Giza 12613, Egypt.
Department of Physical Therapy for Cardiovascular/Respiratory Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza 12613, Egypt.
出版信息
Sports (Basel). 2023 Jan 28;11(2):28. doi: 10.3390/sports11020028.
BACKGROUND
SARS-CoV-2 atypical symptoms in older persons include falls, confusion, dizziness, and unusual weariness. Falls and their consequences are among the most prevalent causes of disability among older adults, significantly lowering quality of life and resulting in the loss of independence as well as impaired psychosocial functioning. The study purpose was to examine the impact of the SARS-CoV-2 infectious disease on balance in community-dwelling older adults.
METHODS
Sixty-four older adults aged ≥ 60 years from both sexes, 31 treated for SARS-CoV-2 infection and 33 matched normal controls participated in the study. The Biodex Stability System (BSS) and Berg Balance Scale (BBS) were used for evaluation of balance and fall risk. The correlation between the Biodex overall stability index and the Berg Balance Scale score was investigated.
RESULTS
When compared to controls, the SARS-CoV-2 group had significantly higher values of the Biodex overall stability index (OSI) ( = 0.011), anterior-posterior stability index (APSI) ( = 0.013), mediolateral stability index (MLSI) ( = 0.018), and fall risk index (FRI) ( = 0.008), as well as statistically lower scores on the Berg balance scale ( = 0.003). A moderate negative correlation was found between the two assessment tools in the SARS-CoV-2 group.
CONCLUSION
Balance impairment and an increased risk of falling are among the outcomes of SARS-CoV-2 in community-dwelling older adults.
背景
老年人感染新型冠状病毒2（SARS-CoV-2）的非典型症状包括跌倒、意识模糊、头晕和异常疲劳。跌倒及其后果是老年人残疾的最常见原因之一，显著降低生活质量，导致失去独立性以及心理社会功能受损。本研究的目的是探讨SARS-CoV-2传染病对社区居住老年人平衡能力的影响。
方法
64名年龄≥60岁的老年人参与了本研究，其中31名接受了SARS-CoV-2感染治疗，33名匹配的正常对照者。使用Biodex平衡系统（BSS）和伯格平衡量表（BBS）评估平衡能力和跌倒风险。研究了Biodex整体稳定性指数与伯格平衡量表评分之间的相关性。
结果
与对照组相比，SARS-CoV-2组的Biodex整体稳定性指数（OSI）（P = 0.011）、前后稳定性指数（APSI）（P = 0.013）、内外侧稳定性指数（MLSI）（P = 0.018）和跌倒风险指数（FRI）（P = 0.008）值显著更高，而伯格平衡量表评分在统计学上更低（P = 0.003）。在SARS-CoV-2组中，两种评估工具之间发现了中度负相关。
结论
平衡能力受损和跌倒风险增加是社区居住老年人感染SARS-CoV-2的后果之一。
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