Gençtürk Ertuğrul, Taşcı Betül, Yılmaz Oğuz, Altın Gökhan, Şerbetçioğlu Mustafa Bülent
Department of Audiometry, Plato Vocational School, Istanbul Topkapı University, Zeytinburnu, Istanbul, Turkey.
Department of Audiology, Institute of Health Sciences, Istanbul Medipol University, Kavacik/ Istanbul, Turkey.
Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):5631-5638. doi: 10.1007/s12070-024-05048-1. Epub 2024 Sep 11.
The study aimed to examine postural stability changes in individuals who have recovered from COVID-19 infection.
Fifty patients who recovered from the COVID-19 infection and 50 healthy controls were compared using the dizziness handicap inventory (DHI), a modified clinical test of sensory interaction balance (mCTSIB), limits of stability (LOS), rhythmic weight shift (RWS), and Romberg and fall risk (FR) tests.
Regarding mCTSIB, regardless of gender patients, female patients, or male patients, there were no significant differences from controls ( > 0.05). There was a significant difference in LOS between the patients and controls regarding ( < 0.05) in some parameters. There was a significant difference between the patients and controls concerning RWS ( < 0.05) for some parameters. There was a significant difference between the patients and controls regarding the Romberg test in some parameters ( < 0.05). There was no statistically significant difference between the patients and control groups regarding FR.
Studies in which the effects of COVID-19 infection sequels have been evaluated on the vestibular system in the literature are subjective. The main concern is the prevalence of dizziness or vertigo in subjective studies. There may be a decrease in postural reflexes in female individuals who recovered from the COVID-19 infection in this study, thanks to the objective test measurement. Increased oscillations with eyes closed on regular ground and soft ground in the Romberg test may likely indicate vestibular problems.
本研究旨在检测新冠病毒感染康复者的姿势稳定性变化。
使用头晕残障量表(DHI)、改良的感觉交互平衡临床测试(mCTSIB)、稳定性极限(LOS)、节律性体重转移(RWS)以及罗姆伯格和跌倒风险(FR)测试,对50名新冠病毒感染康复患者和50名健康对照者进行比较。
关于mCTSIB,无论患者总体、女性患者还是男性患者,与对照组相比均无显著差异(P>0.05)。在某些参数方面,患者与对照组在LOS上存在显著差异(P<0.05)。在某些参数方面,患者与对照组在RWS上存在显著差异(P<0.05)。在某些参数方面,患者与对照组在罗姆伯格测试上存在显著差异(P<0.05)。患者与对照组在FR方面无统计学显著差异。
文献中评估新冠病毒感染后遗症对前庭系统影响的研究具有主观性。主要问题在于主观研究中头晕或眩晕的发生率。通过本研究中的客观测试测量,新冠病毒感染康复的女性个体可能存在姿势反射下降的情况。罗姆伯格测试中在正常地面和软地面闭眼时振荡增加可能表明存在前庭问题。