新冠肺炎住院一年后手部和腿部的姿势平衡及功能性肌肉力量
Postural balance and functional muscle strength in the hands and legs one year after hospitalisation due to COVID-19.
作者信息
Rafsten Lena, Larsson Alexandra, Palstam Annie, Persson Hanna
机构信息
Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, Gothenburg, Sweden.
Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; School of Health and Welfare, Dalarna University, Falun. Sweden.
出版信息
J Rehabil Med. 2025 Jun 15;57:jrm42763. doi: 10.2340/jrm.v57.42763.
OBJECTIVE
The aim of the study was to investigate postural balance and functional muscle strength over 1 year following hospital discharge due to COVID-19 and identify possible differences depending on age, sex, and level of hospital care.
DESIGN
A prospective longitudinal study.
SUBJECTS
A total of 164 participants were included.
METHODS
Postural balance, functional leg strength, and functional hand strength were evaluated. Change over time and differences between groups were investigated.
RESULTS
At the 1-year follow-up postural balance was improved (p = 0.001), as well as strength in the hands (p = 0.001), and legs (p = 0.001). Participants treated at an intensive care unit (ICU) had impaired functional muscle strength in the hands but not in the legs 1 year after discharge. Functional muscle strength in dominant hand on discharge, age, and previous level of physical activity were associated with having more impaired functional muscle strength in the dominant hand 1 year after discharge.
CONCLUSION
Functional muscle strength and postural balance after COVID-19 improved significantly from discharge to the 1-year follow-up although nearly half of the patients still had impaired functional muscle strength 1 year after COVID-19 hospitalization.
TRIAL REGISTRATION
FoU i Sverige (Research & Development in Sweden, Registration number: 274476, registered 2020-05-28).
目的
本研究旨在调查因新冠肺炎出院后1年内的姿势平衡和功能性肌肉力量，并确定根据年龄、性别和医院护理水平可能存在的差异。
设计
一项前瞻性纵向研究。
研究对象
共纳入164名参与者。
方法
评估姿势平衡、腿部功能性力量和手部功能性力量。研究随时间的变化以及组间差异。
结果
在1年随访时，姿势平衡得到改善（p = 0.001），手部力量（p = 0.001）和腿部力量（p = 0.001）也有所改善。在重症监护病房（ICU）接受治疗的参与者在出院1年后手部功能性肌肉力量受损，但腿部未受损。出院时优势手的功能性肌肉力量、年龄和先前的身体活动水平与出院1年后优势手的功能性肌肉力量受损程度更大有关。
结论
新冠肺炎后从出院到1年随访时，功能性肌肉力量和姿势平衡有显著改善，尽管近一半的患者在新冠肺炎住院1年后仍有功能性肌肉力量受损。
试验注册
瑞典的FoU（瑞典的研究与开发，注册号：274476，于2020年5月28日注册）。
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