Open AccessBalance performance in patients with post-acute COVID-19 compared to patients with an acute exacerbation of chronic obstructive pulmonary disease and healthy subjects
Author(s) -
Marica Giardini,
Ilaria Arcolin,
Simone Guglielmetti,
Marco Godi,
A Capelli,
Stefano Corna
Publication year - 2021
Publication title -
international journal of rehabilitation research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.452
H-Index - 52
eISSN - 1473-5660
pISSN - 0342-5282
DOI - 10.1097/mrr.0000000000000510
Subject(s) - sequela , medicine , exacerbation , balance (ability) , dynamic balance , covid-19 , rehabilitation , disease , physical therapy , pulmonary rehabilitation , pulmonary disease , physical medicine and rehabilitation , surgery , physics , quantum mechanics , infectious disease (medical specialty)
COVID-19 leaves important sequelae in patients, not only in those who had the experience of a critical illness but also in patients with severe form. Understanding the impairments allows us to target rehabilitation to patients' real needs; balance impairments are an assumed sequela of COVID-19, but no study has specifically evaluated balance performance in these patients. Their performance was compared to that of patients with a pulmonary disease that leads to systemic diseases, such as patients with an acute exacerbation of chronic obstructive pulmonary disease (PwAECOPD), and of healthy subjects. A total of 75 subjects were assessed: 25 patients with COVID-19 (PwCOVID) with a severe form in the acute phase, 25 PwAECOPD and 25 healthy subjects sex- and age-matched. A stabilometric platform was used to evaluate static balance, both with eyes open and closed, while the dynamic balance was assessed with the Mini-BESTest and the Timed Up and Go test. When compared to healthy subjects, results showed that PwCOVID had worse performance in both static (P < 0.005) and dynamic (P < 0.0001) balance, with a large effect size in all measures (>0.8). Moreover, PwCOVID showed similar results to those of PwAECOPD. In conclusion, PwCOVID showed a balance deficit in both dynamic and static conditions. Therefore, as for PwAECOPD, they should require not only respiratory rehabilitation but also balance and mobility physiotherapy to prevent today's PwCOVID from becoming tomorrow's fallers.