Motor and Sensory Balance Deficits in Individuals Immediately After COVID-19, a Cohort Study
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2023-09-20
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<jats:sec> <jats:title>Background and Purpose:</jats:title> <jats:p>Individuals with cardiorespiratory dysfunction demonstrate postural instability and increased risk of falls. Given that coronavirus disease (COVID-19) is commonly defined as a respiratory condition, it could be presumed that these patients may demonstrate similar balance deficits. This study aimed to determine deficits and characterize balance dysfunction (sensory or motor) in hospitalized patients classified as “COVID-19 recovered.”</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>Twenty-five participants consented for this study. Participants completed the Activity-Specific Balance Confidence Scale (ABC), a questionnaire about dizziness, the Timed “Up & Go” (TUG), and the modified Clinical Test of Sensory Interaction and Balance in a single session. The percentage of subjects who scored abnormal on the outcome measures was calculated. Correlations between demographics, respiratory function, and clinical outcome measures were determined using Spearman correlation coefficient.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>All participants had abnormal scores on the TUG, 88% had abnormal scores on the ABC, and 48% of the subjects had abnormal scores on standing on foam eyes closed indicating difficulty using vestibular information. No correlation coefficient above 0.50 was found between the demographic information, respiratory function, and clinical outcome measures.</jats:p> </jats:sec> <jats:sec> <jats:title>Discussion:</jats:title> <jats:p>Clinical outcome measure scores did not correlate with respiratory function indicating that the deficits may be due to the extrapulmonary components of COVID-19.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion:</jats:title> <jats:p>Both young and older adults presented with motor and sensory balance deficits acutely after COVID-19 infection. It is recommended that individuals acutely post–COVID-19 receive education and interventions to increase mobility, improve balance, decrease fall risk, and specifically receive activities that stimulate the vestibular system.</jats:p> </jats:sec>
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Wrisley, Diane M, Eder A Garavito, Brittany Jones, Tamara Klintworth-Kirk and Ashley K Poole (2023). Motor and Sensory Balance Deficits in Individuals Immediately After COVID-19, a Cohort Study. Cardiopulmonary Physical Therapy Journal. 10.1097/cpt.0000000000000238 Retrieved from https://hdl.handle.net/10161/29078.
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Ashley K. Poole
Dr. Poole is an Assistant Professor in the Department of Orthopaedic Surgery and Doctor of Physical Therapy Division. She is a board-certified clinical specialist in cardiovascular and pulmonary physical therapy, and her primary practice area is acute care. She has specific expertise in the care and management of patients with cardiovascular and pulmonary disorders, especially patients who are medically complex or in critical care.
Dr. Poole is actively involved at the national and state level. She serves as a delegate for the American Physical Therapy Association’s national House of Delegates and as secretary for the Academy of Education’s Academic Faculty Special Interest Group. She also co-hosts “Acute Conversations,” the official podcast of APTA-Acute Care. She co-chairs the Acute Care Core Outcome Measures Knowledge Translation Task Force and is a member of the APTA Cross-Academy COVID-19 Core Outcome Measure Task Force. Currently, she is working with a team to revise a clinical practice guideline for the management of individuals with heart failure. She was also on the leadership team that authored “Adult Vital Sign Interpretation in Acute Care Guide” which was developed by a joint task force of APTA Acute Care and the Academy of Cardiovascular & Pulmonary Physical Therapy.
Unless otherwise indicated, scholarly articles published by Duke faculty members are made available here with a CC-BY-NC (Creative Commons Attribution Non-Commercial) license, as enabled by the Duke Open Access Policy. If you wish to use the materials in ways not already permitted under CC-BY-NC, please consult the copyright owner. Other materials are made available here through the author’s grant of a non-exclusive license to make their work openly accessible.