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Erschienen in:

11.09.2024 | Original Article

Investigation of Postural Stability in Patients Individuals Who Have Recovered COVID-19

verfasst von: Ertuğrul Gençtürk, Betül Taşcı, Oğuz Yılmaz, Gökhan Altın, Mustafa Bülent Şerbetçioğlu

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Ausgabe 6/2024

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Abstract

Objective

The study aimed to examine postural stability changes in individuals who have recovered from COVID-19 infection.

Methods

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.

Results

Regarding mCTSIB, regardless of gender patients, female patients, or male patients, there were no significant differences from controls (p > 0.05). There was a significant difference in LOS between the patients and controls regarding (p < 0.05) in some parameters. There was a significant difference between the patients and controls concerning RWS (p < 0.05) for some parameters. There was a significant difference between the patients and controls regarding the Romberg test in some parameters (p < 0.05). There was no statistically significant difference between the patients and control groups regarding FR.

Conclusion

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.
Literatur
1.
Zurück zum Zitat WHO (2020) Coronavirus disease (COVID-19) outbreak. Mar WHO (2020) Coronavirus disease (COVID-19) outbreak. Mar
2.
Zurück zum Zitat WHO (2020) Coronavirus disease (COVID-19) pandemic. Apr WHO (2020) Coronavirus disease (COVID-19) pandemic. Apr
3.
Zurück zum Zitat Wu Y, Xu X, Chen Z, Duan J, Hashimoto K, Yang L et al (2020) Nervous system involvement after infection with COVID-19 and other coronaviruses. Brain Behav Immun 87:18–22CrossRefPubMedPubMedCentral Wu Y, Xu X, Chen Z, Duan J, Hashimoto K, Yang L et al (2020) Nervous system involvement after infection with COVID-19 and other coronaviruses. Brain Behav Immun 87:18–22CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y et al (2020) Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 395(10223):497–506CrossRefPubMedPubMedCentral Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y et al (2020) Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 395(10223):497–506CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Vacchiano V, Riguzzi P, Volpi L, Tappatà M, Avoni P, Rizzo G et al (2020) Early neurological manifestations of hospitalized COVID-19 patients. Neurol Sci 41(8):2029–2031CrossRefPubMedPubMedCentral Vacchiano V, Riguzzi P, Volpi L, Tappatà M, Avoni P, Rizzo G et al (2020) Early neurological manifestations of hospitalized COVID-19 patients. Neurol Sci 41(8):2029–2031CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Almufarrij I, Munro KJ (2021) One year on: an updated systematic review of SARS-CoV-2, COVID-19 and audio-vestibular symptoms. Int J Audiol 60(12):935–945CrossRefPubMed Almufarrij I, Munro KJ (2021) One year on: an updated systematic review of SARS-CoV-2, COVID-19 and audio-vestibular symptoms. Int J Audiol 60(12):935–945CrossRefPubMed
7.
Zurück zum Zitat Lang B, Hintze J, Conlon B (2020) Coronavirus disease 2019 and sudden sensorineural hearing loss. J Laryngology Otology 134(11):1026–1028CrossRef Lang B, Hintze J, Conlon B (2020) Coronavirus disease 2019 and sudden sensorineural hearing loss. J Laryngology Otology 134(11):1026–1028CrossRef
8.
Zurück zum Zitat Chandrasekhar SS, Tsai Do BS, Schwartz SR, Bontempo LJ, Faucett EA, Finestone SA et al (2019) Clinical practice Guideline: sudden hearing loss (update). Otolaryngology–Head Neck Surg 161(1suppl):S1–45 Chandrasekhar SS, Tsai Do BS, Schwartz SR, Bontempo LJ, Faucett EA, Finestone SA et al (2019) Clinical practice Guideline: sudden hearing loss (update). Otolaryngology–Head Neck Surg 161(1suppl):S1–45
9.
Zurück zum Zitat Degen C, Lenarz T, Willenborg K (2020) Acute Profound Sensorineural hearing loss after COVID-19 pneumonia. Mayo Clin Proc 95(8):1801–1803CrossRefPubMed Degen C, Lenarz T, Willenborg K (2020) Acute Profound Sensorineural hearing loss after COVID-19 pneumonia. Mayo Clin Proc 95(8):1801–1803CrossRefPubMed
10.
Zurück zum Zitat Kong Z, Wang J, Li T, Zhang Z, Jian J (2020) 2019 novel coronavirus pneumonia with onset of dizziness: a case report. Annals Translational Med 8(7):506–506CrossRef Kong Z, Wang J, Li T, Zhang Z, Jian J (2020) 2019 novel coronavirus pneumonia with onset of dizziness: a case report. Annals Translational Med 8(7):506–506CrossRef
11.
Zurück zum Zitat Özçelik Korkmaz M, Eğilmez OK, Özçelik MA, Güven M (2021) Otolaryngological manifestations of hospitalized patients with confirmed COVID-19 infection. Eur Arch Otorhinolaryngol 278(5):1675–1685CrossRefPubMed Özçelik Korkmaz M, Eğilmez OK, Özçelik MA, Güven M (2021) Otolaryngological manifestations of hospitalized patients with confirmed COVID-19 infection. Eur Arch Otorhinolaryngol 278(5):1675–1685CrossRefPubMed
12.
Zurück zum Zitat Viola P, Ralli M, Pisani D, Malanga D, Sculco D, Messina L et al (2021) Tinnitus and equilibrium disorders in COVID-19 patients: preliminary results. Eur Arch Otorhinolaryngol 278(10):3725–3730CrossRefPubMed Viola P, Ralli M, Pisani D, Malanga D, Sculco D, Messina L et al (2021) Tinnitus and equilibrium disorders in COVID-19 patients: preliminary results. Eur Arch Otorhinolaryngol 278(10):3725–3730CrossRefPubMed
13.
Zurück zum Zitat García-Romo E, Blanco R, Nicholls C, Hernández-Tejero A, Fernández-de-Arévalo B (2021) COVID-19 presenting with nystagmus. Archivos De La Sociedad Española De Oftalmología. (English Edition) 96(4):224–226 García-Romo E, Blanco R, Nicholls C, Hernández-Tejero A, Fernández-de-Arévalo B (2021) COVID-19 presenting with nystagmus. Archivos De La Sociedad Española De Oftalmología. (English Edition) 96(4):224–226
14.
Zurück zum Zitat Han W, Quan B, Guo Y, Zhang J, Lu Y, Feng G et al (2020) The course of clinical diagnosis and treatment of a case infected with coronavirus disease 2019. J Med Virol 92(5):461–463CrossRefPubMedPubMedCentral Han W, Quan B, Guo Y, Zhang J, Lu Y, Feng G et al (2020) The course of clinical diagnosis and treatment of a case infected with coronavirus disease 2019. J Med Virol 92(5):461–463CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Maharaj S, Hari K (2020) Congenital Inner Ear Abnormalities and COVID-19-Related Ear Infections. Ear, Nose & Throat Journal. ;014556132096893 Maharaj S, Hari K (2020) Congenital Inner Ear Abnormalities and COVID-19-Related Ear Infections. Ear, Nose & Throat Journal. ;014556132096893
16.
Zurück zum Zitat Malayala Sv, Raza A (2020) A Case of COVID-19-Induced Vestibular Neuritis. Cureus Malayala Sv, Raza A (2020) A Case of COVID-19-Induced Vestibular Neuritis. Cureus
17.
Zurück zum Zitat Vanaparthy R, Malayala S, v, Balla M (2020) COVID-19-Induced Vestibular Neuritis, Hemi-Facial Spasms and Raynaud’s Phenomenon: A Case Report. Cureus Vanaparthy R, Malayala S, v, Balla M (2020) COVID-19-Induced Vestibular Neuritis, Hemi-Facial Spasms and Raynaud’s Phenomenon: A Case Report. Cureus
18.
Zurück zum Zitat Peterka RJ (2018) Sensory integration for human balance control. p. 27–42 Peterka RJ (2018) Sensory integration for human balance control. p. 27–42
19.
Zurück zum Zitat Gallus R, Melis A, Rizzo D, Piras A, de Luca LM, Tramaloni P et al (2021) Audiovestibular symptoms and sequelae in COVID-19 patients. J Vestib Res 31(5):381–387CrossRefPubMed Gallus R, Melis A, Rizzo D, Piras A, de Luca LM, Tramaloni P et al (2021) Audiovestibular symptoms and sequelae in COVID-19 patients. J Vestib Res 31(5):381–387CrossRefPubMed
20.
Zurück zum Zitat Yılmaz O, Mutlu BÖ, Yaman H, Bayazıt D, Demirhan H, Bayazıt YA (2021) Assessment of balance after recovery from COVID-19 disease. Auris Nasus Larynx Yılmaz O, Mutlu BÖ, Yaman H, Bayazıt D, Demirhan H, Bayazıt YA (2021) Assessment of balance after recovery from COVID-19 disease. Auris Nasus Larynx
21.
Zurück zum Zitat Allison L (2006) Balance Disorders. 3rd ed. Sasser M, editor. Mosby-Year Book, 802–837 Allison L (2006) Balance Disorders. 3rd ed. Sasser M, editor. Mosby-Year Book, 802–837
22.
Zurück zum Zitat Mancini M, Carlson-Kuhta P, Zampieri C, Nutt JG, Chiari L, Horak FB (2012) Postural sway as a marker of progression in Parkinson’s disease: a pilot longitudinal study. Gait Posture 36(3):471–476CrossRefPubMedPubMedCentral Mancini M, Carlson-Kuhta P, Zampieri C, Nutt JG, Chiari L, Horak FB (2012) Postural sway as a marker of progression in Parkinson’s disease: a pilot longitudinal study. Gait Posture 36(3):471–476CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Whitney SL, Roche JL, Marchetti GF, Lin C-C, Steed DP, Furman GR et al (2011) A comparison of accelerometry and center of pressure measures during computerized dynamic posturography: a measure of balance. Gait Posture 33(4):594–599CrossRefPubMedPubMedCentral Whitney SL, Roche JL, Marchetti GF, Lin C-C, Steed DP, Furman GR et al (2011) A comparison of accelerometry and center of pressure measures during computerized dynamic posturography: a measure of balance. Gait Posture 33(4):594–599CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Mancini M, Salarian A, Carlson-Kuhta P, Zampieri C, King L, Chiari L et al (2012) ISway: a sensitive, valid, and reliable measure of postural control. J Neuroeng Rehabil 9(1):59CrossRefPubMedPubMedCentral Mancini M, Salarian A, Carlson-Kuhta P, Zampieri C, King L, Chiari L et al (2012) ISway: a sensitive, valid, and reliable measure of postural control. J Neuroeng Rehabil 9(1):59CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Nashner LM (1997) In: Jacobson GBNCKJ (ed) Handbook of balance function testing. Singular Publishing Group; Delmar, pp 280–319 Nashner LM (1997) In: Jacobson GBNCKJ (ed) Handbook of balance function testing. Singular Publishing Group; Delmar, pp 280–319
26.
Zurück zum Zitat Bourelle S, Dey N, Sifaki-Pistolla D, Berge B, Gautheron V, Cottalorda J et al (2017) Computerized static posturography and laterality in children. Influence of age. Acta Bioeng Biomech 19(2):129–139PubMed Bourelle S, Dey N, Sifaki-Pistolla D, Berge B, Gautheron V, Cottalorda J et al (2017) Computerized static posturography and laterality in children. Influence of age. Acta Bioeng Biomech 19(2):129–139PubMed
27.
Zurück zum Zitat Disser NP, de Micheli AJ, Schonk MM, Konnaris MA, Piacentini AN, Edon DL et al (2020) Musculoskeletal consequences of COVID-19. J Bone Joint Surg 102(14):1197–1204CrossRefPubMed Disser NP, de Micheli AJ, Schonk MM, Konnaris MA, Piacentini AN, Edon DL et al (2020) Musculoskeletal consequences of COVID-19. J Bone Joint Surg 102(14):1197–1204CrossRefPubMed
28.
Zurück zum Zitat Kluenter H-D, Lang-Roth R, Guntinas-Lichius O (2009) Static and dynamic postural control before and after cochlear implantation in adult patients. Eur Arch Otorhinolaryngol 266(10):1521–1525CrossRefPubMed Kluenter H-D, Lang-Roth R, Guntinas-Lichius O (2009) Static and dynamic postural control before and after cochlear implantation in adult patients. Eur Arch Otorhinolaryngol 266(10):1521–1525CrossRefPubMed
29.
Zurück zum Zitat Maki BE, Holliday PJ, Topper AK (1991) Fear of falling and postural performance in the Elderly. J Gerontol 46(4):M123–M131CrossRefPubMed Maki BE, Holliday PJ, Topper AK (1991) Fear of falling and postural performance in the Elderly. J Gerontol 46(4):M123–M131CrossRefPubMed
30.
Zurück zum Zitat Delbaere K, Crombez G, van den Noortgate N, Willems T, Cambier D (2006) The risk of being fearful or fearless of falls in older people: an empirical validation. Disabil Rehabil 28(12):751–756CrossRefPubMed Delbaere K, Crombez G, van den Noortgate N, Willems T, Cambier D (2006) The risk of being fearful or fearless of falls in older people: an empirical validation. Disabil Rehabil 28(12):751–756CrossRefPubMed
31.
32.
Zurück zum Zitat Nieschalk M, Delank K-W, Stoll W (1995) Quantitative Auswertung Des Romberg-Testes. Laryngorhinootologie 74(08):489–494CrossRefPubMed Nieschalk M, Delank K-W, Stoll W (1995) Quantitative Auswertung Des Romberg-Testes. Laryngorhinootologie 74(08):489–494CrossRefPubMed
33.
Zurück zum Zitat Physio Sensing Clinical (2018) Practice Manual Balance Assessment & Training. Sensing Future Technologies. Portugal Physio Sensing Clinical (2018) Practice Manual Balance Assessment & Training. Sensing Future Technologies. Portugal
Metadaten
Titel
Investigation of Postural Stability in Patients Individuals Who Have Recovered COVID-19
verfasst von
Ertuğrul Gençtürk
Betül Taşcı
Oğuz Yılmaz
Gökhan Altın
Mustafa Bülent Şerbetçioğlu
Publikationsdatum
11.09.2024
Verlag
Springer India
Erschienen in
Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe 6/2024
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-024-05048-1

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