Psychomotor and neurofunctional aspects after COVID-19.

IF 3.8 4区 医学 Q1 Medicine
Acta Neuropsychiatrica Pub Date : 2023-10-01 Epub Date: 2023-01-06 DOI:10.1017/neu.2023.2
Lara L W Chiminazzo, Thiago Berti Kirsten
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引用次数: 0

Abstract

Objective: The pandemic caused by the coronavirus disease 2019 (COVID-19, SARS-CoV-2 virus) has infected more than 646 million people and caused more than 6.6 million deaths worldwide (December/2022). It is surprising that a virus that affects airways can trigger neurological manifestations. The aim of this study was to create and apply specific questionnaires/evaluations for post-COVID-19 patients to profile any neurofunctional sequelae.

Methods: Epidemiological and psychomotor aspects as well as the intensity of cognitive, memory, attention, and concentration impairment were assessed. A total of 184 subjects post-COVID-19 and a control group (n = 30) were evaluated.

Results: The most prevalent blood types in the COVID-19 group were the same as those from control group and in Brazilian population (no influence). Loss of smell/taste and headache were the most common reported symptoms. Talking about psychomotor and neurofunctional aspects, COVID-19 induced marked impairments in the tests: fine motor development (diadochokinesis, puppets, fan, and knead paper); balance (immobility, static balance, feet in line, and persistence); episodic memory after distractors; verbal fluency; and clock, compared to the control group data. There was also marked increase of synkinesis. Therefore, COVID-19 induced impairments in psychomotor assessments and in different cognitive aspects of the Mini-Mental State Examination. These results are more surprising considering that most participants did not report pre-existing disease and did not require hospitalisation.

Conclusion: COVID-19 induced psychomotor, neurofunctional, and memory impairments, including in young and healthy subjects. The present study revealed neurological impairments, which should be considered in the development of rehabilitation protocols for patients affected by COVID-19.

COVID-19后的精神运动和神经功能方面。
目的:由2019冠状病毒病(COVID-19, SARS-CoV-2病毒)引起的大流行已导致全球超过6.46亿人感染,660多万人死亡(12月/2022)。令人惊讶的是,一种影响呼吸道的病毒可以引发神经系统症状。本研究的目的是为covid -19后患者创建和应用特定的问卷/评估,以描述任何神经功能后遗症。方法:从流行病学和精神运动学角度,以及认知、记忆、注意力和注意力障碍的程度进行评估。共对184名新冠肺炎后患者和30名对照组进行评估。结果:COVID-19组中最流行的血型与对照组和巴西人群相同(无影响)。嗅觉/味觉丧失和头痛是最常见的报告症状。在精神运动和神经功能方面,COVID-19在测试中引起了明显的损伤:精细运动发育(运动、木偶、扇子和揉纸);平衡(不动,静态平衡,双脚成直线,坚持);干扰后情景记忆;语言流畅;与对照组的数据相比。联胞现象也明显增加。因此,COVID-19导致的精神运动评估和不同认知方面的精神状态检查障碍。考虑到大多数参与者没有报告先前存在的疾病,也不需要住院治疗,这些结果更令人惊讶。结论:COVID-19诱导精神运动、神经功能和记忆障碍,包括年轻和健康受试者。本研究揭示了神经损伤,在制定COVID-19患者康复方案时应考虑到这一点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta Neuropsychiatrica
Acta Neuropsychiatrica 医学-精神病学
CiteScore
8.50
自引率
5.30%
发文量
30
审稿时长
6-12 weeks
期刊介绍: Acta Neuropsychiatrica is an international journal focussing on translational neuropsychiatry. It publishes high-quality original research papers and reviews. The Journal''s scope specifically highlights the pathway from discovery to clinical applications, healthcare and global health that can be viewed broadly as the spectrum of work that marks the pathway from discovery to global health.
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