Lena Rafsten, Alexandra Larsson, Annie Palstam, Hanna Persson
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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. 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引用次数: 0
摘要
目的：本研究的目的是调查COVID-19患者出院后1年内的姿势平衡和功能性肌肉力量，并根据年龄、性别和医院护理水平确定可能的差异。设计：前瞻性纵向研究。受试者：共纳入164名受试者。方法：评估体位平衡、腿部功能力量和手部功能力量。随时间的变化和组间差异进行了调查。结果：在1年的随访中，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）也得到改善。在重症监护病房（ICU）接受治疗的参与者在出院1年后出现手部功能性肌肉力量受损，但腿部没有。出院时优势手的功能性肌肉力量、年龄和以前的身体活动水平与出院后1年优势手的功能性肌肉力量受损程度增加有关。结论：从出院到随访1年，COVID-19患者的功能肌力和姿势平衡均有明显改善，但近一半患者在COVID-19住院1年后仍有功能肌力受损。试验注册：FoU i Sverige（瑞典研发，注册号：274476，注册日期：2020-05-28）。
Postural balance and functional muscle strength in the hands and legs one year after hospitalisation due to COVID-19.
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).
期刊介绍：
Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year.
Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.
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