Comparison of Balance Confidence in Older Adults With and Without Long-Haul COVID-19

The effects of long COVID-19 on balance and fall risk in older adults are unknown. This study aimed to explore the relationship between balance confidence/fall risk, as assessed by the Activities-Specific Balance Confidence Scale and the Falls Efficacy Scale-International, and long COVID-19 status in older adults.

This study assessed balance confidence and concern of falling in older adults (≥60 years) with long COVID-19 (long-haulers, n = 30) compared with older adults who experienced COVID-19 but not long COVID-19 (non-long-haulers, n = 60) and older adults (controls) who self-reported never having COVID-19 (n = 52). Participants gave informed consent and completed the Activities-Specific Balance Confidence Scale and the Falls Efficacy Scale-International. Data were analyzed using Kruskal-Wallis tests.

Long-haulers had lower balance confidence and greater concern of falling compared with non-long-haulers (p < .001; p < .001) and controls (p = .011; p = .027).

Older adults with long-haul COVID-19 have decreased balance confidence and increased concern of falling compared with non-long-haulers and healthy controls, which may indicate a greater fall risk. Significance/Implications: Older adults with long COVID-19 may have a heightened need for resources and healthcare services related to fall prevention. Consideration of long COVID-19 status may be an important factor in improving older adult's outcomes.