长期COVID和ME/CFS患者表现出类似的平衡和身体能力受损:一项案例对照研究
Lawrence D Hayes1, Nilihan E M Sanal-Hayes2, Marie Mclaughlin1
1Sport and Physical Activity Research Institute, School of Health and Life Sciences, University of the West of Scotland, Glasgow, United Kingdom.
The American journal of medicine
|July 25, 2023
概括
长期COVID和肌痛性脑脊髓炎/慢性疲劳综合征 (ME/CFS) 患者在平衡和身体能力方面表现出类似的障碍. 对于这两种情况,迫切需要针对姿势摇摆和身体功能的干预措施.
科学领域:
- 神经学 神经学
- 身体生理学 身体生理学
- 康复 康复 康复 康复
背景情况:
- 长期COVID和肌痛性脑膜炎/慢性疲劳综合征 (ME/CFS) 是具有重叠症状的衰弱性疾病.
- 姿势摆动和身体能力是神经和肌肉骨健康的关键指标.
- 之前的研究还没有直接比较长期COVID和ME/CFS群体之间的这些功能指标.
研究的目的:
- 为了比较长期COVID,ME/CFS和健康对照患者之间的姿势摇摆和身体能力.
- 调查长期COVID和ME/CFS中平衡和身体表现缺陷的程度.
- 为制定有针对性的干预措施建立基准.
主要方法:
- 一项涉及长期COVID (n=21),ME/CFS (n=20) 和年龄相匹配的健康对照组 (n=20) 的横截面研究.
- 姿势摇摆的评估使用30秒静态站立测试与同等位测量单位.
- 身体能力通过定时起行 (TUG) 测试和5次坐到站 (5TSTS) 测试来评估.
主要成果:
- 与对照组相比,长期COVID和ME/CFS组都表现出明显更糟糕的姿势摆动.
- 通过TUG和5TSTS测试测量的身体能力在长期COVID和ME/CFS组和对照组中也显著受损.
- 在长期COVID和ME/CFS组之间没有发现姿势摇摆或身体能力的显著差异.
- 长期COVID (87%在5TSTS上) 和ME/CFS (13%在TUG上) 的高百分比的参与者超过了肌肉软弱的值.
结论:
- 长期COVID和ME/CFS存在类似的平衡和身体能力受损.
- 这些发现凸显了在两个患者群体中解决姿势摇摆和身体功能方面的干预措施的必要性.
- 进一步研究潜在的机制和有效的康复策略是有必要的.
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