蒂内蒂平衡测试可有效预测 19COVID 后非住院患者的功能衰退:一项横断面研究

IF 3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of Clinical Medicine Pub Date : 2024-11-04 DOI:10.3390/jcm13216626
Janice R M Bastos, Arthur S Ferreira, Agnaldo J Lopes, Talita P Pinto, Erika Rodrigues, Fabio V Dos Anjos
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引用次数: 0

摘要

背景/目标:COVID-19 后患者有可能出现短期和/或长期的神经肌肉损伤,包括姿势失衡。然而,只有有限的证据表明,平衡障碍是否与 COVID-19 后患者的功能状态下降有关。本研究使用不同的评估工具对未住院的 COVID-19 后患者的姿势平衡进行了研究,并测试了与预测功能状态最相关的平衡工具。方法:横断面研究这项横断面研究招募了 60 名成年人,分为对照组(30 人)和 COVID-19 后组(30 人)。两组均使用功能性前伸测试 (FRT)、伯格平衡量表 (BBS)、定时上下楼 (TUG)、Tinetti 平衡测试 (Tinetti) 和迷你测试 (MBT) 对姿势平衡进行评估。COVID-19后组的功能状态采用COVID-19后功能状态(PCFS)进行评估。结果仅在 FRT 中发现了不同组间姿势稳定性的显著差异。COVID-19 后组的所有平衡测试均与 PCFS 存在统计学意义上的显著相关性,所有测试中的较佳表现均与较好的功能状态相关:Tinetti (r = -0.584)、FRT (r = -0.542)、MBT (r = -0.530)、BBS (r = -0.415) 和 TUG (r = 0.368)。Tinetti 是对 PCFS 起重要决定作用的自变量(调整后 R2 = 0.318,p < 0.001)。结论COVID-19后的功能状态最好由Tinetti平衡测试来确定,这使其成为评估该人群姿势平衡缺陷的有效工具,对姿势控制评估和康复具有潜在意义。
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The Tinetti Balance Test Is an Effective Predictor of Functional Decline in Non-Hospitalized Post-COVID-19 Individuals: A Cross-Sectional Study.

Background/Objectives: Individuals with post-COVID-19 conditions risk developing short- and/or long-term neuromuscular impairments, including postural imbalance. However, there is limited evidence showing whether balance deficits are associated with declines in the functional status in post-COVID-19 individuals. This study examined postural balance in non-hospitalized post-COVID-19 individuals using different assessment tools and tested the most relevant balance tools in predicting functional status. Methods: This cross-sectional study enrolled 60 adults split into control (n = 30) and post-COVID-19 (n = 30) groups. Postural balance was assessed in both groups using the Functional Reach Test (FRT), Berg Balance Scale (BBS), Timed Up and Go (TUG), Tinetti Balance Test (Tinetti), and Mini-BESTest (MBT). Functional status in the post-COVID-19 group was assessed using post-COVID-19 functional status (PCFS). Results: Significant differences in postural stability between groups were found only for the FRT. All balance tests showed a statistically significant correlation with PCFS in the post-COVID-19 group, with better performance in all tests being associated with better functional status: Tinetti (r = -0.584), FRT (r = -0.542), MBT (r = -0.530), BBS (r = -0.415) and TUG (r = 0.368). Tinetti was the independent variable that significantly played an important role in determining PCFS (adjusted R2 = 0.318, p < 0.001). Conclusions: Post-COVID-19 functional status is best determined by the Tinetti Balance Test, making it an effective tool for assessing postural balance deficits in this population, with potential implications for postural control assessment and rehabilitation.

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来源期刊
Journal of Clinical Medicine
Journal of Clinical Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
5.70
自引率
7.70%
发文量
6468
审稿时长
16.32 days
期刊介绍: Journal of Clinical Medicine (ISSN 2077-0383), is an international scientific open access journal, providing a platform for advances in health care/clinical practices, the study of direct observation of patients and general medical research. This multi-disciplinary journal is aimed at a wide audience of medical researchers and healthcare professionals. Unique features of this journal: manuscripts regarding original research and ideas will be particularly welcomed.JCM also accepts reviews, communications, and short notes. There is no limit to publication length: our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible.
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