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Functional capacity evaluation in older adults affected by COVID-19
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Advisor(s)
Abstract(s)
Introduction: Virus SARS-CoV-2 is responsible for COVID-19 disease which is mainly a respiratory disease but is known to affect other organs and systems of the human body, especially muscle. Despite knowledge of respiratory sequelae, the knowledge on the musculoskeletal system or other systems sequelae is yet not too profound, and more research is still needed, especially for sequelae in functional capacity, to preview future needs of health and social support. Purpose: Identify eventual limitations perceived by patients who were diagnosed with COVID-19 more than 3 months ago, on muscle strength, functional aerobic capacity, and frailty levels Methodology: Thirty subjects aged between 60 and 84 years (69,2±6,1 yr) with a BMI of 27,9±4,3 kg/m2 and a dyspnea perception of 2,2±1,1 measured by MRC scale (12 males) and diagnosed with COVID-19 more than 3 months ago, were assessed. Participants were collected in the community (n=11) and in a pulmonology service (n=19) of a central hospital in Lisbon (8 have recovered in Intensive care units (ICU)). We compared 3 groups of participants (at home, nursery, and ICU) in several variables of functionality: frailty (clinical frailty scale); functional aerobic capacity (2 minutes step test with SPO2 monitorization), handgrip strength (JAMAR dynamometer) and maximal inspiratory (MIP) and expiratory (MEP) pressures using the Micro RPM manovacuometer. Statistical analyses were performed with IBM SPSS software with Kruskall-Wallis analysis for between-group analysis in continuous variables. Results: Groups were identical for age (p=0,429) and BMI (p=0,069). No differences were observed between the 3 groups for analyzed variables. Conclusions: For this sample, no differences were observed between patients who were hospitalized in the ICU in the nursery or at home with COVID-19 disease in respiratory pressures (MIP and MEP), muscle strength (Handgrip left or right), and functional aerobic capacity.
Description
Keywords
COVID-19 Physiotherapy Rehabilitation Elderly
Citation
Tomás MT, Pereira FA, Clérigo A, Saldanha G, Gonçalves A, Ribeiro MM, et al. Functional capacity evaluation in older adults affected by COVID-19. In: 15th International Conference on Cachexia, Sarcopenia and Muscle Wasting, Lisbon (Portugal), June 24-26, 2022. poster 7-08.