Evidence map›Paper›PMID 34613505›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2022

Balance and visual reliance in post-COVID syndrome patients assessed with a robotic system: a multi-sensory integration deficit.

Fabrizio Gervasoni, Antonella LoMauro, Vincenzo Ricci, Gregorio Salce, Arnaldo Andreoli, Alessandro Visconti, Leonardo Pantoni

Open access · bronzeAbstract read
In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  11. Postural balance and its association with functionality and quality of life in non-hospitalized patients with post-acute COVID-19 syndrome.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Fabrizio GervasoniPhysical and Rehabilitation Medicine Unit, Luigi Sacco University Hospital, Asst Fatebenefratelli Sacco, Via G.B. Grassi, 74, 20157, Milan, Italy. fabrizio.gervasoni@fisiatramilano.it.ORCID http://orcid.org/0000-0003-4507-3679
Antonella LoMauroDipartimento di Elettronica, Informazione e Bioingegneria, Politecnico Di Milano, Milan, Italy.ORCID http://orcid.org/0000-0002-1408-6971
Vincenzo RicciPhysical and Rehabilitation Medicine Unit, Luigi Sacco University Hospital, Asst Fatebenefratelli Sacco, Via G.B. Grassi, 74, 20157, Milan, Italy.ORCID http://orcid.org/0000-0003-2576-2039
Gregorio SalceSpecialisation School Physical and Rehabilitation Medicine, University of Milan, Milan, Italy.ORCID http://orcid.org/0000-0001-5887-7444
Arnaldo AndreoliPhysical and Rehabilitation Medicine Unit, Luigi Sacco University Hospital, Asst Fatebenefratelli Sacco, Via G.B. Grassi, 74, 20157, Milan, Italy.
Alessandro ViscontiDirezione Generale, Asst Fatebenefratelli Sacco, Milan, Italy.
Leonardo PantoniLuigi Sacco, Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.ORCID http://orcid.org/0000-0001-7357-8530
ASST Fatebenefratelli Sacco · ITUniversity of Milan · ITPolitecnico di Milano · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The symptoms of SARS-CoV-2 infection are not limited to the acute phase, with vertigo, peripheral neuropathies, headache, fatigue, memory loss, and depression being the most common post-acute clinical manifestations. Such post-COVID syndrome is a new clinically relevant challenge for diagnosis and therapy. Our goal was to quantify deficit in balance and proprioception related to post-COVID syndrome and, in this sense, we prospectively analyzed data of 66 post-COVID-19 outpatients (mean age 47.3 ± 11.1 years, 50 females, 25 hospitalized), evaluated using the robotic device hunova. The dynamic balance was assessed with open (OE) and closed eyes (CE) and three indexes, proportional to subject instability, were measured: the sway path and two oscillation ranges. Hospitalized group showed the worst performance with respect to non-hospitalized patients and normality range in both visual conditions for the sway path and the oscillation ranges, with the worst performance being with CE. When compared to normality ranges, post-COVID patients were significantly more distant from normality in the OE condition compared to the CE condition. These results suggest that independently from the severity of the disease experienced, post-COVID syndrome makes the elastic balance test performances more distant from the normality when the subject integrates vision, somatosensory information, and vestibular information. In the absence of visual feedback, patients seem to implement compensatory strategies, presumably seeking more significant feedback from the lower limbs, which improve their performance. These data suggest a new mechanism of the post-COVID syndrome that deserves further investigation for its potential impact on activities of daily living.

Indexed as

COVID-19Peripheral Nervous System DiseasesRobotic Surgical ProceduresActivities of Daily LivingAdultFemaleHumansMiddle AgedPostural BalanceProprioceptionSARS-CoV-2BalanceMulti-sensory integration deficitPost-COVID syndromeRobotic systemSARS-CoV-2 infection

Identifiers

PMID34613505
PMCPMC8493357
OpenAlexW3203708681

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.