Musculoskeletal and Neurological Examination Findings in Post-COVID-19

COVID-19 and Pain


Abstract views: 108 / PDF downloads: 72

Authors

DOI:

https://doi.org/10.5281/zenodo.8159134

Keywords:

Post COVID-19, pulmonary rehabilitation, dysfunctional segment, myalgia, pain

Abstract

Background: This study investigated the musculoskeletal and neurological examination findings in symptomatic patients who had previously experienced COVID-19.

Material and Methods: A prospective cohort of 101 patients who had been diagnosed with COVID-19 between January and April 2021 was included in this study. These patients received medication treatment and were followed up but did not require intensive care unit (ICU) admission. The patients' symptoms, dysfunctional segments identified through cervical and thoracic examinations, and visual analog scale (VAS) scores were analyzed.

Results: Myalgia (63%) was the most commonly reported symptom in the post-COVID-19 period. The T5 segment (23%) was the most frequently observed dysfunctional segment. Older individuals had a higher VAS score and a statistically significant correlation was found between age and VAS scores (p=0.013 and r2: 0.265).

Conclusion: This study highlights the prevalence of myalgia as a common symptom in patients who have previously had COVID-19 and emphasizes the importance of assessing the T5 segment for managing pain and facilitating pulmonary rehabilitation in such individuals. These findings can contribute to the development of more effective treatment strategies for post-COVID-19 patients experiencing musculoskeletal symptoms.

References

Hasan LK, Deadwiler B, Haratian A, Bolia IK, Weber AE, Petrigliano FA. Effects of COVID-19 on the Musculoskeletal System: Clinician's Guide. Orthop Res Rev. 2021 Sep 21;13:141-150. doi: 10.2147/ORR.S321884. PMID: 34584465; PMCID: PMC8464590.

Evcik D. Musculoskeletal involvement: COVID-19 and post COVID 19. Turk J Phys Med Rehabil. 2023 Feb 28;69(1):1-7. doi: 10.5606/tftrd.2023.12521. PMID: 37201006; PMCID: PMC10186015.

Alexander AJ, Joshi A, Mehendale A. The Musculoskeletal Manifestations of COVID-19: A Narrative Review Article. Cureus. 2022 Sep 12;14(9):e29076. doi: 10.7759/cureus.29076. PMID: 36249619; PMCID: PMC9557238.

Swarnakar R, Jenifa S, Wadhwa S. Musculoskeletal complications in long COVID-19: A systematic review. World J Virol. 2022 Nov 25;11(6):485-495. doi: 10.5501/wjv.v11.i6.485. PMID: 36483107; PMCID: PMC9724204.

Dos Santos PK, Sigoli E, Bragança LJG, Cornachione AS. The Musculoskeletal Involvement After Mild to Moderate COVID-19 Infection. Front Physiol. 2022 Mar 18;13:813924. doi: 10.3389/fphys.2022.813924. PMID: 35492595; PMCID: PMC9040683.

Hasan LK, Deadwiler B, Haratian A, Bolia IK, Weber AE, Petrigliano FA. Effects of COVID-19 on the Musculoskeletal System: Clinician's Guide. Orthop Res Rev. 2021 Sep 21;13:141-150. doi: 10.2147/ORR.S321884. PMID: 34584465; PMCID: PMC8464590.

Hoong CWS, Amin MNME, Tan TC, Lee JE. Viral arthralgia a new manifestation of COVID-19 infection? A cohort study of COVID-19-associated musculoskeletal symptoms. Int J Infect Dis. 2021 Mar;104:363-369. doi: 10.1016/j.ijid.2021.01.031. Epub 2021 Jan 18. PMID: 33476761; PMCID: PMC7813485.

Tuzun S, Keles A, Okutan D, Yildiran T, Palamar D. Assessment of musculoskeletal pain, fatigue and grip strength in hospitalized patients with COVID-19. Eur J Phys Rehabil Med. 2021 Aug;57(4):653-662. doi: 10.23736/S1973-9087.20.06563-6. Epub 2021 Jan 4. PMID: 33393277.

Cevei M, Onofrei RR, Gherle A, Gug C, Stoicanescu D. Rehabilitation of Post-COVID-19 Musculoskeletal Sequelae in Geriatric Patients: A Case Series Study. Int J Environ Res Public Health. 2022 Nov 21;19(22):15350. doi: 10.3390/ijerph192215350. PMID: 36430069; PMCID: PMC9691035.

Yilmaz Gokmen G, Durmaz D, Demir C, Yilmaz FN. Determining Post-COVID-19 Symptoms and Rehabilitation Needs in Hospitalized and Nonhospitalized COVID-19 Survivors with Tele-Assessment Methods. Telemed J E Health. 2023 Feb 9. doi: 10.1089/tmj.2022.0349. Epub ahead of print. PMID: 36757300.

Nopp S, Moik F, Klok FA, Gattinger D, Petrovic M, Vonbank K, Koczulla AR, Ay C, Zwick RH. Outpatient Pulmonary Rehabilitation in Patients with Long COVID Improves Exercise Capacity, Functional Status, Dyspnea, Fatigue, and Quality of Life. Respiration. 2022;101(6):593-601. doi: 10.1159/000522118. Epub 2022 Feb 24. PMID: 35203084; PMCID: PMC9059007.

Zampogna E, Paneroni M, Belli S, Aliani M, Gandolfo A, Visca D, Bellanti MT, Ambrosino N, Vitacca M. Pulmonary Rehabilitation in Patients Recovering from COVID-19. Respiration. 2021;100(5):416-422. doi: 10.1159/000514387. Epub 2021 Mar 30. PMID: 33784696; PMCID: PMC8089404.

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Published

2023-07-18

How to Cite

Denli, A., Turğut, S., Dursun, A. D., Türkmen Sarıyıldız, G., & Nazlıkul, H. (2023). Musculoskeletal and Neurological Examination Findings in Post-COVID-19: COVID-19 and Pain. Journal of European Internal Medicine Professionals, 1(3). https://doi.org/10.5281/zenodo.8159134