Balance and Vestibular system assessment in post COVID-19 patients. | ||
| ARCADEs of MEDICINE | ||
| Articles in Press, Accepted Manuscript, Available Online from 12 May 2025 | ||
| Document Type: Observational Studies | ||
| DOI: 10.21608/arcmed.2025.360257.1095 | ||
| Authors | ||
| Mohamed Elsaid Elsaid* 1; Eman Mohamed Galal2; Mohammed El-Deep2; Adel Abdel-Maksoud Nassar3 | ||
| 1Audio vestibular medicine Department, armed forces college of medicine, cairo, Egypt | ||
| 2Audio Vestibular medicine Department, armed forces college of medicine, Cairo, Egypt | ||
| 3Head of Audiovestibular Medicine Dept., AFCM | ||
| Abstract | ||
| Background COVID-19 has been associated with various neurological symptoms, including dizziness and balance disorders, suggesting potential involvement of the vestibular system. Recent evidence indicates that the virus may directly affect inner ear tissues, leading to auditory and vestibular dysfunction. However, the mechanisms behind these symptoms remain unclear. Aim This study aims to assess balance function in post-COVID-19 patients by identifying abnormalities in sensory organization tests (SOT) and vestibular system evaluations. Subjects and Methods A cross-sectional study was conducted at the Audio-vestibular Medicine Department, Kobry El-Koba Military Complex, Egypt, from November 2022 to April 2023. Forty-two patients, previously diagnosed with COVID-19, were recruited via convenience sampling. Participants completed a history questionnaire and the Dizziness Handicap Inventory (DHI, Arabic version). Sensory organization testing was performed using computerized dynamic postography (CDP). Results Significant correlations were found between COVID-19 severity and dizziness-related disability (DHI total: p = 0.01), with functional (p = 0.03) and emotional (p = 0.05) domains affected. SOT results revealed preserved balance overall (89.26 ± 5.2), but lower vestibular-reliant scores (C5: 86.55 ± 9.06, C6: 87.52 ± 6.28). Vestibular function was mildly impaired (0.95 ± 0.13). Significant associations were observed with head shake (p = 0.004), Dix-Hallpike (p = 0.02), and Fukuda stepping tests (p = 0.02), indicating greater vestibular dysfunction in severe cases. Conclusion This study demonstrates significant vestibular impairments in post-COVID-19 patients, particularly those with severe illness. Further research is needed to explore the mechanisms behind these impairments and their potential for recovery. | ||
| Keywords | ||
| Audiovistibular; post COVID; imbalance | ||
|
Statistics Article View: 86 |
||
