SUMMARY
Objective. To investigate the prevalence of sarcopenia and its association with myoelectric activity of the SH region in post-COVID-19 patients, stratified by disease severity and gender.
Methods. A cross-sectional study conducted in the post-COVID-19 Outpatient Clinic of a University Hospital. The following outcomes were assessed: swallowing (Dysphagia Risk Evaluation Protocol), electromyography of the SH region, muscle strength and muscle mass (dynamometry, ultrasound, and bioimpedance analysis).
Results. The sample consisted of 50 patients (50.4 ± 13.35 years), who were admitted to the COVID-19 ICU and referred to the Outpatient Clinic. Critical-COVID group (n = 19) had a loss of muscle strength, without loss of muscle mass, no altered myoelectric activity of the SH region. Deglutition was classified as normal. Female patients showed low strength and male patients presented loss of muscle mass, in both groups. In the Severe-COVID group (n = 31), female patients had higher myoelectric activity in the SH region at rest, when deglutition pasty and when swallowing liquids, and at the clinical evaluation of swallowing, multiple deglutition in the pasty consistency and coughing in the liquid consistency. The correlations were significant only in the Severe-COVID group.
Conclusions. Male Critical-COVID patients showed sarcopenia, while female patients demonstrated pre-sarcopenia. The correlation observed in the Severe-COVID group, suggests that COVID-19 may compromise the muscles involved in swallowing even in non-critical patients. It is noteworthy the evaluation of these outcomes in post- COVID-19 patients to focus on individualized rehabilitation plan to provide functional recovery after hospital discharge.
Peripheral Muscle Function and Myoelectric Activity of the Suprahyoid Region in Deglutition of Post-COVID-19 Patients
Viviane Bohrer Berni, Juliana Alves Souza, Tamires Daros dos Santos, Erica Andrea Vega Arteaga, Ana Carolina Leonardi Dutra, Isabella Martins de Albuquerque, Angela Ruviaro Busanello Stella, Adriane Schmidt Pasqualoto
Original Article, 484-493
Keywords: COVID-19, deglutition, intensive care units, muscles", sarcopenia,
Table of Content: Vol. 13 (No.3) 2023 July/September
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