Forbes J Med. 2023; 4(1): 15-20 | DOI: 10.4274/forbes.galenos.2022.06977

The Impact of COVID-19 Positivity on Quality-of-Life and Musculoskeletal Symptoms

Hakan ZEYBEK¹, Ömer DÝKÝCÝ^2
1Ýzmir Atatürk Training and Research Hospital, Clinic of Orthopedics and Traumatology, Ýzmir, Turkey
²Ýzmir Atatürk Training and Research Hospital, Clinic of Physical Medicine and Rehabilitation, Ýzmir, Turkey

Objective: The outbreak of Coronavirus disease-2019 (COVID-19) spread rapidly all over the worldwide and caused a pandemic. There are few studies in the literature that have investigated musculoskeletal symptoms of the disease, other than pulmonary symptoms. This study aimed to evaluate chronic musculoskeletal symptoms, quality of life, physical activity, and fatigue severity scores of patients with COVID-19 infection.
Methods: A total of 235 patients who presented at our clinic between April and June 2021, were separated into two groups according to COVID-19 positivity (Group 1, n=75) and negativity (Group 2, n=160). The groups were compared with respect to demographic data, musculoskeletal pain and location, Visual Analogue Scale scores, Short Form-36 (SF-36) quality of life scores, physical activity scores, and fatigue severity scores.
Results: Back pain, shoulder pain and the pain parameter of the SF-36 quality-of-life scale were significantly higher in the chronic period of COVID-19 patients (Group 1). A significant decrease was determined in the physical activity of COVID-19 patients (Group 1) evaluated with international physical activity scores, and the fatigue severity scores were significantly higher in these patients.
Conclusion: Fatigue decreased activity, diminished quality of life, and especially back pain can be observed in the chronic period of patients with COVID-19. These effects of COVID-19 should be considered during musculoskeletal system examinations.

Keywords: COVID-19, musculoskeletal symptoms, quality of life, fatigue

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COVID-19 Pozitifliðinin Hayat Kalitesi ve Kas Ýskelet Semptomlarý Üzerine Etkisi

Hakan ZEYBEK¹, Ömer DÝKÝCÝ^2
1Katip Çelebi Üniversitesi Atatürk Eðitim Araþtýrma Hastanesi, Ortopedi ve Travmatoloji Servisi, Ýzmir
²Katip Çelebi Üniversitesi Atatürk Eðitim Araþtýrma Hastanesi, Fizik Tedavi ve Rehabilitasyon Servisi, Ýzmir

Amaç: Koronavirüs hastalýðý-2019 (COVID-19) hýzlýca yayýlarak tüm dünyayý etkiledi ve sonuçta pandemi olarak ilan edildi. Literatürde; sýklýkla hastalýðýn bilinen solunum yollarý semptomlarý haricinde özellikle kas iskelet sistemi semptomlarýný araþtýran çok az çalýþma vardýr. Çalýþmamýzýn amacý; COVID-19 geçiren hastalarýn kronik kas-iskelet sistemi semptomlarýný, yaþam kalitesi, fiziksel aktivite ve yorgunluk düzeylerini tespit etmektir.
Yöntem: Nisan-Haziran 2021 tarihleri arasýnda polikliniðimize baþvuran 235 hasta çalýþmaya alýndý. Hastalar; COVID-19 enfeksiyonu geçirenler Grup 1 (n=75), geçirmeyenler Grup 2 (n=160) olmak üzere iki gruba ayrýldý. Hastalarýn demografik verileri, kas iskelet sistemi aðrýsýnýn þiddeti ve yeri, Vizuel Analog Skala skorlarý, Kýsa Form-36 (SF-36) yaþam kalitesi ölçeði skorlarý, fiziksel aktivite skorlarý ve yorgunluk þiddet ölçeði skorlarý kýyaslandý.
Bulgular: COVID-19 geçirmiþ (Grup 1) hastalarýn kronik dönemde sýrt ve omuz aðrýlarý ile SF-36 hayat kalitesi ölçeðinde aðrý parametresi istatistiksel olarak COVID-19 geçirmeyen hastalara (Grup 2) göre daha anlamlý bulundu. Ayrýca uygulanan fiziksel aktivite ve yorgun þiddeti ölçeklerinde COVID-19 geçiren hastalarda (Grup 1) fiziksel aktivitenin anlamlý derece azaldýðýný ve bu hastalarýn anlamlý derecede daha yorgun olduklarýný tespit edildi.
Sonuç: COVID-19 geçiren hastalarda kronik dönemde devam eden yorgunluk, aktivite ve yaþam kalitesinde azalma ve özellikle sýrt aðrýsý izlenebilir. Kas iskelet sistemi muayenesinde COVID-19 hastalýðýnýn bu etkisi göz önünde bulundurulmalýdýr.

Anahtar Kelimeler: COVID-19, kas-iskelet sistemi, yaþam kalitesi, yorgunluk

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