Ebbing Strength, Fading Power: Unveiling the Impact of Persistent Fatigue on Muscle Performance in COVID-19 Survivors

Author:

Kowal Mateusz1,Morgiel Ewa2ORCID,Winiarski Sławomir3ORCID,Dymarek Robert1ORCID,Bajer Weronika1,Madej Marta2,Sebastian Agata2,Madziarski Marcin4,Wedel Nicole5,Proc Krzysztof4,Madziarska Katarzyna6ORCID,Wiland Piotr2,Paprocka-Borowicz Małgorzata1

Affiliation:

1. Department of Physiotherapy, Wroclaw Medical University, 50-368 Wroclaw, Poland

2. Department of Rheumatology and Internal Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland

3. Biomechanics Department, Wroclaw University of Health and Sport Sciences, 51-612 Wroclaw, Poland

4. Department of Rheumatology and Internal Medicine, University Teaching Hospital, 50-556 Wroclaw, Poland

5. Department of Medicine, Albert Einstein College of Medicine, Bronx, NY 10461, USA

6. Clinical Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland

Abstract

The total number of confirmed cases of COVID-19 caused by SARS-CoV-2 virus infection is over 621 million. Post-COVID-19 syndrome, also known as long COVID or long-haul COVID, refers to a persistent condition where individuals experience symptoms and health issues after the acute phase of COVID-19. The aim of this study was to assess the strength and fatigue of skeletal muscles in people recovered from COVID-19. A total of 94 individuals took part in this cross-sectional study, with 45 participants (referred to as the Post-COVID Cohort, PCC) and 49 healthy age-matched volunteers (Healthy Control Cohort, HCC). This research article uses the direct dynamometry method to provide a detailed analysis of post-COVID survivors’ strength and power characteristics. The Biodex System 4 Pro was utilized to evaluate muscle strength characteristics during the fatigue test. The fatigue work in extensors and flexors was significantly higher in the PCC. The PCC also showed significantly less power in both extensors and flexors compared to the HCC. In conclusion, this study provides compelling evidence of the impact of post-COVID-19 fatigue on muscle performance, highlighting the importance of considering these effects in the rehabilitation and care of individuals recovering from the virus. PCC achieved lower muscle strength values than HCC.

Funder

Ministry of Science and Higher Education of Poland

Publisher

MDPI AG

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