Balance Function in Patients Post Corona Virus Disease 2019 (COVID-19)

Study Overview
=================
Brief Summary
-----------------
The purpose of this study is to describe balance deficits in patients post COVID-19. The information the investigators learn may help influence balance training exercises for patients post-COVID-19. Participants will have a primary or secondary diagnosis of COVID-19 during hospitalization and off COVID-19 isolation and be receiving care in an acute inpatient hospital. Following consent, participants will complete balance assessments and questionnaires about balance and dizziness in a single session. Vital signs will be monitored during the session.The greatest risks of this study include shortness of breath, and a risk of falling or musculoskeletal soreness.These risks are no greater than those experienced during a usual physical therapy visit.

Detailed Description
-----------------
Heart rate (HR), respiratory rate (RR), blood pressure (BP), and oxygen saturation (SpO2) will be measured at rest and after all outcome measures are completed. Rate of Perceived Exertion (RPE) (0-10 per modified Borg scale) will be measured after each outcome measure. In addition, HR will be measured after each outcome measure. SpO2 will be continually monitored via pulse oximetry. Fraction of inspired oxygen (FiO2) will be titrated per MD orders. If SpO2 drops below MD-specified parameters, patients will first be given a 3-minute seated rest break. If SpO2 recovers above MD-specified parameters after rest break, activity will resume. If SpO2 remains below MD-specified parameters after rest break or continues to drop with activity, FiO2 will be titrated to maintain SpO2 within MD-specified parameters.

Official Title
-----------------
Describing Balance Function in Patients Post-COVID-19

Conditions
-----------------
Covid19

Intervention / Treatment
-----------------
* Other: Balance assessments


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Age > 18 years Primary or secondary diagnosis of COVID- 19 during hospitalization and off COVID-19 isolation Receiving care in acute inpatient Ability to ambulate 20' with or without an assistive device without dropping >10% of resting oxygen saturation (determined from existing physical therapy evaluation) Ability to stand with no more than contact guard assistance (determined from existing physical therapy evaluation) Not requiring use of mechanical ventilation Minimum resting oxygen saturation of 88% with or without supplemental oxygen No neurological or orthopedic dysfunction that would affect balance Cognitively intact and able to follow directions and provide consent Exclusion Criteria: History of 2 or more falls in the year prior to COVID-19 diagnosis or history of balance dysfunction

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Patients who have tested positive for COVID-19<br>Patients who are designated as COVID recovered in the electronic medical record and who fit the inclusion criteria. | Other: Balance assessments<br>* There is no formal intervention in this study. The investigators will only be completing balance assessments with no follow-up visit.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Motor balance as measured by Timed Up and Go (TUG) | The TUG measures mobility, motor balance, walking ability, and falls risk based on one composite score of how long it takes the patient to complete the task. | Baseline - single session | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sensory influence on balance as measured by Modified Clinical Test of Sensory Interaction in Balance (mCTSIB) | The mCTSIB assesses how well a patient is using sensory inputs when one or more sensory systems are compromised. | Baseline - single session | 
| Balance confidence as measured by Activities Specific Balance Confidence (ABC) Scale | Self-report questionnaire where patients rate their balance confidence for performing activities. Scores range 0-100 where 0 indicates no balance confidence and 100 indicates complete balance confidence. | Baseline - single session | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
COVID, Balance