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Multiprofessional N...
Multiprofessional Neurorehabilitation After COVID-19 Infection Should Include Assessment of Visual Function.
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- Johansson, Jan (författare)
- Karolinska Institutet,Department of Clinical Neuroscience, Division of Eye and Vision, Karolinska Institute, Stockholm
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- Levi, Richard, 1958- (författare)
- Linköpings universitet,Medicinska fakulteten,Avdelningen för prevention, rehabilitering och nära vård,Region Östergötland, Rehabiliteringsmedicinska kliniken
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- Jakobsson, Maria (författare)
- Linköpings universitet,Institutionen för hälsa, medicin och vård,Medicinska fakulteten,Region Östergötland, Rehabiliteringsmedicinska kliniken
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- Gunnarsson, Stina, 1980- (författare)
- Linköpings universitet,Medicinska fakulteten,Avdelningen för prevention, rehabilitering och nära vård,Region Östergötland, Rehabiliteringsmedicinska kliniken
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- Samuelsson, Kersti, 1953- (författare)
- Linköpings universitet,Medicinska fakulteten,Avdelningen för prevention, rehabilitering och nära vård,Region Östergötland, Rehabiliteringsmedicinska kliniken
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(creator_code:org_t)
- Elsevier, 2022
- 2022
- Engelska.
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Ingår i: Archives of Rehabilitation Research and Clinical Translation. - : Elsevier. - 2590-1095. ; 4:2
- Relaterad länk:
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https://liu.diva-por... (primary) (Raw object)
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- OBJECTIVE: To report vision-related symptoms and neuro-visual clinical signs in patients approximately 4 months after discharge from hospitalization after COVID-19 infection. To report on coexisting functional and activity limitations.DESIGN: The study is part of an ambidirectional population-based cohort study.SETTING: An outpatient setting in a hospital environment.PARTICIPANTS: Patients from a population-based cohort study including all patients with laboratory-confirmed COVID-19 admitted to hospital during a 3-month period in a health care region in Sweden. Among patients who, based on a standardized telephone interview, were identified as having persisting rehabilitation needs 4 months after discharge (n=185), several (n=57) reported vision-related symptoms. All 57 patients were invited to a neuro-visual examination. Six patients declined, 6 were unavailable, and 3 did not fulfil the inclusion criteria. Thus, 42 patients were included in the analysis (N=42).INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURES: Vision-related symptoms, neuro-visual function, and coexisting impairments affecting activities of daily life and participation.RESULTS: A total of 31% of patients with rehabilitation needs after COVID-19 reported vision-related symptoms. Reading-related issues (73.8%), blurry vision (69.0%), and light sensitivity (66.7%) were the most common symptoms. Patients with reading-related issues showed a higher level of eye strain (P<.001). Neuro-visual deficits were found in 83.3% of the patients, mainly concerning eye teaming (23.1%-66.7%) and eye movement (28.6%-30.8%) functions. Patients with vision-related symptoms reported fatigue and 18 other coexisting symptoms to a greater extent (P≤.0001 to .049).CONCLUSIONS: Neuro-visual symptoms and signs should be considered when assessing rehabilitation needs after COVID-19. The association between vision-related issues and coexisting symptoms with an effect on body function and activity and/or participation underlines the need for multiprofessional rehabilitation assessment and intervention.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oftalmologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Ophthalmology (hsv//eng)
Nyckelord
- ABI
- acquired brain injury
- CISS
- Convergence Insufficiency Symptom Survey
- CPS
- Clinical Progression Scale
- Covid-19
- NRS
- numeric rating scale
- Ocular
- Optometry
- Rehabilitation
- VI
- Vision Interview
- VOR
- vestibular ocular reflex
- VV
- visual vertigo
- Vision
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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