Pain, balance, grip strength and gait parameters of older adults with and without post-chikungunya chronic arthralgia

Trop Med Int Health. 2018 Dec;23(12):1394-1400. doi: 10.1111/tmi.13154. Epub 2018 Oct 19.

Abstract

Objective: To compare the levels of pain, grip strength, balance and gait in older adults with and without post-Chikungunya chronic arthralgia (PCCA).

Methods: Sixty-two older adults, 30 with and 32 without PCCA participated in the study. Pain level was assessed using a Visual Analogue Scale (VAS). Gait during a 10-m walk was assessed using inertial sensors. Semi-static balance was assessed during an eyes-closed bipedal balance test on a force platform, and grip strength was assessed using a hand dynamometer.

Results: Participants with PCCA presented severe levels of pain (VAS > 7.5), poorer balance, lower grip strength, walked slower, with lower cadence and stride length and higher stride time and stride length variability than participants without PCCA (P < 0.001 for all variables).

Conclusions: Older adults with PCCA had high levels of pain, impaired balance and gait and lower grip strength compared to older adults without PCCA.

Keywords: Chikungunya virus; arthralgia; arthralgie; asthenia; asthénie; balance; démarche; force de préhension; gait; grip strength; virus du chikungunya; équilibre.

MeSH terms

  • Aged
  • Arthralgia / epidemiology*
  • Arthralgia / physiopathology
  • Brazil
  • Causality
  • Chikungunya Fever / epidemiology*
  • Chronic Disease
  • Comorbidity
  • Female
  • Gait / physiology*
  • Geriatric Assessment / statistics & numerical data
  • Hand Strength / physiology*
  • Humans
  • Male
  • Pain / epidemiology*
  • Pain / physiopathology
  • Postural Balance / physiology*