Schema del passo nel paziente post-COVID.

Acute SARS-CoV-2 (COVID-19) infection can result in persistent multisystem symptoms, characterizing persistent symptomatic COVID-19 disease or a condition called post-COVID syndrome. The disorders most frequently complained of by patients are fatigue or the subjective perception of muscle weakness (in 63% of cases), sleep disturbances (26%) and anxiety or depression (23%). From the clinical and instrumental evaluations performed at the Specialist Rehabilitation Unit of the “Luigi Sacco” Hospital in Milan, it was possible to highlight alterations in gait biomechanics in patients with post-COVID syndrome. In the patients evaluated, an alteration in the load distribution between the forefoot and hindfoot was found, with a significant correlation between the breech angle and the load on the hindfoot. The baropodometric data also showed a negative correlation between the breech angle and the maximum pressure at the plantar area, thus documenting a reduction in propulsive thrust during walking. In patients with post-COVID syndrome, it is therefore useful to assess gait parameters and plantar support on the ground to set up a targeted rehabilitation program and possibly advise the patient on the use of appropriate orthotics or therapeutic footwear. A rehabilitation program aimed at improving static and dynamic balance, even with proprioceptive exercises, can help reduce the perception of fatigue that very frequently can characterize post-COVID syndrome. Parole chiave Key [ABSTRACT FROM AUTHOR]