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COPD 患者平衡缺陷与步态偏差的横断面研究。

A Cross-Sectional Study on Balance Deficits and Gait Deviations in COPD Patients.

机构信息

Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.

Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, UAE.

出版信息

Can Respir J. 2021 Jan 6;2021:6675088. doi: 10.1155/2021/6675088. eCollection 2021.

DOI:10.1155/2021/6675088
PMID:33505539
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7806367/
Abstract

BACKGROUND

The gait abnormalities were linked to the balance deficits in the previous studies. However, the deviations in the gait parameters in COPD are currently not known. The study aims to compare gait parameters, static and dynamic balance, and risk of falls in COPD with those in non-COPD individuals.

METHOD

Fourty-two patients with COPD aged 45 years and gender-matched control subjects were included in the study. Gait parameters were assessed by Win-Track gait analyzer, the static balance was assessed by posturography, and the dynamic balance was assessed by the time up and go test. The fear of falls was assessed by Falls Efficacy Scale.

RESULTS

COPD individuals had decreased static and dynamic balance as assessed by posturography ( < 0.05) and TUG ( < 0.01), respectively. A significant difference in swing duration (=0.004) and also increased risk of falls ( < 0.01) was observed in COPD patients as compared to non-COPD individuals.

CONCLUSION

COPD individuals have increased swing duration, reduced static and dynamic balance, and increased fear of falls as compared to non-COPD individuals.

摘要

背景

在之前的研究中,步态异常与平衡缺陷有关。然而,目前尚不清楚 COPD 患者的步态参数有何偏差。本研究旨在比较 COPD 患者与非 COPD 患者的步态参数、静态和动态平衡以及跌倒风险。

方法

研究纳入了 42 名年龄在 45 岁及以上的 COPD 患者和性别匹配的对照组。采用 Win-Track 步态分析仪评估步态参数,采用平衡仪评估静态平衡,采用“起立-行走”测试评估动态平衡。采用跌倒效能量表评估跌倒恐惧。

结果

与非 COPD 患者相比,COPD 患者的静态平衡(<0.05)和动态平衡(<0.01)通过平衡仪测试均有所下降。与非 COPD 患者相比,COPD 患者的摆动时间明显延长(=0.004),跌倒风险增加(<0.01)。

结论

与非 COPD 患者相比,COPD 患者的摆动时间延长,静态和动态平衡下降,跌倒恐惧增加。

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