Chronic obstructive pulmonary disease phenotypes and balance impairment.
Chronic obstructive pulmonary disease phenotypes and balance impairment.
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DOI：
10.2147/copd.s101128
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发表时间：
2016
影响因子：
2.8
通讯作者：
Timar B
中科院分区：
文献类型：
--
作者：
Voica AS;Oancea C;Tudorache E;Crisan AF;Fira-Mladinescu O;Tudorache V;Timar B
慢性阻塞性肺疾病 (COPD) 是一种导致气流受限和呼吸窘迫的呼吸系统疾病，还具有许多影响功能和活动能力的非呼吸系统表现。初步证据表明，平衡缺陷是慢性阻塞性肺病患者的一个重要的继发性损伤。我们的目的是调查两组具有不同身体成分的慢性阻塞性肺病患者的平衡能力，并观察哪一组更有可能在未来发生跌倒。我们纳入了 27 名稳定的慢性阻塞性肺病患者和 17 名健康个体，他们进行了一系列平衡测试。 COPD患者分为两组：肺气肿组和支气管炎组。患者完成了活动平衡信心量表和慢性阻塞性肺病评估测试问卷，随后进行了伯格平衡量表、计时起立、单腿站立和6分钟步行距离测试。我们分析了研究组之间平衡测试的差异。与肺气肿性慢性阻塞性肺病相比，支气管性慢性阻塞性肺病与以下变量的值降低相关：单腿站立（8.7 vs 15.6；P<0.001）和活动平衡信心（53.2 vs 74.2；P=0.001）。与肺气肿性 COPD 患者相比，支气管慢性阻塞性肺病患者的 time up and go 测试值显着更高（14.7 vs 12.8；P=0.001）。慢性阻塞性肺病患者比健康同龄人有更高的平衡障碍。此外，我们观察到，与肺气肿表型相比，支气管慢性阻塞性肺病表型更容易跌倒。
Chronic obstructive pulmonary disease (COPD) is a respiratory disease that results in airflow limitation and respiratory distress, also having many nonrespiratory manifestations that affect both function and mobility. Preliminary evidence suggests that balance deficits constitute an important secondary impairment in individuals with COPD. Our objective was to investigate balance performance in two groups of COPD patients with different body compositions and to observe which of these groups are more likely to experience falls in the future. We included 27 stable COPD patients and 17 healthy individuals who performed a series of balance tests. The COPD patients were divided in two groups: emphysematous and bronchitic. Patients completed the activities balance confidence scale and the COPD assessment test questionnaire and afterward performed the Berg Balance Scale, timed up and go, single leg stance and 6-minute walking distance test. We analyzed the differences in the balance tests between the studied groups. Bronchitic COPD was associated with a decreased value when compared to emphysematous COPD for the following variables: single leg stance (8.7 vs 15.6; P<0.001) and activities balance confidence (53.2 vs 74.2; P=0.001). Bronchitic COPD patients had a significantly higher value of timed up and go test compared to patients with emphysematous COPD (14.7 vs 12.8; P=0.001). Patients with COPD have a higher balance impairment than their healthy peers. Moreover, we observed that the bronchitic COPD phenotype is more likely to experience falls compared to the emphysematous phenotype.