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Updated: Oct 3, 2025

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Gait and functional balance in non-CF bronchiectasis.

Naciye Vardar-Yagli1, Melda Saglam1, Merve Firat1

  • 1Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.

Physiotherapy Theory and Practice
|February 22, 2022
PubMed
Summary

Individuals with non-cystic fibrosis bronchiectasis exhibit impaired functional balance and altered gait characteristics, including slower gait speed and reduced step cycle. These findings highlight the need for balance and gait assessments in pulmonary rehabilitation to prevent falls.

Keywords:
BronchiectasisTimed Up And Go testgait analysisgait speedposture

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Area of Science:

  • Pulmonary Medicine
  • Neurology
  • Gerontology

Background:

  • Obstructive lung diseases can negatively impact ambulatory activities, gait, balance, and increase fall risk.
  • Limited research exists on balance and gait parameters in individuals with bronchiectasis.

Purpose of the Study:

  • To compare gait parameters and functional balance between individuals with non-cystic fibrosis (CF) bronchiectasis and healthy controls.

Main Methods:

  • A cross-sectional study involving 22 non-CF bronchiectasis patients and 32 healthy controls.
  • Functional balance assessed using the Timed Up and Go (TUG) test.
  • Gait parameters (gait speed, step cycle, ambulation index) measured using the Biodex Gait Trainer over 6 minutes.

Main Results:

  • Individuals with non-CF bronchiectasis showed significantly longer TUG times (p=0.019) compared to controls.
  • Significantly reduced gait speed (p<0.001), step cycle (p<0.001), and ambulation index (p<0.001) were observed in the non-CF bronchiectasis group.

Conclusions:

  • Non-CF bronchiectasis is associated with unfavorable gait changes, including slower speed and reduced step cycle.
  • Impaired functional balance and mobility are present in a subset of adults with non-CF bronchiectasis.
  • Balance and gait evaluations are recommended in pulmonary rehabilitation for fall prevention in non-CF bronchiectasis patients.