慢性阻塞性肺病和呼吸模式障碍患者的平衡,步行和姿势控制障碍和跌倒风险:一个病例控制研究
Irfan Ahmad1, Witaya Mathiyakom2, Anong Tantisuwat1
1Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok, Thailand.
Medicine
|August 13, 2025
概括
患有慢性阻塞性肺病和呼吸模式障碍的患者平衡和步态较差,增加了他们跌倒的风险. 这凸显了这一群体对查和预防策略的需求.
科学领域:
- 肺部医学 肺部医学
- 老年病的医生 老年病的医生
- 神经学 神经学
背景情况:
- 高达50%的慢性阻塞性肺病 (COPD) 患者患有呼吸模式障碍 (BPD).
- 这些患者的跌倒风险增加.
- 有限的临床数据存在于平衡,步态障碍和BPD患者的COPD患者的跌倒风险.
研究的目的:
- 为了比较临床平衡和步态的测量,以及BPD (PwCOPD+BPD) 的COPD患者和没有COPD (OAwoCOPD) 的老年人之间的跌倒风险.
- 以平衡和步行尺度来关联BPD的严重程度.
主要方法:
- 采用了一种病例控制研究设计.
- 53名PwCOPD+BPD和53名OAwoCOPD患者接受了定时上行测试,多方向触及测试和富勒顿高级平衡量级.
- 分析了数据,以比较群体,并确定BPD严重程度和临床措施之间的相关性.
主要成果:
- 与OAwoCOPD相比,PwCOPD+BPD在所有平衡和步态测试中表现明显差.
- 在普华永道COPD+BPD组中,患有跌倒风险的个体比例显著更高.
- 在BPD严重程度和所有测量的平衡和步态参数之间发现了显著的相关性.
结论:
- PwCOPD+BPD表现出平衡,步态和运动控制策略受损,导致比OAwoCOPD更高的跌倒风险.
- BPD严重程度是平衡和步行表现的显著负面预测指标.
- 临床查和预防跌倒的干预措施对于PwCOPD+BPD至关重要.
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