评估姿势平衡以预测慢性阻塞性肺病患者的跌倒:一项前性队列研究
Bárbara Aparecida Teodoro Alcantara Verri1, Caroline Maschio de Censo1, Juliana de Melo Batista Dos Santos1
1Departament of Physical Therapy, School of Medicine, University of Sao Paulo. Av. Dr. Arnaldo, 455 - 1st Floor - room 1210, Sao Paulo, SP, Brazil.
Brazilian journal of physical therapy
|December 14, 2025
概括
患有严重慢性阻塞性肺病 (COPD) 的个人有较高的跌倒风险. 在具有挑战性的条件下的姿势平衡评估有效地识别那些容易跌倒的人,有助于预防跌倒的战略.
科学领域:
- 肺部医学 肺部医学
- 老年病的医生 老年病的医生
- 生物力学 生物力学
背景情况:
- 严重的慢性阻塞性肺病 (COPD) 在体力活动期间显著增加了跌倒风险.
- 目前的评估缺乏准确性来区分可能会跌倒的COPD患者.
研究的目的:
- 在具有挑战性的条件下评估姿势平衡.
- 为了识别患有COPD的个体,他们有更高的跌倒风险.
主要方法:
- 在中度至非常严重的COPD患者中,使用力量平台评估姿势平衡.
- 压力中心 (COP) 被测量为静止,后努力,半并列,半并列+后努力.
- 六个月的跌倒日记和电话监控被用来跟踪跌倒.
主要成果:
- 与非落组 (NFG) 相比,落组 (FG) 在努力后的位置上表现出更大的路径长度和COP-AP.
- 在半并列位置上,FG显示了增加的COP-ML,而NFG则显示了增加的COP-ML.
- 在半并联后力位中,FG的路径长度,COP-ML和COP-AP比NFG大得多.
结论:
- 在具有挑战性的姿势中对姿势平衡的评估可以有效地区分患有严重COPD的个人,这些人可能会跌倒.
- 这些发现凸显了有针对性的干预措施的潜力,以减轻这一群体的跌倒风险.
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