| Texto completo | |
| Autor(es): |
Verri, Barbara Aparecida Teodoro Alcantara
;
de Censo, Caroline Maschio
;
dos Santos, Juliana de Melo Batista
;
Xavier, Rafaella Fagundes
;
Salge, Joao Marcos
;
Carvalho-Pinto, Regina Maria
;
Carvalho, Celso Ricardo Fernandes
Número total de Autores: 7
|
| Tipo de documento: | Artigo Científico |
| Fonte: | BRAZILIAN JOURNAL OF PHYSICAL THERAPY; v. 30, n. 1, p. 7-pg., 2026-01-26. |
| Resumo | |
Background: Individuals with severe Chronic Obstructive Pulmonary Disease (COPD) have a higher risk of falls while performing physical activities; however, assessments to distinguish who falls are lacking. Objective: To assess postural balance under challenging conditions to discriminate individuals who experience a fall. Methods: Patients with moderate to very severe COPD were recruited and performed postural balance assessment. The centre of pressure (COP) was measured using a force platform under different conditions: at rest, post-effort, semi-tandem, and semi-tandem+post-effort. Individuals received a fall diary and were monitored during six months by phone calls. After the follow-up period, patients who experienced a fall were included in the Falls Group (FG) and those who did not were included in the Non-Falls Group (NFG). Receiver operating characteristic (ROC) curves were constructed, and the area under the curve (AUCs) was calculated to assess the predictive value of postural strategies. Results: Individuals with COPD (n = 61); FG (n = 26) and NFG (n = 35) were included. Compared with NFG, FG presented greater path length (42.5 [34.1, 54.7] vs. 34.1 [29.2, 42.5]cm) and COP-AP (2.60 [2.10, 3.50] vs. 2.10 [1.70, 2.60]cm) in post-effort position. In the semi-tandem position, FG presented greater COP-ML than NFG (3.00 [2.50, 4.00] vs. 2.50 [2.20, 3.00]cm). FG also presented a greater path length (82.1 [67.4, 136.9] vs. 67.4 [56.3, 82.1]cm), COP-ML (3.70 [2.90, 5.50] vs. 2.90 [2.10, 3.70]cm), and COP-AP (3.80 [3.10, 5.00] vs. 3.10 [2.10, 3.80]cm) than NFG did in semi-tandem post-effort position. In total, 100 falls were reported, most of which occurred inside the patient's home (65 %) and while individuals were walking (48 %). Conclusion: Assessing postural balance in challenging positions can discriminate between individuals with severe COPD who experience a fall. (AU) | |
| Processo FAPESP: | 18/17788-3 - Reabilitação pulmonar: o efeito de novas metodologias e tecnologias centradas em pacientes com doenças pulmonares crônicas |
| Beneficiário: | Celso Ricardo Fernandes de Carvalho |
| Modalidade de apoio: | Auxílio à Pesquisa - Temático |
| Processo FAPESP: | 20/08827-5 - Avaliação da associação entre alterações do equilíbrio postural, a atividade física e desordens do sono em indivíduos com DPOC moderada a muito grave |
| Beneficiário: | Caroline Maschio de Censo |
| Modalidade de apoio: | Bolsas no Brasil - Mestrado |
| Processo FAPESP: | 22/09628-1 - Efeitos da fita elástica na reabilitação pulmonar de pacientes com Doença Pulmonar Obstrutiva Crônica (DPOC) |
| Beneficiário: | Juliana de Melo Batista dos Santos |
| Modalidade de apoio: | Bolsas no Brasil - Pós-Doutorado |