Acessibilidade / Reportar erro

Analysis of the march in patients with chronic obstructive pulmonary disease

INTRODUCTION: Knowledge about gait functional in COPD patients and the identification of the associated variables in these characteristics can support the development of specific approaches in rehabilitation with the objective to maintain the autonomy. OBJECTIVE: To evaluate the gait pattern adopted by COPD patients using a bidimensional analysis. METHOD: Transversal delineation, study of cases, carried through with six patients of COPD, the masculine sex, 64,00 ± 8,07 years of age, index of corporal mass (IMC) 22,28 ± 2,46 kg/m2, forced expiratory volume in the first second (VEF1) 35.17 ± 25.79% predicted, vital capacity forced (CVF) 64.83 ± 17.84% predicted. For kinematic data, we used bidimensional videography Simi Motion, connected was used the camera of digital video. The registers in 60 frames for second and time of acquisition of march cycle. RESULTS: The kinematic data had met varied, since each individual presented overlapping peculiarities the basic standards. One strong negative correlation between cadence and PImax (p = 0,002 and r = - 0,96), between length of step and PEmax was observed (p = 0,007 and r = - 0,93). For the quality of life (SGQR), direct associations had been found, quality of total life (QVT) and percentage of the support phase (p = 0,086 and r = 0,75), and also quality of life impact (QVI) and percentage of the support phase (p = 0,09 and r = 0,74). CONCLUSION: To evaluate the standard of march the DPOC carrier, made possible in them to infer objective on this, possible to delineate therapeutically interventions. The benefits waited with such research, as much for the individual as for the society, it was in a new way to evaluate and to develop the march, basic element for maintenance of functional independence and quality of life.

COPD; March; Autonomy; Quality of life


Pontifícia Universidade Católica do Paraná Rua Imaculada Conceição, 1155 - Prado-Velho -, Curitiba - PR - CEP 80215-901, Telefone: (41) 3271-1608 - Curitiba - PR - Brazil
E-mail: revista.fisioterapia@pucpr.br