Gait analysis in patients with chronic obstructive pulmonary disease: a systematic review

Gait & Posture
Matteo ZagoManuela Galli

Abstract

Gait instability is a major fall-risk factor in patients with chronic obstructive pulmonary disease (COPD). Clinical gait analysis is a reliable tool to predict fall onsets. However, controversy still exists on gait impairments associated with COPD. Thus, the aims of this review were to evaluate the current understanding of spatiotemporal, kinematic and kinetic gait features in patients with COPD. In line with PRISMA guidelines, a systematic literature search was performed throughout Web of Science, PubMed Medline, Scopus, PEDro and Scielo databases. We considered observational cross-sectional studies evaluating gait features in patients with COPD as their primary outcome. Risk of bias and applicability of these papers were assessed according to the QUADAS-2 tool. Seven articles, cross-sectional studies published from 2011 to 2017, met the inclusion criteria. Sample size of patients with COPD ranged 14-196 (mean age range: 64-75 years). The main reported gait abnormalities were reduced step length and cadence, and altered variability of spatiotemporal parameters. Only subtle biomechanical changes were reported at the ankle level. A convincing mechanistic link between such gait impairments and falls in patients with COPD is stil...Continue Reading

Citations

May 16, 2020·Thorax·Kirsti Jane LoughranSamantha Louise Harrison
Apr 10, 2019·Journal of Clinical Medicine·Wai-Yan LiuMartijn A. Spruit
Aug 13, 2021·Respirology : Official Journal of the Asian Pacific Society of Respirology·Malvika KaulIsrael Rubinstein
Aug 16, 2021·Journal of Bodywork and Movement Therapies·Nathália Alves Oliveira SaraivaAgnaldo José Lopes

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