Avaliação postural em pacientes com doença pulmonar obstrutiva crônica
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Data
2011-12-01
Autores
Pachioni, Célia Aparecida Stellutti [UNESP]
Ferrante, Jaqueline Alves
Panissa, Thais Souza Donini
Ferreira, Dalva Minonroze Albuquerque
Ramos, Dionei
Moreira, Graciane Laender
Ramos, Ercy Mara Cipulo
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ISSN da Revista
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Editor
Universidade de São Paulo (USP)
Resumo
O objetivo deste estudo foi avaliar alterações posturais em pacientes com Doença Pulmonar Obstrutiva Crônica (DPOC), por meio do Software para Avaliação Postural (SAPO). Trinta indivíduos constituíram 2 grupos: 15 pacientes com DPOC e 15 idosos saudáveis (controle). Os grupos realizaram espirometria e foram fotografados para avaliação postural. As imagens obtidas foram digitalizadas e, posteriormente, avaliou-se dez alterações posturais com o SAPO [inclinação lateral da cabeça (ILC), desnivelamento dos ombros (DO), desnivelamento pélvico anterior (DPA), inclinação lateral do tronco (ILT), desnivelamento das escápulas (DE), desnivelamento pélvico posterior (DPP), protusão da cabeça (PC), protusão de ombro (PO), báscula anterior da pelve (BAP) e cifose torácica (CT)]. Essas alterações, obtidas no grupo controle, foram conferidas com o padrão de normalidade para adultos jovens, proposto em estudo prévio. Para a comparação das alterações posturais entre grupo controle e DPOC, foi utilizado o teste de Mann-Whitney em grupo controle, e em adultos jovens, o teste t de Student não pareado, ambos com nível de significância estatística de 5%. Dentre as dez alterações posturais, o grupo controle apresentou sete (ILC, DPA, DE, DPP, PC, PO, BAP) com valores angulares significativamente maiores em relação aos adultos jovens. Quando comparados a idosos saudáveis, indivíduos com DPOC apresentaram um aumento significante na angulação de BAP, DPP e CT. Pacientes com DPOC apresentam três alterações posturais que provavelmente estão relacionadas à doença.
The aim of this study was to evaluate postural changes in patients with Chronic Obstructive Pulmonary Disease (COPD) by means of the Software for Postural Assessment (SPA). Thirty individuals were divided into 2 groups: 15 patients with COPD and 15 healthy elderly people (control group). The groups underwent spirometry and photographed for postural assessment. The images were scanned and subsequently evaluated ten postural changes with SPA [lateral head tilting (LHT), shoulder asymmetry (SA1), anterior pelvic asymmetry (APA), lateral trunk tilting (LTT), scapular asymmetry (SA2), posterior pelvic asymmetry (PPA), head protrusion (HP), shoulder protrusion (SP), anterior pelvic tilting (ABT), and thoracic kyphosis (TK)]. These postural changes, obtained in the control group, were compared with the normal range for young adults, proposed in a previous study. For the comparison of postural changes between the control and COPD groups was used Mann-Whitney test in the control group, and young adults, the unpaired Students's t-test. The level of statistical significance was 5%. Among the ten postural changes, the control group had seven (LHT, APA, SA2, PPA, HP, SP, ABT) outside the normal range for young adults, with significantly higher angular values. When compared to healthy elderly, patients with COPD showed a significant increase in the angle of three postural changes (ABT, PPA, and TK). Patients with COPD have three postural changes that are probably related to the disease.
The aim of this study was to evaluate postural changes in patients with Chronic Obstructive Pulmonary Disease (COPD) by means of the Software for Postural Assessment (SPA). Thirty individuals were divided into 2 groups: 15 patients with COPD and 15 healthy elderly people (control group). The groups underwent spirometry and photographed for postural assessment. The images were scanned and subsequently evaluated ten postural changes with SPA [lateral head tilting (LHT), shoulder asymmetry (SA1), anterior pelvic asymmetry (APA), lateral trunk tilting (LTT), scapular asymmetry (SA2), posterior pelvic asymmetry (PPA), head protrusion (HP), shoulder protrusion (SP), anterior pelvic tilting (ABT), and thoracic kyphosis (TK)]. These postural changes, obtained in the control group, were compared with the normal range for young adults, proposed in a previous study. For the comparison of postural changes between the control and COPD groups was used Mann-Whitney test in the control group, and young adults, the unpaired Students's t-test. The level of statistical significance was 5%. Among the ten postural changes, the control group had seven (LHT, APA, SA2, PPA, HP, SP, ABT) outside the normal range for young adults, with significantly higher angular values. When compared to healthy elderly, patients with COPD showed a significant increase in the angle of three postural changes (ABT, PPA, and TK). Patients with COPD have three postural changes that are probably related to the disease.
Descrição
Palavras-chave
DPOC, postura, espirometria, fotogrametria, COPD, posture, spirometry, photogrammetry
Como citar
Fisioterapia e Pesquisa. Universidade de São Paulo, v. 18, n. 4, p. 341-345, 2011.