Corticóides inalatórios na capacidade funcional de indíviduos com doença pulmonar obstrutiva crônica

Jullyne Carvalho Ferreira, Eliane Maria de Carvalho, Ednaldo Carvalho Guimarães, Vanessa Martins Pereira Silva Moreira, Jessica Garcia Jorge, Valdeci Carlos Dionísio


Introdução: O corticoide inalatório (CI) utilizado em indivíduos com Doença Pulmonar Obstrutiva Crônica (DPOC) pode comprometer a função dos músculos respiratórios e dos membros inferiores, levando ao aumento da severidade das limitações funcionais.

Objetivo: Avaliar a ação do CI na capacidade funcional, no deficit de equilíbrio estático e funcional, no risco de quedas e na acuidade proprioceptiva em indivíduos com DPOC.

Métodos: Participaram 20 indivíduos com DPOC, sendo 12 que utilizavam CI (G1) e oito que não utilizavam CI (G2), e outros 12 indivíduos no grupo controle (GC). Esses foram avaliados por: Body mass index, airway Obstruction, Dyspnea, and Exercise capacity (BODE), questionário de Baecke, escala de equilíbrio de Berg, risco de quedas, equilíbrio estático em plataforma de força e a acuidade proprioceptiva do joelho.

Resultados: O índice de BODE foi diferente entre os grupos (p<0,001), e o G1 for maior do que o G2. Para o Baecke, os grupos G1 e G2 tiveram menores escores que o GC (p=0,03). O escore de Berg foi similar entre os grupos G1 e G2 e entre os grupos GC e G2. O risco de quedas foi maior para G1 e G2 do que para o GC (p<0,001), e G1 maior do que G2. Não houve diferenças para a acuidade proprioceptiva (p>0,14) e para a análise do equilíbrio estático (p>0,05).

Conclusão: O CI influenciou o índice BODE e os riscos de queda, mas não alterou a capacidade funcional, o equilíbrio estático e funcional e a acuidade proprioceptiva do joelho em indivíduos com DPOC.


Atividades Cotidianas; Equilíbrio Postural; Acidentes por Quedas; Doença Pulmonar Obstrutiva Crônica

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