Efeito do corticoide inalatório na capacidade funcional, equilíbrio, risco de quedas e da acudade proprioceptiva em indivíduos com doença pulmonar obstrutiva crônica - DPOC

Abstract

Introduction: The inhaled corticosteroid used in individuals with chronic obstructive pulmonary disease (COPD) may compromise muscular strength and function, and it is expected that chronic use will reduce functional capacity, which would result in limitation of daily living activities, affecting balance , Proprioceptive acuity, and increased risk of falls. Objective: The objective was to assess the action of inhaled corticosteroids on the functional capacity, static and functional balance, fall risk and proprioceptive acuity in individuals with COPD. Methods: Thirty two individuals were included into the study, 20 with COPD (12 of whom used inhaled corticosteroids, G1, 8 did not use, G2) and 12 individuals controls (GC). All the participants were assessed for BODE, the Baecke questionnaire, Berg balance scale, fall risk, force platform and knee proprioceptive acuity. Results: The CG presented a higher score in the Baecke questionnaire (p = 0.03), in the Berg score (p = 0.02) when compared to G1 and G2. GC presented lower BODE index (p = 0.00) and fall risks (p = 0.00) compared to G1 and G2. There were no differences among groups for static balance (p> 0.05) and proprioceptive acuity (absolute error:p = 0.14 and relative errors:overestimated:p = 0.82 and underestimated: p = 0.95). Conclusion: Inhaled corticosteroids had influence on the variables BODE index and fall risks of, while not altered the functional capacity, the static and functional balance and the proprioceptive acuity of the knee in individuals with COPD.