The proprioception in copd: What are the clinical determinants?

Abstract

Purpose: The lower extremity muscle strength and balance have been found related to some clinical parameters in Chronic Obstructive Lung Disease (COPD). However, it is not known how the proprioception influenced by clinical parameters. The aim of this study is to investigate the clinical determinants of proprioception in patients with COPD. Methods: Eighty-two COPD patients (GOLD A¼20, GOLD B¼21, GOLD C¼ 19, GOLD D¼22, 7 women, 75 men, mean age¼61.457.73/years) were included in the study. Knee joint proprioception for dominant and non-dominant legs while eyes open and closed (consecutively; PrDEo, PrDEc, PrNDEo, PrNDEc) was examined with isokinetic dynamometer (Cybex 350 ). Spirometry and 6-minutes walking test (6MWT) were performed. Spirometric values (FEV1, FVC, FEV1/FVC), observed differences in the BORG dyspnea scale (DBORG) and SpO2 in 6MWT and the covered distance were recorded. COPD Assessment test score and number of attacks and staying hospital in the last year were noted. Stepwise multiple linear regression analysis was performed including the independent variables according to univariate analysis in the model for each PrDEo, PrDEc, PrNDEo, PrNDEc to determine the multivariate influence of the predictors of proprioception. Results: Age (p¼0.007) and DBORG (p¼0.005) were the determinants of PrDEo (p