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Walking Pattern in COPD Patients

Sakamoto, Yukiko MSc, RN1; Sakamoto, Keiko PhD, RPT2; Minakata, Yoshiaki PhD, MD3; Shiba, Sumiko PhD, RPT4; Nakamura, Takeshi PhD, MD5; Ichinose, Masakazu PhD, MD6; Tajima, Fumihiro PhD, MD5

Rehabilitation Nursing Journal: July 2016 - Volume 41 - Issue 4 - p 211–217
doi: 10.1002/rnj.209

Purpose: To compare the activity and walking pattern of individuals with chronic obstructive pulmonary disease (COPD) and control subjects during a 24-hour period.

Design: Cross-sectional study in home and community.

Methods: The average walking velocity, time spent in sitting, standing, and lying, and numbers of steps per 24 hours were measured in nine individuals with COPD and eight healthy control subjects.

Findings: The average walking velocity in individuals with COPD was equivalent to that of the control subjects. Individuals with COPD walked significantly less than the control subjects. The total time spent sitting, standing, and walking was similar in the two groups.

Conclusions: The results suggested that the walking velocity selected by individuals with COPD serves to minimize energy cost per distance.

Clinical Relevance: The study findings emphasize the need to maintain walking velocity in any exercise prescription for individuals with COPD.

1 The School of Health and Nursing Science, Wakayama Medical University, Wakayama, Japan

2 Research Center of Sports Medicine and Balneology, Wakayama Medical University, Wakayama, Japan

3 Third Department of Internal Medicine, School of Medicine, Wakayama Medical University, Wakayama, Japan

4 Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women's University, Hyogo, Japan

5 Department of Rehabilitation Medicine, Wakayama Medical University, Wakayama, Japan

6 Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan


Takeshi Nakamura, Department of Rehabilitation Medicine, Wakayama Medical University, 811–1, Kimiidera, Wakayama City, Wakayama 641–8509, Japan.


© 2016 Association of Rehabilitation Nurses.
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