Abstract
Chronic obstructive pulmonary disease (COPD) is a progressive lung condition characterized by airflow limitation and respiratory symptoms such as shortness of breath, chronic cough, and sputum production. The relationship between COPD and gait disturbance is orchestrated by a complex interplay of factors. Airflow obstruction, the hallmark of COPD, imposes a strain on the respiratory system, leading to breathlessness and fatigue. This relentless struggle for breath forces individuals with COPD to curtail their walking pace, where they adopt a shortened stride and reduced step height. Furthermore, the chronic inflammation associated with COPD infiltrates skeletal muscles, leading to muscle weakness and decreased muscle mass. This insidious process further impairs gait, diminishing the ability to generate the necessary force for efficient ambulation. This chapter will explore the connection between COPD and gait disturbance, examining the underlying mechanisms, prevalence, impact, and management strategies to prevent fall-related injuries and improve the well-being of individuals affected by this challenging combination.