Impact of cognitive capacity on physical performance in chronic obstructive pulmonary disease patients: A scoping review

被引：16

作者：

Rassam, Peter ^{[1
,2
]}

Pazzianotto-Forti, Eli M. ^{[2
]}

Matsumura, Umi ^{[3
]}

Orchanian-Cheff, Ani ^{[4
]}

Aliabadi, Saina ^{[1
,5
]}

Kulkarni, Manjiri ^{[1
,2
]}

Fat Fur, Rachel L. ^{[6
]}

Rodrigues, Antenor ^{[7
]}

Langer, Daniel ^{[8
,9
]}

Rozenberg, Dmitry ^{[10
,11
]}

Reid, W. Darlene ^{[2
,5
,12
]}

机构：

[1] Univ Toronto, Temerty Fac Med, Sch Grad Studies, Rehabil Sci Inst, 500 Univ Ave, Toronto, ON M5G 1V7, Canada

[2] Univ Toronto, Dept Phys Therapy, Toronto, ON, Canada

[3] Nagasaki Univ, Grad Sch Biomed Sci, Dept Hlth Sci, Nagasaki, Japan

[4] Univ Hlth Network, Lib & Informat Serv, Toronto, ON, Canada

[5] Univ Hlth Network, Toronto Rehabil Inst, KITE, Toronto, ON, Canada

[6] Royal Coll Surgeons Ireland, Dublin, Ireland

[7] St Michaels Hosp, Dept Crit Care, Toronto, ON, Canada

[8] Katholieke Univ Leuven, Fac Movement & Rehabil Sci, Dept Rehabil Sci, Res Grp Rehabil Internal Disorders, Leuven, Belgium

[9] Univ Hosp Leuven, Resp Rehabil & Resp Div, Leuven, Belgium

[10] Univ Toronto, Univ Hlth Network, Temerty Fac Med, Div Respirol, Toronto, ON, Canada

[11] Toronto Gen Hosp Res Inst, Toronto, ON, Canada

[12] Univ Toronto, Interdept Div Crit Care Med, Toronto, ON, Canada

来源：

CHRONIC RESPIRATORY DISEASE | 2023年 / 20卷

基金：

加拿大健康研究院;

关键词：

Cognition; exercise; lung disease; obstructive; dual tasking; pulmonary rehabilitation; DUAL-TASK INTERFERENCE; EXERCISE CAPACITY; NEURAL MECHANISMS; POSTURAL CONTROL; OLDER-ADULTS; COPD; REHABILITATION; IMPAIRMENT; BALANCE; MORTALITY;

D O I：

10.1177/14799731231163874

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Background: Chronic obstructive pulmonary disease (COPD) is often accompanied by impaired cognitive and physical function. However, the role of cognitive function on motor control and purposeful movement is not well studied. The aim of the review was to determine the impact of cognition on physical performance in COPD. Methods: Scoping review methods were performed including searches of the databases: MEDLINE, EMBASE, Cochrane Systematic Reviews, Cochrane (CENTRAL), APA PsycINFO, and CINAHL. Two reviewers independently assessed articles for inclusion, data abstraction, and quality assessment. Results: Of 11,252 identified articles, 44 met the inclusion criteria. The review included 5743 individuals with COPD (68% male) with the forced expiratory volume in one second range of 24-69% predicted. Cognitive scores correlated with strength, balance, and hand dexterity, while 6-min walk distance (n = 9) was usually similar among COPD patients with and without cognitive impairment. In 2 reports, regression analyses showed that delayed recall and the trail making test were associated with balance and handgrip strength, respectively. Dual task studies (n = 5) reported impaired balance or gait in COPD patients compared to healthy adults. Cognitive or physical Interventions (n = 20) showed variable improvements in cognition and exercise capacity. Conclusions: Cognition in COPD appears to be more related to balance, hand, and dual task function, than exercise capacity.

引用

页数：24

共 109 条

[1] Extra pulmonary boosting in chronic obstructive pulmonary disease: leverage of piracetam as an adjunctive therapy on respiratory and neuropsychiatric functions in patients with chronic obstructive pulmonary disease [J].