Effect of 6 Months of Balance Training During Pulmonary Rehabilitation in Patients With COPD

被引:38
作者
Mkacher, Wajdi [1 ]
Mekki, Marwa [1 ]
Tabka, Zouhair [1 ]
Trabelsi, Yassine [1 ]
机构
[1] Univ Sousse, Sousse Fac Med, Dept Physiol & Lung Funct Testing UR12 ES06, Sousse, Tunisia
关键词
balance training; chronic obstructive pulmonary disease; pulmonary rehabilitation; DETECTABLE CHANGE; REACTION-TIME; WALK TEST; GO TEST; DISEASE; PERFORMANCE; COMMUNITY; FALLS; SCALE; MOBILITY;
D O I
10.1097/HCR.0000000000000109
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
PURPOSE: Balance impairment is recognized as an important issue for patients with chronic obstructive pulmonary disease (COPD). The aim of this study was to examine the effect of balance training as part of pulmonary rehabilitation (PR) on balance in COPD patients. METHODS: Patients were randomly assigned to an intervention or usual care group. The intervention group underwent balance training 3 times a week for 6 months in addition to the standard PR. The control group received 6 months of the standard PR program only. Balance was assessed by the Timed Up and Go (TUG), Tinetti, Berg Balance Scale (BBS), and the Unipodal Stance (UST) tests. Balance confidence was rated using the ABC scale. Exercise tolerance was determined using a 6-Minute Walk Test. RESULTS: Following the completion of PR, the intervention group showed improvement in all balance measures. Only TUG, ABC, and UST scores were improved in the usual care group (P<.05). Results demonstrated significant between-group differences in TUG, Tinetti, BBS, and ABC scores (P<.01) and UST score (P<.05). CONCLUSIONS: Balance training incorporated into a standard PR program significantly improves scores on balance tests in COPD patients.
引用
收藏
页码:207 / 213
页数:7
相关论文
共 39 条
[31]   Interpreting small differences in functional status: The six minute walk test in chronic lung disease patients [J].
Redelmeier, DA ;
Bayoumi, AM ;
Goldstein, RS ;
Guyatt, GH .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1997, 155 (04) :1278-1282
[32]   Predicting the probability for falls in community-dwelling older adults [J].
ShumwayCook, A ;
Baldwin, M ;
Polissar, NL .
PHYSICAL THERAPY, 1997, 77 (08) :812-819
[33]   Test-retest reliability and minimal detectable change on balance and ambulation tests, the 36-Item Short-Form Health Survey, and the unified Parkinson disease rating scale in people with parkinsonism [J].
Steffen, Teresa ;
Seney, Megan .
PHYSICAL THERAPY, 2008, 88 (06) :733-746
[34]   Age- and gender-related test performance in community-dwelling elderly people:: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds [J].
Steffen, TM ;
Hacker, TA ;
Mollinger, L .
PHYSICAL THERAPY, 2002, 82 (02) :128-137
[35]  
SUDARSKY L, 1990, NEW ENGL J MED, V322, P1441
[37]   Comparison of two training programmes in chronic airway limitation patients: Standardized versus individualized protocols [J].
Vallet, G ;
Ahmaidi, S ;
Serres, I ;
Fabre, C ;
Bourgouin, D ;
Desplan, J ;
Varray, A ;
Prefaut, C .
EUROPEAN RESPIRATORY JOURNAL, 1997, 10 (01) :114-122
[38]   A Comparison of 3 Methodological Approaches to Defining Major Clinically Important Improvement of 4 Performance Measures in Patients With Hip Osteoarthritis [J].
Wright, Alexis A. ;
Cook, Chad E. ;
Baxter, G. David ;
Dockerty, John D. ;
Abbott, J. Haxby .
JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 2011, 41 (05) :319-327
[39]   Clinical tools for assessing balance disorders [J].
Yelnik, A. ;
Bonan, I. .
NEUROPHYSIOLOGIE CLINIQUE-CLINICAL NEUROPHYSIOLOGY, 2008, 38 (06) :439-445