Balance Impairment and Effectiveness of Exercise Intervention in Chronic Obstructive Pulmonary Disease—A Systematic Review

Chuatrakoon, Busaba; Ngai, Shirley P.C.; Sungkarat, Somporn; Uthaikhup, Sureeporn

doi:10.1016/j.apmr.2020.01.016

Cited by 19 publications

(16 citation statements)

References 29 publications

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“…Dysfunctional breathing patterns can result in muscular imbalance, motor control alterations, and physiological adaptations that can alter movement [35]. Respiratory symptoms lead to sedentary or physical inactivity, and both respiratory symptoms and sedentary also increase several impairments, including muscle weakness, poor coordination, poor balance, loss of activity confidence, and risk of falls [36].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Respiratory and Core Stability Tele-exercises on Pulmonary and Functional Status in COVID-19 Survivors: A Randomized Clinical Trial

Mashhadi

Sahebozamani²,

Daneshjoo³

et al. 2022

PTJ

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Purpose: Various complications, including physical, cognitive, and functional disorders, have been identified in patients discharged and recovered from COVID-19. Pulmonary rehabilitation (PR) can be considered a strategy for these disorders. This study aimed to investigate the effect of respiratory and core stability tele-exercises on pulmonary function and functional capacity in survivors discharged and recovered from COVID-19. Methods: This randomized clinical trial study was performed in Qom Province, Iran, in 2021. Thirty discharged patients voluntarily participated in this study and were randomly divided into two groups of 15 patients. Eventually, 27 patients in two groups of exercise (13 patients) and control (14 patients) completed this study. The exercise group performed respiratory and core stability tele-exercise for 8 weeks. Before and after the exercise program, pulmonary function, including forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), FEV1/FVC ratio, and six-minute walk test (6MWT) were assessed in both groups. Mixed repeated measures test in SPSS software v. 27, was used to compare the mean of pre-test-post-test information of the groups. The significance level for this study was considered 0.05. Results: In the exercise group, a significant improvement was observed in FVC, FEV1, and 6MWT after the intervention (P≤0.05), but no significant difference was observed in the FEV1/FVC ratio (P>0.05). Furthermore, a significant interaction was observed in 6MWD, FVC, FVC (predicted), FEV1, and FEV1 (predicted). However, in FEV1/FVC ratio, no significant interaction was observed between the two groups (P>0.05). Conclusion: The results of the study showed that in the new crisis resulting from persistent complications of COVID-19, respiratory and core stability exercises by the tele-exercise method could be used as a helpful method in the rehabilitation of patients discharged and recovered from COVID-19 disease.

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Section: Discussionmentioning

confidence: 99%

The Effect of Respiratory and Core Stability Tele-exercises on Pulmonary and Functional Status in COVID-19 Survivors: A Randomized Clinical Trial

Mashhadi

Sahebozamani²,

Daneshjoo³

et al. 2022

PTJ

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“…Several studies in patients with respiratory or neurologic diseases have shown that weakness in respiratory muscles may reduce body stability [90,91]. Likewise, recent studies have noted reduced balance and coordination in individuals with lung dysfunction [92][93][94]. Kocjan et al [68] proposed that diaphragm weakness creates a state of insufficient irritability of proprioceptors and subsequent inadequate sensory stimuli to maintain optimal postural control and stability [68].…”

Section: Discussionmentioning

confidence: 99%

Pistol Shooting Performance Correlates with Respiratory Muscle Strength and Pulmonary Function in Police Cadets

et al. 2022

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Breathing patterns play a crucial role in shooting performance; however, little is known about the respiratory muscle strength and pulmonary capacities that control these patterns. The present study aimed to examine the relationship between shooting performance, respiratory muscle strength, and pulmonary function and to determine differences in respiratory capacities according to the shooting performance categories in police cadets. One hundred sixty-seven police cadets were recruited to assess respiratory muscle strength, pulmonary function, and shooting performance in a well-controlled environment. Measurements included maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), slow vital capacity (SVC), maximal voluntary ventilation (MVV), and pistol shooting scores. The shooting score had a moderate positive correlation with MIP (ρ = 0.33) and MEP (ρ = 0.45). FVC (ρ = 0.25), FEV1 (ρ = 0.26), SVC (ρ = 0.26) (p < 0.001) and MVV (ρ = 0.21) (p < 0.05) were slightly correlated with shooting score. There were differences between shooting performance categories in MIP, MEP, FVC, FEV1, SVC, and MVV (p < 0.001, p < 0.05). The results imply that both strong respiratory muscles and optimal pulmonary function may be one of the necessary prerequisites for superior shooting performance in police.

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“…Given that individuals with COPD are older, balance exercises could also be included with the flexibility program. 59 Water-based exercise may also be prescribed, particularly for those with underlying musculoskeletal conditions which may limit exercise activity due to pain. For individuals with severe disease and more debilitated NMES may be useful.…”

Section: Recommendationsmentioning

confidence: 99%

Exercise & Sports Science Australia (ESSA) position statement on exercise and chronic obstructive pulmonary disease

Morris

Hill

Walsh

et al. 2021

Journal of Science and Medicine in Sport

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Objectives: Chronic obstructive pulmonary disease (COPD) results in airflow obstruction and a marked reduction in exercise capacity and health-related quality of life (HRQoL). Affecting over 1 in four Australians aged over 75 years, COPD remains one of the major causes of disability and death in the world. To date there have been over 80 randomised controlled trials examining the role of exercise training in a range of settings for individuals with COPD. This review will synthesise existing literature and provide health practitioners with broad evidence-based guidelines for exercise-training in this growing population. Design: Position stand. Methods: Synthesis of randomised controlled trials of exercise training and of existing guidelines for exercise in COPD. Systematic reviews of alternative modes of exercise training will also be reviewed. Results: There is convincing evidence that in adults with COPD, exercise-training improves exercise capacity, decreases symptoms such as dyspnoea and fatigue, and improves HRQoL. There is emerging evidence in this population that alternative modes of exercise training such as high intensity interval training (HIIT), aquatic based therapy, tai chi and neuromuscular electrical stimulation improve exercise outcomes when compared to no exercise. Conclusions: For individuals with COPD, an exercise program of aerobic and strength exercises delivered over at least an 8-week period, that engages lower and upper body skeletal muscles, will deliver significant health improvements. Programs should be individualised, take into consideration relevant co-morbid conditions and be delivered appropriately qualified health practitioners experienced in clinical exercise prescription.

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Balance Impairment and Effectiveness of Exercise Intervention in Chronic Obstructive Pulmonary Disease—A Systematic Review

Cited by 19 publications

References 29 publications

The Effect of Respiratory and Core Stability Tele-exercises on Pulmonary and Functional Status in COVID-19 Survivors: A Randomized Clinical Trial

The Effect of Respiratory and Core Stability Tele-exercises on Pulmonary and Functional Status in COVID-19 Survivors: A Randomized Clinical Trial

Pistol Shooting Performance Correlates with Respiratory Muscle Strength and Pulmonary Function in Police Cadets

Exercise & Sports Science Australia (ESSA) position statement on exercise and chronic obstructive pulmonary disease

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