Effects of creative dance on functional capacity, pulmonary function, balance, and cognition in COPD patients: A randomized controlled trial

Kaya, Meltem; Gürses, Hülya Nilgün; Ucgun, Hikmet; Okyaltirik, Fatmanur

doi:10.1016/j.hrtlng.2022.10.017

Cited by 2 publications

(3 citation statements)

References 41 publications

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“…Studies reporting balance outcomes that could not be pooled for meta-analysis (n=9 non-RCT and n=13 RCTs) are summarised narratively [ 23 , 36 – 41 , 43 , 44 , 46 , 47 , 50 , 51 , 54 , 59 , 60 , 62 – 67 ].…”

Section: Resultsmentioning

confidence: 99%

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Exercise-based interventions targeting balance and falls in people with COPD: a systematic review and meta-analysis

Loughran,

Emerson,

Avery

et al. 2024

Eur Respir Rev

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IntroductionThis review quantifies the mean treatment effect of exercise-based interventions on balance and falls risk in people with COPD.MethodsA structured search strategy (2000–2023) was applied to eight databases to identify studies evaluating the impact of exercise-based interventions (≥14 days in duration) on balance or falls in people with COPD. Pooled mean treatment effects (95% confidence intervals (CIs), 95% prediction intervals (PIs)) were calculated for outcomes reported in five or more studies. Inter-individual response variance and the promise of behaviour change techniques (BCTs) were explored.Results34 studies (n=1712) were included. There were greater improvements in balance post intervention compared to controls for the Berg Balance Scale (BBS) (mean 2.51, 95% CI 0.22–4.80, 95% PI −4.60–9.63), Timed Up and Go (TUG) test (mean −1.12 s, 95% CI −1.69– −0.55 s, 95% PI −2.78–0.54 s), Single-Leg Stance (SLS) test (mean 3.25 s, 95% CI 2.72–3.77 s, 95% PI 2.64–3.86 s) and Activities-specific Balance Confidence (ABC) scale (mean 8.50%, 95% CI 2.41–14.58%, 95% PI −8.92–25.92%). Effect on falls remains unknown. Treatment effects were larger in maleversusmixed-sex groups for the ABC scale and SLS test, and in balance trainingversusother exercise-based interventions for the BBS and TUG test. Falls history was not associated with changes in balance. Meta-analysis of individual response variance was not possible and study-level results were inconclusive. Eleven promising BCTs were identified (promise ratio ≥2).ConclusionEvidence for the effect of exercise-based interventions eliciting clinically important improvements in balance for people with COPD is weak, but targeted balance training produces the greatest benefits. Future exercise interventions may benefit from inclusion of the identified promising BCTs.

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Section: Resultsmentioning

confidence: 99%

“…Nine studies applied posturography [ 23 , 36 , 38 – 41 , 50 , 51 , 64 ]. A variety of individual measurement units were reported across several different conditions, meaning it was difficult to establish the impact of exercise-based interventions on postural control in people with COPD ( supplement 3 ).…”

Section: Resultsmentioning

confidence: 99%

Exercise-based interventions targeting balance and falls in people with COPD: a systematic review and meta-analysis

Loughran,

Emerson,

Avery

et al. 2024

Eur Respir Rev

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“…The Partial eta squared results also proved the large interaction effects over time. Kaya et al showed that dance movement therapy, and Leung et al showed that Tai Chi increased balance and functional capacity in patients with COPD [ 33 , 34 ]. Considering the literature, studies showing the effect of alternative treatment methods on extrapulmonary symptoms in COPD are quite limited, and they appear to be effective when applied with PR.…”

Section: Discussionmentioning

confidence: 99%

Effects of body awareness therapy on balance and fear of falling in patients with chronic obstructive pulmonary disease: a randomized controlled trial

karaca,

Yildiz Özer,

Karakurt

et al. 2024

BioPsychoSocial Med

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Background Assessment of extrapulmonary comorbidities is essential in chronic obstructive pulmonary disease (COPD). Deterioration of balance and increasing fear of falling are two of the most significant extrapulmonary manifestations. Although pulmonary rehabilitation (PR) is well-known and effective for COPD patients, there is a need for alternative treatments to enhance balance and alleviate concerns about falling. This study aimed to investigate the effect of Body Awareness Therapy (BAT), in addition to the PR program, on balance and fear of falling in patients with COPD. Methods Forty-three patients were randomized into two groups: the BAT + PR group (BAT: once a week, 60 min + PR: 30 min, seven days of the week) or the PR group (PR: 30 min, seven days of the week) for eight weeks. Primary (balance, fear of falling) and secondary (dyspnea, muscle strength, functional capacity) outcomes were assessed at two different times: the baseline and end of the eight weeks. Results Significant improvements were found in dynamic balance (reaction time η2 = 0.777, movement velocity η2 = 0.789, endpoint excursion η2 = 0.687, maximal excursion η2 = 0.887), static balance on firm ground (eyes opened η2 = 0.679, eyes closed η2 = 0.705), dyspnea (η2 = 0.546), muscle strength (η2 = 0.803), and functional capacity (η2 = 0.859) of the BAT + PR group (p < 0.05 for all). The improvement in fear of falling was significantly greater in the BAT + PR group than in the PR group (p < 0.001, η2 = 0.331). Conclusion The BAT method added to PR was more effective than PR alone in improving balance and reducing the fear of falling in COPD patients. Trial registration This randomized controlled study was registered at clinicaltrials.gov, NCT04212676, Registered 28 December 2019.

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Effects of creative dance on functional capacity, pulmonary function, balance, and cognition in COPD patients: A randomized controlled trial

Cited by 2 publications

References 41 publications

Exercise-based interventions targeting balance and falls in people with COPD: a systematic review and meta-analysis

Exercise-based interventions targeting balance and falls in people with COPD: a systematic review and meta-analysis

Effects of body awareness therapy on balance and fear of falling in patients with chronic obstructive pulmonary disease: a randomized controlled trial

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