Falls in people with chronic obstructive pulmonary disease: An observational cohort study

Roig, Marc; Eng, JJ; MacIntyre, Donna L.; Road, Jeremy; FitzGerald, J. Mark; Burns, Joseph E.; Reid, W. Darlene

doi:10.1016/j.rmed.2010.08.015

Cited by 133 publications

(121 citation statements)

References 37 publications

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“…arm movement) were minor, they were sufficient to compromise balance recovery. As lower perturbation threshold for balance compromise is associated with increased falls [23], our data are consistent with findings of increased falls risk in COPD [24].…”

Section: Page 12 Of 26supporting

confidence: 90%

Balance recovery is compromised and trunk muscle activity is increased in chronic obstructive pulmonary disease

2016

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Please cite this article as: Smith MD, Chang AT, Hodges PW, Balance recovery is compromised and trunk muscle activity is increased in chronic obstructive pulmonary disease, Gait and Posture (2015), http://dx.doi.org/10.1016/j.gaitpost. 2015.09.004 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Abdominal muscle EMG was similar between groups, but controls had greater ES EMG during arm movements. Individuals with more severe COPD had greater OE and RA EMG both before and during arm movement compared to those with less severe COPD and controls. Following exercise, OE and ES EMG increased in people with less severe COPD.This study shows that severe COPD is associated with impaired ability to recover balance and greater trunk muscle activity during postural challenges. Augmented trunk muscle activity may limit the contribution of trunk movements to balance recovery and could contribute to increased falls risk.

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Section: Page 12 Of 26supporting

confidence: 90%

Balance recovery is compromised and trunk muscle activity is increased in chronic obstructive pulmonary disease

2016

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“…It has been previously reported that subjects with COPD experienced marked deficits in mobility, 56,59,60 gait speed, 60 and gait stability, 64 exhibiting balance unsteadiness and limited physical activity when compared with controls. 65,66 This contributes to the high prevalence of frailty in COPD as well as the reduction of physical activity. Our results indicate that, in the same line of previous studies, 56,60,64 subjects with COPD present a significant impairment of balance, functional capacity, and fatigue compared with healthy controls.…”

Section: Discussionmentioning

confidence: 99%

Physical Activity as a Predictor of Absence of Frailty in Subjects With Stable COPD and COPD Exacerbation

et al. 2015

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BACKGROUND: Frailty is a key issue in the care of elderly patients. Patients with COPD are more likely to be frail, with a prevalence of 57.8%. Frailty is associated with a low level of physical activity. The aim of this study was to analyze the predictive power and identify the cutoffs of physical activity in their different domains (household, leisure time, and sport) for the absence of frailty in subjects with COPD exacerbation and stable COPD. METHODS: A cross-sectional study was conducted. The participants underwent an individual interview, including sociodemographic and clinical aspects. The total physical activity and its domains were assessed by the modified Baecke questionnaire, and frailty was measured according to the modified version of Fried. A total of 212 subjects with COPD (104 stable and 108 with COPD exacerbation) were enrolled, along with 100 healthy subjects. RESULTS: The prevalence of frailty was higher in subjects with COPD compared with the control group. An activity level of 3.54 for COPD exacerbation, 3.88 for stable COPD, and 3.50 for healthy subjects assessed using the Baecke questionnaire were recommended as the cutoff points for frailty. Sensitivity and specificity values were 0.95 and 0.807; 0.95 and 0.815; and 0.95 and 0.947, respectively. CONCLUSIONS: Physical activity level can predict the absence or presence of frailty in subjects with stable and exacerbated COPD.

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“…Individuals aged over 65 would experience at least one fall per year [15]. In a prospective study, the incidence of falls was more than four times higher in patients with COPD, than in healthy individuals with respect to gender and age [16].…”

Section: Balance Disorders: Nosology Prevalence Clinical Consequencesmentioning

confidence: 99%

Neurocognitive Impairment as Systemic Effects of COPD

Oancea¹,

Tudorache²,

Tudorache³

2018

COPD - An Update in Pathogenesis and Clinical Management

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Mild cognitive impairment (MCI), also known as incipient dementia, is characterized by the decline of cognitive function greater than expected for a certain age and educational level of the individual but not severe enough to interfere with their daily activities. However, this mild cognitive impairment afects several areas: visuospatial, memory, atention and luency and it is a signiicant concern because it decreases the quality of life and treatment adherence of these patients. On the other hand, evidence suggests that individuals with Chronic obstructive pulmonary disease (COPD) also present an important risk of falls: 46% of these patients experience a fall/year, sometimes with fatal consequences. Standard clinical balance measures can predict the risk of falls in this population. Moreover, increased inlammatory biomarkers are associated with the decrease of cognitive functions and a higher risk of falls in this population. Patients with COPD have a higher balance and cognitive impairment than their healthy peers Therefore, it is important to identify, assess and understand the relevance of these comorbidities in order to characterize the full clinical spectrum of COPD and adjust prevention strategies, given the devastating consequences of these problems.

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Falls in people with chronic obstructive pulmonary disease: An observational cohort study

Abstract: Patients with COPD have a high susceptibility to falls, which is associated with a worsening of dyspnea perception as related to HRQoL. Fall prevention programs in COPD are recommended.

Cited by 133 publications

References 37 publications

Balance recovery is compromised and trunk muscle activity is increased in chronic obstructive pulmonary disease

Balance recovery is compromised and trunk muscle activity is increased in chronic obstructive pulmonary disease

Physical Activity as a Predictor of Absence of Frailty in Subjects With Stable COPD and COPD Exacerbation

Neurocognitive Impairment as Systemic Effects of COPD

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