Static and Functional Balance in Individuals With COPD: Comparison With Healthy Controls and Differences According to Sex and Disease Severity

Castro, Larissa Araújo de; Ribeiro, Laís Regina Garcia; Mesquita, Rafael; Carvalho, Débora Rafaelli de; Felcar, Josiane Marques; Merli, Myriam Fernanda; Fernandes, Karen Barros Parron; Silva, Rubens Alexandre da; Teixeira, Denílson C.; Spruit, Martijn A.; Pitta, Fábio; Probst, Vanessa Suziane

doi:10.4187/respcare.04749

Cited by 38 publications

(36 citation statements)

References 38 publications

(57 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As such, a number of studies have examined the measurement properties of the TUG in people with COPD. 47 –56 These studies support the TUG’s convergent validity with other longer tests of balance, its ability to identify those with balance and functional deficits, and in line with previous work, 3 the TUG appears to be able to discriminate between those with and without a history of falls. In a retrospective study of 119 patients with COPD, the TUG showed excellent reliability and adequate accuracy in identifying people with a history of falls 47 ; however, larger prospective studies are needed to confirm these results.…”

Section: Evidence To Date On Balance Assessment In People With Copdsupporting

confidence: 70%

Balance assessment in people with COPD: An evidence-based guide

Beauchamp

2018

Chron Respir Dis

View full text Add to dashboard Cite

Balance problems and an increased rate and risk of falls are common in people with chronic obstructive pulmonary disease (COPD). Although a balance assessment is now recommended by clinical practice guidelines for pulmonary rehabilitation, specific tests have yet to be suggested. The purpose of this review is to provide an evidence-based synthesis of balance measurement in older adults and in people with COPD, to guide practice in this area. An overview of best practices for assessing balance and fall risk in older adults is provided along with a practical synthesis of evidence to date on common balance measures used in people with COPD such as the Timed Up and Go, Single Leg Stance, Berg Balance, and Mini and Full Balance Evaluation Systems Tests. Finally, two clinical scenarios are described to illustrate the process of evidence-based clinical decision-making with respect to balance assessment in people with COPD. Ultimately, the selection of balance test and its interpretation will depend on the purpose of the assessment, available data on psychometric properties, the patient’s individual characteristics, and the resources available to the clinician.

show abstract

Section: Evidence To Date On Balance Assessment In People With Copdsupporting

confidence: 70%

Balance assessment in people with COPD: An evidence-based guide

Beauchamp

2018

Chron Respir Dis

View full text Add to dashboard Cite

show abstract

“…Even though studies investigating balance issues in COPD patients exist in the literature, the number of these studies is low and the majority of them have only investigated a small group of patients (ranging between 27‐47 COPD patients) and only a selected group of tests such as BBS, SLS, TUG, 6‐MWT have been performed. All these studies have found a middle ground that patients with COPD have worsened balance and are more prone to fall 29‐33 . Our study has a larger group of patients and we were able to perform more tests than these previously published studies meaning that our study provides a wider perspective for assessment of balance impairment in patients with COPD.…”

Section: Discussionmentioning

confidence: 67%

Evaluation of balance in patients with chronic obstructive pulmonary disease with practical tests

Yazici

Ceylan

Yazıcı³

et al. 2020

Int J Clin Pract

View full text Add to dashboard Cite

Introduction Patients with chronic obstructive pulmonary disease (COPD) have impaired balance and hence fall more frequently. Easy application of balance evaluation tests can prevent the loss of time in the outpatient clinic for patients with COPD. In this study, we aimed to compare the efficacy of Berg Balance Scale (BBS), a time‐consuming but a widely used test, with other easy‐to‐perform tests such as the Single Leg Stance (SLS), Five Repetition Sit to Stand (5STS), Four Step Square (FSST), and Timed Up and Go (TUG) tests. Methods A total of 71 patients with COPD and 70 control subjects with matching demographic characteristics were included in the study. All patients undertook pulmonary function tests and their scores of 6‐min walk‐test (6MWT), modified Medical Research Council (mMRC) dyspnoea scale, COPD assessment questionnaire (CAT) and body mass index (B) were recorded. In addition, the severity of airway obstruction (O), the dyspnoea severity (D) and exercise capacity (E) (BODE) index scores were measured. All patients with COPD were classified into four groups, A to D, based on the GOLD 2017 criteria. All subjects undertook the BBS, SLS, 5STS, FSST and TUG tests. Results Balance tests revealed increased balance impairment in patients with COPD in comparison with the control subjects (P < .05). The BBS, SLS, FSST and TUG examinations suggested that balance impairment was frequent in Groups C and D patients with COPD (P < .05). FSST and TUG had the highest correlation with BBS (r = −.812 and −.842 and P < .001 and <.001, respectively). The results of FSST and TUG were the closest to those of BBS test. Conclusions FSST and TUG tests can be applied for the assessment of bodily balance status among patients with COPD in outpatient clinics.

show abstract

“…The MCID for commonly used balance assessment scales in patients with COPD undergoing pulmonary rehabilitation were reported in a study conducted by Beauchamp M K et al, (2016). The MCID ranges for various balance assessment scales were published in the previous studies (Marques et al, 2015;de Castro et al, 2016).…”

Section: Resultsmentioning

confidence: 99%

The effect of balance training and conventional pulmonary rehabilitation in patients with moderate chronic obstructive pulmonary disease

A¹,

Srinivasan²,

T³

et al. 2021

ijrps

View full text Add to dashboard Cite

The purpose of our study was to determine the added effect of a balance training program to conventional pulmonary rehabilitation on exercise capacity, balance, fall risk and health related quality of life in patients with moderate COPD. A Randomized Control Trial with two groups- Experimental and Control groups. 133 participants were randomly allocated to either the conventional pulmonary rehabilitation group or the combined pulmonary rehabilitation group with balance training. In the present study we found statistically significant improvement in Berg Balance Scale by -22.55%, Timed Up and Go test by -46.46%, Single Leg Stance Test by -51.69%, Activities Balance Confidence Score by 13.89%, Elderly Falls Screening Test by -57.42%, Six-minutes walk test by 3.04%, and St. George respiratory questionnaire total score by -18.16%.It is recommended that implementation of 8 weeks balance training with conventional pulmonary rehabilitation program is beneficial on improving balance, six-minute walk distance and health related quality of life in subjects with moderate COPD.

show abstract

Static and Functional Balance in Individuals With COPD: Comparison With Healthy Controls and Differences According to Sex and Disease Severity

Cited by 38 publications

References 38 publications

Balance assessment in people with COPD: An evidence-based guide

Balance assessment in people with COPD: An evidence-based guide

Evaluation of balance in patients with chronic obstructive pulmonary disease with practical tests

The effect of balance training and conventional pulmonary rehabilitation in patients with moderate chronic obstructive pulmonary disease

Contact Info

Product

Resources

About