Marla K Beauchamp1, Tania Janaudis-Ferreira2, Verônica Parreira3, Julia M Romano3, Lynda Woon3, Roger S Goldstein4, Dina Brooks5. 1. Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Cambridge, MA; Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada. 2. Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, St. John's Rehab Program, Toronto, ON, Canada; Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada; Department of Physical Therapy, University of Toronto, Toronto, ON, Canada. 3. Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada. 4. Department of Medicine, University of Toronto, Toronto, ON, Canada; Department of Physical Therapy, University of Toronto, Toronto, ON, Canada; Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada. 5. Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada; Department of Physical Therapy, University of Toronto, Toronto, ON, Canada. Electronic address: dina.brooks@utoronto.ca.
Abstract
BACKGROUND: Deficits in balance are increasingly recognized among the important secondary impairments in COPD. The purpose of this study was to investigate the effect of a balance-training program on measures of balance and physical function in patients with COPD enrolled in pulmonary rehabilitation (PR). METHODS: Patients were assigned randomly to an intervention or control group. The intervention group underwent balance training three times a week for 6 weeks concurrently with PR. The control group received only the 6-week PR program. Clinical balance measures included the Berg Balance Scale (BBS), the Balance Evaluation Systems Test (BESTest), and the Activities-Specific Balance Confidence (ABC) scale. The physical function subscale of the 36-Item Short Form Health Survey (PF-10) and the 30-s chair-stand test were used to measure self-reported physical function and lower-extremity muscle strength, respectively. RESULTS:Thirty-nine patients with COPD (mean FEV1, 37.5% ± 15.6% predicted) were enrolled in the study. Mean compliance with the balance-training program was 82.5%, and no adverse events were reported. Compared with control subjects, scores on the BBS (P < .01), BESTest (P < .01), PF-10 (P = .01), and 30-s chair-stand (P = .02) were significantly improved in the intervention group. No significant between-group differences were found in change scores on the ABC scale (P = .2). CONCLUSIONS: Our results support the feasibility and effectiveness of balance training as part of PR for improving balance performance, muscle strength, and self-reported physical function in patients with moderate to severe COPD.
RCT Entities:
BACKGROUND: Deficits in balance are increasingly recognized among the important secondary impairments in COPD. The purpose of this study was to investigate the effect of a balance-training program on measures of balance and physical function in patients with COPD enrolled in pulmonary rehabilitation (PR). METHODS:Patients were assigned randomly to an intervention or control group. The intervention group underwent balance training three times a week for 6 weeks concurrently with PR. The control group received only the 6-week PR program. Clinical balance measures included the Berg Balance Scale (BBS), the Balance Evaluation Systems Test (BESTest), and the Activities-Specific Balance Confidence (ABC) scale. The physical function subscale of the 36-Item Short Form Health Survey (PF-10) and the 30-s chair-stand test were used to measure self-reported physical function and lower-extremity muscle strength, respectively. RESULTS: Thirty-nine patients with COPD (mean FEV1, 37.5% ± 15.6% predicted) were enrolled in the study. Mean compliance with the balance-training program was 82.5%, and no adverse events were reported. Compared with control subjects, scores on the BBS (P < .01), BESTest (P < .01), PF-10 (P = .01), and 30-s chair-stand (P = .02) were significantly improved in the intervention group. No significant between-group differences were found in change scores on the ABC scale (P = .2). CONCLUSIONS: Our results support the feasibility and effectiveness of balance training as part of PR for improving balance performance, muscle strength, and self-reported physical function in patients with moderate to severe COPD.
Authors: Samantha L Harrison; Marla K Beauchamp; Kathryn Sibley; Tamara Araujo; Julia Romano; Roger S Goldstein; Dina Brooks Journal: BMC Pulm Med Date: 2015-07-23 Impact factor: 3.317
Authors: Sarah Bernard; Rui Vilarinho; Inês Pinto; Rosa Cantante; Ricardo Coxo; Rosa Fonseca; Sagrario Mayoralas-Alises; Salvador Diaz-Lobato; João Carvalho; Cátia Esteves; Cátia Caneiras Journal: Int J Environ Res Public Health Date: 2021-06-06 Impact factor: 3.390
Authors: Matthew Maddocks; Samantha S C Kon; Jane L Canavan; Sarah E Jones; Claire M Nolan; Alex Labey; Michael I Polkey; William D-C Man Journal: Thorax Date: 2016-06-12 Impact factor: 9.139
Authors: Marla K Beauchamp; Dina Brooks; Cindy Ellerton; Annemarie Lee; Jennifer Alison; Pat G Camp; Gail Dechman; Kimberley Haines; Samantha L Harrison; Anne E Holland; Alda Marques; Rahim Moineddin; Elizabeth H Skinner; Lissa Spencer; Michael K Stickland; Feng Xie; Roger S Goldstein Journal: JMIR Res Protoc Date: 2017-11-20