scholarly journals Static balance in older adults with chronic obstructive pulmonary disease undergoing pulmonary rehabilitation

2020 ◽  
Vol 14 (2) ◽  
pp. 98-107
Author(s):  
Clara Narcisa Silva Almeida ◽  
Rayane Alves da Costa ◽  
Kaio Primo Manso ◽  
Juliana Figueiredo Ferreira ◽  
Bianca Callegari ◽  
...  
Keyword(s):  
Older Adults ◽  
Pulmonary Disease ◽  
Pulmonary Rehabilitation ◽  
Respiratory Muscle ◽  
Chronic Obstructive ◽  
Effect Analysis ◽  
Obstructive Pulmonary Disease ◽  
Eyes Closed ◽  
Total Displacement ◽  
Eyes Open

OBJECTIVE: To compare balance between older adults with and without chronic obstructive pulmonary disease (COPD) in tasks involving proprioceptive changes and respiratory muscle load, and to investigate the association between balance, functional capacity, and peripheral and respiratory muscle strength. METHODS: Fourteen older adults with COPD undergoing pulmonary rehabilitation and nine older adults without pulmonary disease were evaluated for static balance on a force platform under four conditions: eyes open, eyes closed, eyes closed on foam, and eyes open with respiratory overload. Differences between groups, among conditions and group/condition interactions, were tested using two-way ANOVA. Associations were explored using Pearson’s correlation coefficient. RESULTS: No differences in the posturographic variables were found in the group/condition interactions (p ≥ 0.23). The COPD group exhibited greater total displacement (F = 8.79, p = 0.003), mediolateral sway (F = 4.01, p = 0.04) and anteroposterior velocity (F = 4.28, p = 0.04) in the group effect analysis. Significant differences were found between eyes closed on foam and other conditions for all posturographic variables: anteroposterior sway (F = 13.39), mediolateral sway (F = 28.58), total displacement (F = 59.4), area (F = 37.68), anteroposterior velocity (F = 26.42), and mediolateral velocity (F = 33.29), in the condition effect analysis (p < 0.001, post-hoc). In the COPD group, significant correlations were found between the Glittre-ADL test, anteroposterior sway (r = 0.68, p = 0.01), and anteroposterior velocity (r = 0.67, p = 0.009); the 6MWT was also correlated with anteroposterior velocity (r = 0.59, p = 0.03). CONCLUSION: Older adults with COPD present balance deficits compared to healthy individuals. The unstable surface caused greater postural instability compared to other conditions in both groups. Impaired balance was associated with reduced physical function and exercise capacity.

scholarly journals Effects of Pulmonary Rehabilitation on Respiratory Muscle Strength and Functional Capacity of Individuals with Chronic Obstructive Pulmonary Disease: Case Report

2018 ◽  
Vol 5 (2) ◽  
pp. 3500-3503
Author(s):  
Nayara R. A. V. Boas ◽  
Alessandra G. Cizino ◽  
Eloisa M. G. Regueiro ◽  
Sueli A. Alves ◽  
Edson D. Verri ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Muscle Strength ◽  
Pulmonary Disease ◽  
Functional Capacity ◽  
Pulmonary Rehabilitation ◽  
Respiratory Muscle ◽  
Rehabilitation Program ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Pulmonary Rehabilitation Program

Chronic obstructive pulmonary disease is a common preventable and treatable disease characterized by persistent airflow limitation that is usually progressive and associated with an enhanced chronic inflammatory response in the airways and the lung to noxious particles or gases. The objective of this study was to evaluate the effects of a pulmonary rehabilitation program on respiratory muscle strength and functional capacity of individuals with chronic obstructive pulmonary disease. An elderly male patient participated in the pulmonary rehabilitation program and was evaluated before and after intervention. This program consisted of four phases: stretching, aerobic exercises, resistance training and relaxation.  The physical activities were provided three times a week on alternate days, for 4 months, totaling 48 sessions. The results obtained after the rehabilitation program showed improvement in the physical functional capacity of the patient measured by the six-minute walk test (Pre=480; Post=540m). The maximal inspiratory pressure values increased (Pre=-60; Post=-120cmH2O) whereas the maximal expiratory pressure values remained the same (Pre=50; Post=50cmH2O). Therefore, the respiratory rehabilitation program has improved functional capacity and inspiratory muscle strength.

scholarly journals Safety and efficacy of inpatient pulmonary rehabilitation for patients hospitalised with an acute exacerbation of chronic obstructive pulmonary disease: a systematic review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e043377
Author(s):  
Kai Zhu ◽  
Jagdeep Gill ◽  
Ashley Kirkham ◽  
Joel Chen ◽  
Amy Ellis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Acute Exacerbation ◽  
Pulmonary Rehabilitation ◽  
Meta Analysis ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Safety And Efficacy

IntroductionPulmonary rehabilitation (PR) following an acute exacerbation of chronic obstructive pulmonary disease (AECOPD) reduces the risk of hospital admissions, and improves physical function and health-related quality of life. However, the safety and efficacy of in-hospital PR during the most acute phase of an AECOPD is not well established. This paper describes the protocol for a systematic review with meta-analysis to determine the safety and efficacy of inpatient acute care PR during the hospitalisation phase.Methods and analysisMedical literature databases and registries MEDLINE, EMBASE, Physiotherapy Evidence Database, Cumulative Index to Nursing and Allied Health Literature, Canadian Agency for Drugs and Technologies in Health, CENTRAL, Allied and Complementary Medicine Database, WHO trials portal and ClinicalTrials.gov will be searched for articles from inception to June 2021 using a prespecified search strategy. We will identify randomised controlled trials that have a comparison of in-hospital PR with usual care. PR programmes had to commence during the hospitalisation and include a minimum of two sessions. Title and abstract followed by full-text screening will be conducted independently by two reviewers. A meta-analysis will be performed if there is sufficient homogeneity across selected studies or groups of studies. The Population, Intervention, Comparator, Outcomes and Study characteristics framework will be used to standardise the data collection process. The quality of the cumulative evidence will be assessed using the Grading of Recommendations, Assessment, Development and Evaluations framework.Ethics and disseminationAECOPD results in physical limitations which are amenable to PR. This review will assess the safety and efficacy of in-hospital PR for AECOPD. The results will be presented in a peer-reviewed publication and at research conferences. Ethical review is not required for this study.

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