Balance Impairment and Effectiveness of Exercise Intervention in Chronic Obstructive Pulmonary Disease—A Systematic Review

© 2020 American Congress of Rehabilitation Medicine Objective: To systematically review the evidence for balance impairment and effectiveness of interventions on balance in people with chronic obstructive pulmonary disease (COPD). Data Sources: Four electronic databases (Scopus, CINAHL, PubMed, Coch...

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Main Authors: Busaba Chuatrakoon, Shirley P.C. Ngai, Somporn Sungkarat, Sureeporn Uthaikhup
Format: Journal
Published: 2020
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Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85082654028&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/70631
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spelling th-cmuir.6653943832-706312020-10-14T08:41:12Z Balance Impairment and Effectiveness of Exercise Intervention in Chronic Obstructive Pulmonary Disease—A Systematic Review Busaba Chuatrakoon Shirley P.C. Ngai Somporn Sungkarat Sureeporn Uthaikhup Health Professions Medicine © 2020 American Congress of Rehabilitation Medicine Objective: To systematically review the evidence for balance impairment and effectiveness of interventions on balance in people with chronic obstructive pulmonary disease (COPD). Data Sources: Four electronic databases (Scopus, CINAHL, PubMed, Cochrane Library databases) were searched from inception until June 30, 2019. Study Selection: Two reviewers independently searched with keywords focusing on COPD, postural control, and exercise. Cross-sectional studies related to balance and randomized controlled trials (RCTs) related to the effectiveness of exercise intervention on balance outcomes were included. Data Extraction: Two reviewers independently extracted data of balance impairment on participants, exercise training on balance outcome measures. Methodological quality of cross-sectional studies was assessed using the National Institutes of Health (NIH) Quality Assessment Tool. Methodological quality of RCTs was assessed using the Physiotherapy Evidence Database (PEDro) scale and bias was analyzed using the Cochrane risk of bias. Data Synthesis: A narrative review with descriptive synthesis was used. Fifteen cross-sectional studies and 4 RCTs met the final inclusion criteria. The quality of 10 cross-sectional studies were rated as moderate to high (NIH score≥7). Most studies demonstrated impaired balance in people with COPD than in people without COPD. The quality of all included RCTs was good to excellent (PEDro score=6-9). One RCT had a low risk of bias. Generally, pulmonary rehabilitation program combined with balance training, Tai Chi, and cycling exercise showed significant improvement in balance in people with COPD. Conclusions: Impaired balance is evident in people with COPD. Available RCTs suggest that exercise interventions may improve balance performance in COPD patients. However, more research on the effect of exercise interventions on balance in COPD patients is still required. 2020-10-14T08:36:44Z 2020-10-14T08:36:44Z 2020-09-01 Journal 1532821X 00039993 2-s2.0-85082654028 10.1016/j.apmr.2020.01.016 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85082654028&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/70631
institution Chiang Mai University
building Chiang Mai University Library
continent Asia
country Thailand
Thailand
content_provider Chiang Mai University Library
collection CMU Intellectual Repository
topic Health Professions
Medicine
spellingShingle Health Professions
Medicine
Busaba Chuatrakoon
Shirley P.C. Ngai
Somporn Sungkarat
Sureeporn Uthaikhup
Balance Impairment and Effectiveness of Exercise Intervention in Chronic Obstructive Pulmonary Disease—A Systematic Review
description © 2020 American Congress of Rehabilitation Medicine Objective: To systematically review the evidence for balance impairment and effectiveness of interventions on balance in people with chronic obstructive pulmonary disease (COPD). Data Sources: Four electronic databases (Scopus, CINAHL, PubMed, Cochrane Library databases) were searched from inception until June 30, 2019. Study Selection: Two reviewers independently searched with keywords focusing on COPD, postural control, and exercise. Cross-sectional studies related to balance and randomized controlled trials (RCTs) related to the effectiveness of exercise intervention on balance outcomes were included. Data Extraction: Two reviewers independently extracted data of balance impairment on participants, exercise training on balance outcome measures. Methodological quality of cross-sectional studies was assessed using the National Institutes of Health (NIH) Quality Assessment Tool. Methodological quality of RCTs was assessed using the Physiotherapy Evidence Database (PEDro) scale and bias was analyzed using the Cochrane risk of bias. Data Synthesis: A narrative review with descriptive synthesis was used. Fifteen cross-sectional studies and 4 RCTs met the final inclusion criteria. The quality of 10 cross-sectional studies were rated as moderate to high (NIH score≥7). Most studies demonstrated impaired balance in people with COPD than in people without COPD. The quality of all included RCTs was good to excellent (PEDro score=6-9). One RCT had a low risk of bias. Generally, pulmonary rehabilitation program combined with balance training, Tai Chi, and cycling exercise showed significant improvement in balance in people with COPD. Conclusions: Impaired balance is evident in people with COPD. Available RCTs suggest that exercise interventions may improve balance performance in COPD patients. However, more research on the effect of exercise interventions on balance in COPD patients is still required.
format Journal
author Busaba Chuatrakoon
Shirley P.C. Ngai
Somporn Sungkarat
Sureeporn Uthaikhup
author_facet Busaba Chuatrakoon
Shirley P.C. Ngai
Somporn Sungkarat
Sureeporn Uthaikhup
author_sort Busaba Chuatrakoon
title Balance Impairment and Effectiveness of Exercise Intervention in Chronic Obstructive Pulmonary Disease—A Systematic Review
title_short Balance Impairment and Effectiveness of Exercise Intervention in Chronic Obstructive Pulmonary Disease—A Systematic Review
title_full Balance Impairment and Effectiveness of Exercise Intervention in Chronic Obstructive Pulmonary Disease—A Systematic Review
title_fullStr Balance Impairment and Effectiveness of Exercise Intervention in Chronic Obstructive Pulmonary Disease—A Systematic Review
title_full_unstemmed Balance Impairment and Effectiveness of Exercise Intervention in Chronic Obstructive Pulmonary Disease—A Systematic Review
title_sort balance impairment and effectiveness of exercise intervention in chronic obstructive pulmonary disease—a systematic review
publishDate 2020
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85082654028&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/70631
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