2020
DOI: 10.1016/j.apmr.2020.01.016
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Balance Impairment and Effectiveness of Exercise Intervention in Chronic Obstructive Pulmonary Disease—A Systematic Review

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Cited by 20 publications
(16 citation statements)
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“…Dysfunctional breathing patterns can result in muscular imbalance, motor control alterations, and physiological adaptations that can alter movement [35]. Respiratory symptoms lead to sedentary or physical inactivity, and both respiratory symptoms and sedentary also increase several impairments, including muscle weakness, poor coordination, poor balance, loss of activity confidence, and risk of falls [36].…”
Section: Discussionmentioning
confidence: 99%
“…Dysfunctional breathing patterns can result in muscular imbalance, motor control alterations, and physiological adaptations that can alter movement [35]. Respiratory symptoms lead to sedentary or physical inactivity, and both respiratory symptoms and sedentary also increase several impairments, including muscle weakness, poor coordination, poor balance, loss of activity confidence, and risk of falls [36].…”
Section: Discussionmentioning
confidence: 99%
“…Several studies in patients with respiratory or neurologic diseases have shown that weakness in respiratory muscles may reduce body stability [90,91]. Likewise, recent studies have noted reduced balance and coordination in individuals with lung dysfunction [92][93][94]. Kocjan et al [68] proposed that diaphragm weakness creates a state of insufficient irritability of proprioceptors and subsequent inadequate sensory stimuli to maintain optimal postural control and stability [68].…”
Section: Discussionmentioning
confidence: 99%
“…Given that individuals with COPD are older, balance exercises could also be included with the flexibility program. 59 Water-based exercise may also be prescribed, particularly for those with underlying musculoskeletal conditions which may limit exercise activity due to pain. For individuals with severe disease and more debilitated NMES may be useful.…”
Section: Recommendationsmentioning
confidence: 99%