Balance is impaired in people with chronic obstructive pulmonary disease

Smith, Michelle D.; Chang, Angela; Seale, Helen; Walsh, James; Hodges, Paul W.

doi:10.1016/j.gaitpost.2010.01.022

Cited by 123 publications

(133 citation statements)

References 31 publications

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“…As ML balance control has been identified as the direction of deficit in COPD [4], greater deficits in balance recovery may have been identified if balance was challenged in the ML direction. Replication of this study with movement in the ML direction is warranted.…”

Section: Methodological Considerationsmentioning

confidence: 99%

“…Increased abdominal muscle activity in severe COPD at rest and less severe COPD after exercise may impair postural recovery, and contribute to deficits in balance reported in COPD [4].…”

Section: Page 12 Of 26mentioning

confidence: 99%

“…Adding to reports of compromised control of COP movement [4] and deficits in clinical balance (i.e. Berg Balance Scale, Timed Up and Go Test) [22], delayed balance recovery identifies a further element of compromised postural control in COPD.…”

Section: Page 12 Of 26mentioning

confidence: 99%

“…Chronic obstructive pulmonary disease (COPD) has non-respiratory consequences, including impairments of muscle strength/endurance [1,2] and balance [3,4], which may increase risk of falling. The mechanisms underlying impaired balance in COPD are poorly understood; however, mediolateral (ML) balance control appears more impaired than anteroposterior (AP) control [4].…”

Section: Introductionmentioning

confidence: 99%

“…The mechanisms underlying impaired balance in COPD are poorly understood; however, mediolateral (ML) balance control appears more impaired than anteroposterior (AP) control [4]. In quiet stance, ML balance depends on hip and trunk moments/movements, whereas AP control is controlled by ankle moments/movements [5,6].…”

Section: Introductionmentioning

confidence: 99%

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Balance recovery is compromised and trunk muscle activity is increased in chronic obstructive pulmonary disease

2016

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Please cite this article as: Smith MD, Chang AT, Hodges PW, Balance recovery is compromised and trunk muscle activity is increased in chronic obstructive pulmonary disease, Gait and Posture (2015), http://dx.doi.org/10.1016/j.gaitpost. 2015.09.004 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Abdominal muscle EMG was similar between groups, but controls had greater ES EMG during arm movements. Individuals with more severe COPD had greater OE and RA EMG both before and during arm movement compared to those with less severe COPD and controls. Following exercise, OE and ES EMG increased in people with less severe COPD.This study shows that severe COPD is associated with impaired ability to recover balance and greater trunk muscle activity during postural challenges. Augmented trunk muscle activity may limit the contribution of trunk movements to balance recovery and could contribute to increased falls risk.

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Section: Methodological Considerationsmentioning

confidence: 99%

“…Increased abdominal muscle activity in severe COPD at rest and less severe COPD after exercise may impair postural recovery, and contribute to deficits in balance reported in COPD [4].…”

Section: Page 12 Of 26mentioning

confidence: 99%

Section: Page 12 Of 26mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Balance recovery is compromised and trunk muscle activity is increased in chronic obstructive pulmonary disease

2016

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Comparison between patients with COPD and healthy subjects on spatiotemporal, moment and kinematic parameters: A quasi‐experimental study

Molouki,

Abedi,

Roostayi

et al. 2024

Health Science Reports

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Background and AimsChronic obstructive respiratory diseases (COPD) not only cause damage to the respiratory system as well as the heart and blood vessels of the patient but also have a direct effect on the condition of the musculoskeletal system. The risk of falling is increasing due to dysfunction of the joints as well as aging, which occurs frequently in this population. Gait deficits are known as an important risk factor for falls. This research aimed to investigate the gait of COPD patients compared to healthy people to gain a better understanding of the reasons for falls.MethodsTwenty patients with COPD and 20 age and BMI‐matched healthy individuals were included in this study. Sixteen markers were applied to the lower body of the subjects. Spatio‐temporal, kinematic, and maximum moment parameters were measured in different phases in three lower body joints, including the hip, knee, and ankle.ResultsThe results showed that all spatio‐temporal parameters in patients were significantly lower than in healthy people. The ankle angle in the sagittal plane at initial contact was significantly difference (p = 0.03). As well as, in the frontal plane the hip angle in the mid‐stance showed a significant difference (p = 0.02). There was also a significant difference in maximum hip moment in the sagittal plane between the two groups (p = 0.01).ConclusionThe larger hip angle of the patients can be related to the balance problems in the mediolateral direction. The moment showed a significant difference in the hip joint. Since the hip muscles are directly in a synergistic relationship with the trunk muscles, it seems the performance of these muscles is likely to be seriously damaged due to respiratory diseases.

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Physical Therapy Following Phrenic Nerve Graft Surgery: Implications Far Beyond Breathing

Massery¹

2017

Rehabilitative Surgery

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Balance is impaired in people with chronic obstructive pulmonary disease

Cited by 123 publications

References 31 publications

Balance recovery is compromised and trunk muscle activity is increased in chronic obstructive pulmonary disease

Balance recovery is compromised and trunk muscle activity is increased in chronic obstructive pulmonary disease

Comparison between patients with COPD and healthy subjects on spatiotemporal, moment and kinematic parameters: A quasi‐experimental study

Physical Therapy Following Phrenic Nerve Graft Surgery: Implications Far Beyond Breathing

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