Fear of falling, fall-related self-efficacy, anxiety and depression in individuals with chronic obstructive pulmonary disease

Abstract

The increased risk of falls in patients with chronic obstructive pulmonary disease warrants attention in order to reduce serious and adverse health consequences of falls.

Impaired Postural Control Reduces Sit-to-Stand-to-Sit Performance in Individuals with Chronic Obstructive Pulmonary Disease

“…Additionally, fear of falling has often been reported in individuals with COPD [39], which might contribute to the increased stand and stand-to-sit times, since these are the most insecure phases of the STSTS task. Falls and fear of falling seem closely correlated in individuals with COPD [39].…”

“…Additionally, fear of falling has often been reported in individuals with COPD [39], which might contribute to the increased stand and stand-to-sit times, since these are the most insecure phases of the STSTS task. Falls and fear of falling seem closely correlated in individuals with COPD [39]. Given the high prevalence of osteoporosis in individuals with COPD [40], an increased fall risk may lead to a significant loss of functionality and increase in healthcare costs.…”

Predictors of All-Cause Mortality in Patients With Severe COPD and Major Depression Admitted to a Rehabilitation Hospital

“…A related path from falls to increased mortality may involve inactivity. Falls increase "fear of falling" 33 and enhance the perception of dyspnea, 34 which, combined with physiologic causes of dyspnea, may increase inactivity, reduce self-efficacy (sense of being in control), 35 and worsen depression. The net effect of these processes is demoralization, giving up efforts at rehabilitation and socialization and promoting a spiral of physical deterioration leading to death.…”

The Effect of a Short Duration, High Intensity Exercise Intervention on Gait Biomechanics in Patients With COPD: Findings From a Pilot Study

“…24 Importantly,patientswithCOPDalso demonstrateanincreasedriskoffallsascomparedto healthycontrols,withareportedoddsratioof4to5times higher. 26 Thus, it has been proposed that a complete theoreticalframeworktoidentifyfallriskfactorsinCOPD patients should include gait abnormalities leading to poormobility. 27 COPDisamajorpublichealthproblem 28 andnumerous interventionshavebeenexplored.Pulmonaryrehabilitation dramatically improves patient well-being with beneficial effects on strength, exercise tolerance (not physical activity per se), dyspnea and self-efficacy.…”