Title |
Chronic obstructive pulmonary disease phenotypes and balance impairment
|
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Published in |
International Journal of Chronic Obstructive Pulmonary Disease, April 2016
|
DOI | 10.2147/copd.s101128 |
Pubmed ID | |
Authors |
Alina Sorina Voica, Cristian Oancea, Emanuela Tudorache, Alexandru F Crisan, Ovidiu Fira-Mladinescu, Voicu Tudorache, Bogdan Timar |
Abstract |
Chronic obstructive pulmonary disease (COPD) is a respiratory disease that results in airflow limitation and respiratory distress, also having many nonrespiratory manifestations that affect both function and mobility. Preliminary evidence suggests that balance deficits constitute an important secondary impairment in individuals with COPD. Our objective was to investigate balance performance in two groups of COPD patients with different body compositions and to observe which of these groups are more likely to experience falls in the future. We included 27 stable COPD patients and 17 healthy individuals who performed a series of balance tests. The COPD patients were divided in two groups: emphysematous and bronchitic. Patients completed the activities balance confidence scale and the COPD assessment test questionnaire and afterward performed the Berg Balance Scale, timed up and go, single leg stance and 6-minute walking distance test. We analyzed the differences in the balance tests between the studied groups. Bronchitic COPD was associated with a decreased value when compared to emphysematous COPD for the following variables: single leg stance (8.7 vs 15.6; P<0.001) and activities balance confidence (53.2 vs 74.2; P=0.001). Bronchitic COPD patients had a significantly higher value of timed up and go test compared to patients with emphysematous COPD (14.7 vs 12.8; P=0.001). Patients with COPD have a higher balance impairment than their healthy peers. Moreover, we observed that the bronchitic COPD phenotype is more likely to experience falls compared to the emphysematous phenotype. |
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Geographical breakdown
Country | Count | As % |
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United Kingdom | 4 | 33% |
Australia | 2 | 17% |
Japan | 1 | 8% |
Unknown | 5 | 42% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 8 | 67% |
Scientists | 2 | 17% |
Practitioners (doctors, other healthcare professionals) | 2 | 17% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 67 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 17 | 25% |
Student > Ph. D. Student | 9 | 13% |
Researcher | 6 | 9% |
Student > Bachelor | 5 | 7% |
Student > Postgraduate | 4 | 6% |
Other | 12 | 18% |
Unknown | 14 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 18 | 27% |
Nursing and Health Professions | 18 | 27% |
Agricultural and Biological Sciences | 2 | 3% |
Biochemistry, Genetics and Molecular Biology | 2 | 3% |
Sports and Recreations | 2 | 3% |
Other | 5 | 7% |
Unknown | 20 | 30% |