https://doi.org/10.4081/monaldi.2022.1204
Balance impairment and lower limbs strength in patients with COPD who fell in the previous year
Submitted: February 26, 2020
Accepted: December 16, 2021
Published: February 25, 2022
Accepted: December 16, 2021
Abstract Views: 1481
PDF: 880
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Fall-related causes in patients with COPD might be associated to functional balance impairments and greater disease severity. We aimed to evaluate the reasons for falls in patients with COPD who had presented any fall during the previous year. This is a cross-sectional study. All COPD’s GOLD classifications (mild, moderate, severe, and very severe) patients were recruited. In order to participate, patients ought to be clinically stable and without any exacerbation within 30 days prior to study entry. History of falls was self-reported by patients through an interview. Pre and post bronchodilator (salbutamol 400 μg) spirometry was performed. All patients accomplished postural balance tests such as the Berg Balance Scale, Falls Efficacy Scale-International, Time up and Go, Functional Reach test, Tinetti test and Chalder Scale; furthermore, lower limbs muscle strength (muscle dynamometry) and the COPD Assessment Test (CAT) were assessed. Ninety-six patients with COPD were evaluated and divided into two groups stratified according to any positive history of falls in the previous year. Patients with COPD who had any fall in the previous year presented older age (p=0.01), higher BMI (p=0.04) and worse pulmonary function than those who did not fall. The risk of falls was increased in patients with lower muscle strength in the lower limbs (OR 2.9, CI 95%;1.6 to 3.9), age greater than 65 years (OR 2.7, CI 95%;1.3 to 3.4), BMI greater than 28.8 kg/m2 (OR 3.2, CI 95%;1.1 to 5.6), very severe airway obstruction (OR 3.9, CI 95%;2.2 to 3.9) and fatigue (OR 3.2, CI 95%;1.5 to 5.3). Impaired body balance, reduced lower limb strength, disease severity, presence of fatigue and elevated BMI are important factors for falls in patients with COPD.
Vogelmeier CF, Criner GJ, Martinez FJ, Anzueto, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report. GOLD executive summary. Am J Respir Crit Care Med 2017;195:557-82.
DOI: https://doi.org/10.1164/rccm.201701-0218PP
Lopez AD, K. Shibuya, C. Rao, et al. Chronic obstructive pulmonary disease: current burden and future projections. Eur Respir J 2006;27:397-412.
DOI: https://doi.org/10.1183/09031936.06.00025805
Agusti AGN, A. Noguera, J. Sauleda, et al. Busquets systemic effects of chronic obstructive pulmonary disease. Eur Respir J 2003;21:347-60.
DOI: https://doi.org/10.1183/09031936.03.00405703
MacIntyre NR. Mechanisms of functional loss in patients with chronic lung disease. Respir Care 2008;53:1177-84.
Ozalevli S, Ilgin D, Narin S. et al. Association between disease-related factors and balance and falls among the elderly with COPD: a cross-sectional study. Aging Clin Exp Res 2011;23:372-7.
Beauchamp MK, Hill K, Goldstein RS, et al. Impairments in balance discriminate fallers from non-fallers in COPD. Respir Med 2009;103:1885-91.
DOI: https://doi.org/10.1016/j.rmed.2009.06.008
Dourado VZ, Tanni SE, Vale AS, et al. Systemic manifestations in chronic obstructive pulmonary disease. J Bras Pneumol 2006;32:161-71.
DOI: https://doi.org/10.1590/S1806-37132006000200012
Nascimento MD, Benassi R, Caboclo FD, et al. [Valores de referência de força de preensão manual em ambos os gêneros e diferentes grupos etários. Um estudo de revisão].[in Portoguese]. EFDeportes.com [Internet]. 2010. Available from: https://www.efdeportes.com/efd151/forca-de-preensao-manual-em-ambos-os-generos.htm
Porto EF, Pradella CO, Rocco CM, et al. Comparative postural control in COPD patients and healthy individuals during dynamic and static activities. J Cardiopulm Rehabil Prev 2017;37:139-45.
DOI: https://doi.org/10.1097/HCR.0000000000000246
Podsiadlo D, Richardson S. The timed ‘Up & Go’: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39:142-8.
DOI: https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol 1990;45:192-7.
DOI: https://doi.org/10.1093/geronj/45.6.M192
Wall JC, Bell C, Campbell S, et al. The Timed Get-up-and-Go test revisited: measurement of the component tasks. J Rehabil Res Dev 2000;37:109-13.
Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc 1986;34:119-26.
DOI: https://doi.org/10.1111/j.1532-5415.1986.tb05480.x
Kegelmeyer DA, Kloos AD, Thomas KM, et al. Reliability and validity of the Tinetti Mobility Test for individuals with Parkinson disease. Phys Ther 2007;87:1369-78.
DOI: https://doi.org/10.2522/ptj.20070007
Morriss R, Wearden A, Mullis R. et al Exploring the validity of the Chalder Fatigue scale in chronic fatigue syndrome. J Psychosom Res 1998;45:411-7.
DOI: https://doi.org/10.1016/S0022-3999(98)00022-1
Jones PW, Harding G, Berry P, et al. Development and first validation of the COPD Assessment Test. Eur Respir J 2009;34:648-54.
DOI: https://doi.org/10.1183/09031936.00102509
Crişan AF, Oancea C, Timar B, et al. Balance impairment in patients with COPD. PloS One 2015;10:e0120573.
DOI: https://doi.org/10.1371/journal.pone.0120573
Oliveira CC, Lee AL, McGinley J, et al. Falls by individuals with chronic obstructive pulmonary disease: A preliminary 12‐month prospective cohort study. Respirology 2015;20:1096-101.
DOI: https://doi.org/10.1111/resp.12600
Roig M, Eng JJ, MacIntyre DL, et al. Falls in people with chronic obstructive pulmonary disease: an observational cohort study. Respir Med 2011:105:461-9.
DOI: https://doi.org/10.1016/j.rmed.2010.08.015
Porto EF, Castro AAM, Schmidt VGS, et al. Postural control in chronic obstructive pulmonary disease: a systematic review. Int J Chron Obstruct Pulmon Dis 2015;10:1233.
DOI: https://doi.org/10.2147/COPD.S63955
Chittal P, Babu AS, Lavie CJ. Obesity paradox: does fat alter outcomes in chronic obstructive pulmonary disease? COPD 2015;12:14-8.
DOI: https://doi.org/10.3109/15412555.2014.915934
Verberne LDM, Leemrijse CJ, Swinkels ICS, et al. Overweight in patients with chronic obstructive pulmonary disease needs more attention: a cross-sectional study in general practice. NPJ Prim Care Respir Med 2017;22;27:63.
DOI: https://doi.org/10.1038/s41533-017-0065-3
Spelta F, Fratta Pasini AM, Cazzoletti L, Ferrari M. Body weight and mortality in COPD: focus on the obesity paradox. Eat Weight Disord 2018;23:15-22.
DOI: https://doi.org/10.1007/s40519-017-0456-z
Beauchamp MK, Sibley KM, Lakhani B, et al. Impairments in systems underlying control of balance in COPD. Chest 2012;141:1496-503.
DOI: https://doi.org/10.1378/chest.11-1708
Moreland JD, Richardson JA, Goldsmith CH, et al. Muscle weakness and falls in older adults: a systematic review and meta-analysis. J Am Geriatr Soc 2004;52:1121-9.
DOI: https://doi.org/10.1111/j.1532-5415.2004.52310.x
Clark CJ. Skeletal muscle strength and endurance in patients with mild COPD and the effects of weight training. Eur Respir J 2000;15:92-7.
DOI: https://doi.org/10.1183/09031936.00.15109200
Aaron SD, Vandemheen KL, Hebert P, Dales R, et al. Outpatient oral prednisone after emergency treatment of chronic obstructive pulmonary disease. N Engl J Med 2003;348:2618-25.
DOI: https://doi.org/10.1056/NEJMoa023161
Loke YK, Cavallazzi R, Singh S. Risk of fractures with inhaled corticosteroids in COPD: systematic review and meta-analysis of randomised controlled trials and observational studies. Thorax 2001;66:699-708.
DOI: https://doi.org/10.1136/thx.2011.160028
Mathur S, Takai KP, MacIntyre DL, et al. Estimation of thigh muscle mass with magnetic resonance imaging in older adults and people with chronic obstructive pulmonary disease. Phys Ther 2008;88:219-30.
DOI: https://doi.org/10.2522/ptj.20070052
Ozalevli S, Ilgin D, Narin S, Akkoclu A. Association between disease-related factors and balance and falls among the elderly with COPD: a cross-sectional study. Aging Clin Exp Res 2011;23:372-7.
DOI: https://doi.org/10.1007/BF03325235
Park JK, Deutz NEP, Cruthirds CL, et al. Risk factors for postural and functional balance impairment in patients with chronic obstructive pulmonary disease. J Clin Med 2020;9:609.
DOI: https://doi.org/10.3390/jcm9020609
Supporting Agencies
noHow to Cite
Porto, Elias F., Antonio A.M. Castro, Daniela M Fausto, Claudia Kümpel, Ana Denise Brandão, Paula Bernardo de Lima, Jordania C. Fagundes, and Brenda Zozimo. 2022. “Balance Impairment and Lower Limbs Strength in Patients With COPD Who Fell in the Previous Year”. Monaldi Archives for Chest Disease 92 (4). https://doi.org/10.4081/monaldi.2022.1204.
Copyright (c) 2022 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Frederico Ribeiro Neto, Juliane Machado Marques, Matheus Brasiliano da Paz, Eduardo Boiteux Uchôa Cavalcanti, Rodrigo Rodrigues Gomes Costa, Sit to stand test and handgrip strength in men and women with post-COVID-19 syndrome without invasive ventilator support: insights from a Brazilian observational study , Monaldi Archives for Chest Disease: Early Access
- Elisabetta Zampogna, Nicolino Ambrosino, Federico Mattia Oliva, Giovanni Sotgiu, Laura Saderi, Gioele Cremonese, Giorgio Bellelli, Antonio Spanevello, Fabio Angeli, Dina Visca, Heart rate recovery in adult individuals with asthma , Monaldi Archives for Chest Disease: Vol. 93 No. 1 (2023)
- Sanatkumar Bharamu Nyamagoud, A H M Viswanatha Swamy, Anchu S P, Sonia S Gaitonde, Jaison M Johnson, Vishwanath Hegadal, RETRACTED: Prescription analysis emphasizing on medication adherence of antibiotics for lower respiratory tract infection , Monaldi Archives for Chest Disease: Early Access
- The Rehabilitation Complexity Scale for respiratory patients Italian network, The ability of the Rehabilitation Complexity Scale (RCS) to capture disability in respiratory patients admitted for in-hospital rehabilitation , Monaldi Archives for Chest Disease: Early Access
- Marcos Martinelli, Eduardo V. Ponte, Daniel Antunes S. Pereira, Giulio Checchinato , Bruna Eduarda Gandra, Bruno Maciel, Alcides Rocha, Relationship between symptoms and results on spirometry in adults seen in non-tertiary public health facilities presenting with preserved ratio impaired spirometry , Monaldi Archives for Chest Disease: Early Access
- Karina Vieira da Costa, Iara Tainá Cordeiro de Souza, João Victor dos Santos Felix, Celso Brendo Furtado Brandão, Vanessa Michelle de Souza Fernandes, Andressa Bomfim Lugon Favero, Maria Lucrécia de Aquino Gouveia, Dyego Tavares de Lima, José Heriston de Morais Lima, Rafaela Pedrosa, Tatiana Onofre, Geraldo Eduardo Guedes de Brito, Eduardo Eriko Tenorio de França, Efficacy of a rehabilitation protocol on pulmonary and respiratory muscle function and ultrasound evaluation of diaphragm and quadriceps femoris in patients with post-COVID-19 syndrome: a series of cases , Monaldi Archives for Chest Disease: Vol. 93 No. 1 (2023)
- Francesco Giallauria, Lucrezia Piccioli, Giuseppe Vitale, Filippo M. Sarullo, Exercise training in patients with chronic heart failure: A new challenge for Cardiac Rehabilitation Community , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- Anna Jacob, Kranti Garg, Kashish Dutta, Varinder Saini, Deepak Aggarwal, Ajeet Sidana, Role of detailed psychological evaluation and treatment in pulmonary rehabilitation programs for patients with chronic obstructive pulmonary disease , Monaldi Archives for Chest Disease: Early Access
- Bruno Balbi, Claudio Marcassa, Fabrizio Pisani, Giacomo Corica, Antonio Spanevello, Integrated care of chronic degenerative non-communicable diseases and rehabilitation: the odd couple? , Monaldi Archives for Chest Disease: Vol. 87 No. 1 (2017)
- Emel Cireli, Aydan Mertoğlu, The impact of anemia on the mortality of COPD patients hospitalized for acute exacerbation resulting in respiratory failure , Monaldi Archives for Chest Disease: Vol. 93 No. 2 (2023)
<< < 7 8 9 10 11 12 13 14 15 16 > >>
You may also start an advanced similarity search for this article.
