Clinical Effects of Rehabilitation on Balance in People With Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

Frontiers in Medicine

article

María Belén Canales-Díaz¹  Carolina Olivares-Valenzuela¹  Amanda Ramírez-Arriagada¹  Carlos Cruz-Montecinos¹  Jordi Vilaró³  Rodrigo Torres-Castro¹  Rodrigo Núñez-Cortés¹ 

[1] Department of Physical Therapy, Faculty of Medicine, University of Chile;Section of Research, Innovation and Development in Kinesiology, Kinesiology Unit, San José Hospital;International Physiotherapy Research Network;Blanquerna School of Health Sciences, Global Research on Wellbeing, Universitat Ramon Llull;Department of Pulmonary Medicine, Hospital Clínic, University of Barcelona;Institut d'Investigacions Biomèdiques August Pi i Sunyer

关键词: exercise;    postural control;    risk of fall;    rehabilitation;    chronic obstructive pulmonary disease (COPD);   

DOI  :  10.3389/fmed.2022.868316

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background Patients with chronic obstructive pulmonary disease (COPD) have systemic damage secondary to the primary pulmonary impairment, expressed in impaired peripheral musculature and a deficit in postural control compared to healthy subjects. This study aimed to determine the effects of rehabilitation on balance in patients with COPD. Methods An exhaustive search was conducted in four databases (Pubmed, Cochrane Library, EMBASE, Web of Science). Articles with a population of COPD receiving rehabilitation (therapeutic exercise, pulmonary rehabilitation, or physical therapy modalities) in an outpatient setting were included. Two independent reviewers selected and assessed the study quality. The risk of bias was assessed with the Cochrane Risk of Bias Tool for Randomized Controlled Trials. Results A total of eight studies involving 284 patients were included in the qualitative synthesis. The meta-analysis showed an overall result in favor of balance training for the Berg Balance Scale (mean difference 3.91 points; 95% CI: 1.51 to 6.31; P = 0.001), Timed Up and Go test (mean difference −1.58 s; 95% CI: −2.63 to −0.53; P = 0.003) and Unipedal stance test (mean difference 3.56 s, 95% CI: 2.58 to 4.54; P ). Conclusion This meta-analysis revealed that rehabilitation improve static and dynamic balance in patients with COPD. Systematic Review Registration PROSPERO ID: CRD42020218367.

【 授权许可】

CC BY