Chronic Obstructive Pulmonary Disease
Conditions
Keywords
COPD, Balance, Pulmonary Rehabilitation
Brief summary
The study will involve direct knowledge translation of a laboratory-based study of balance training for patients with COPD, first to the investigators PR program and then, after disseminating the results, this approach could be used to impact on clinical practice in any PR program.
Interventions
OTHERBalance training
Training will consist of 30 minute sessions 2-3 times/week for a total of 18-24 sessions, in keeping with best practice guidelines for older adults.12 Sessions will be supervised by physical therapists, using a circuit training approach with different stations designed to target specific areas of impairment. Participants will work through stations in a group setting; however, will receive individualized exercise prescription regarding level of difficulty and exercise progression.
Sponsors
Ontario Lung Association
Samantha Harrison
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Diagnosis of COPD * Self-report of decline in balance or fall in the last 5 years or a recent near fall * Smoking history greater than 10 pack years * Are able to provide written informed consent.
Exclusion criteria
* An inability to communicate because of language skills, hearing or cognitive impairment * Evidence of a neurological or musculoskeletal condition that severely limits mobility and postural control (e.g., cerebrovascular accident, advanced Parkinson's disease, amputation).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Berg Balance Scale (BBS) | at 6 weeks | The BBS was assessed following completion of the balance training which took place thrice weekly for a period of 6 weeks. |
| Timed Up and Go (TUG): | at 6 weeks | The TUG was assessed following completion of the balance training which took place thrice weekly for a period of 6 weeks. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Balance Evaluation Systems Test (BESTest) | at 6 weeks | The BESTest was assessed following completion of the balance training which took place thrice weekly for a period of 6 weeks. |
| Activity-specific Balance Confidence (ABC) Scale | at 6 weeks | The ABC scale was assessed following completion of the balance training which took place thrice weekly for a period of 6 weeks. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Safety: any adverse events associated with balance training will be recorded | at 6 weeks | — |
| The Six-Minute Walk Test (6MWT) | at 6 weeks | The 6MWT was assessed by the physiotherapists responsible for delivering the PR program. The PR programs runs over 6 weeks. |
| Therapists' and the participants' satisfaction | at 6 weeks | Patients completed a questionnaire following completion of the balance training which took place thrice weekly for a period of 6 weeks. The focus group was conducted at the end of study recruitment. |
| Balance training progression: the training prescription and progression will be recorded | at 6 weeks | — |
| Applicability and adherence | at 6 weeks | — |
Countries
Canada
Outcome results
None listed