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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
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Postural control in chronic obstructive pulmonary disease: a systematic review.

E F Porto1, A A M Castro2, V G S Schmidt3

  • 1Pulmonary Rehabilitation Center, Federal University of São Paulo, São Paulo, Brazil ; Adventist University, São Paulo, Brazil.

International Journal of Chronic Obstructive Pulmonary Disease
|July 15, 2015
PubMed
Summary

Patients with chronic obstructive pulmonary disease (COPD) have worse postural control than healthy individuals. Factors like muscle weakness and inactivity contribute to this impairment, increasing fall risk.

Keywords:
balancechronic obstructive pulmonary diseasepostural controlposturesystematic review

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Area of Science:

  • Pulmonary Medicine
  • Geriatrics
  • Rehabilitation Science

Background:

  • Falls are common in patients with chronic obstructive pulmonary disease (COPD), leading to adverse outcomes like increased mortality and reduced independence.
  • While respiratory symptoms are a primary focus, impaired postural control and fall risk are significant but often overlooked consequences of COPD.

Purpose of the Study:

  • To systematically review existing literature on postural control in COPD patients.
  • To determine if postural control is more impaired in COPD patients compared to healthy, age-matched individuals.
  • To identify key patient characteristics associated with impaired postural control in COPD.

Main Methods:

  • A systematic literature search was conducted across five databases (MEDLINE, PubMed, EMBASE, Web of Science, PEDro) without date or language restrictions.
  • Studies were included if postural control in COPD patients was the primary outcome and they scored >5 on the PEDro scale.
  • Two blinded researchers independently assessed study eligibility, with an interrater agreement of 76.4%.

Main Results:

  • Out of 484 initial manuscripts, only 14 focused on postural control as a primary outcome in COPD.
  • Seven studies met the inclusion criteria (PEDro score >5), with six utilizing a control group.
  • Published between 2004 and 2013, these studies indicate a prevalent issue with postural control in COPD.

Conclusions:

  • Patients with COPD exhibit significantly impaired postural control compared to healthy, age-matched controls.
  • Factors contributing to this impairment include muscle weakness, physical inactivity, advanced age, supplemental oxygen use, and limited mobility.
  • Addressing these factors is crucial for mitigating fall risk and improving quality of life in COPD patients.