A Randomized Controlled Trial of Balance Training During Pulmonary Rehabilitation for Individuals With COPD
A Randomized Controlled Trial of Balance Training During Pulmonary Rehabilitation for Individuals With COPD
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DOI：
10.1378/chest.13-1093
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发表时间：
2013-12-01
期刊：
影响因子：
9.6
通讯作者：
Brooks, Dina
中科院分区：
文献类型：
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作者：
Beauchamp, Marla K.;Janaudis-Ferreira, Tania;Brooks, Dina
背景：平衡缺陷在COPD的重要继发性损害中越来越被认识到。本研究的目的是调查平衡训练计划对参加肺康复（PR）的COPD患者的平衡和身体功能的影响。方法：患者被随机分配到干预组或对照组。干预组在常规康复训练的同时进行每周3次的平衡训练，共6周，对照组仅进行常规康复训练。临床平衡测量包括贝格平衡量表（BBS）、平衡评估系统测试（BESTest）和活动特定平衡信心（ABC）量表。采用36项简明健康调查表（PF-10）的身体功能子量表和30秒椅立试验分别测量自我报告的身体功能和下肢肌肉力量，结果：39例COPD患者（平均FEV 1，37.5% ± 15.6%预测值）入选本研究。平衡训练计划的平均依从性为82.5%，未报告不良事件。与对照组相比，BBS评分显著降低（P
Background: Deficits in balance are increasingly recognized among the important secondary impairments in COPD. The purpose of this study was to investigate the effect of a balance-training program on measures of balance and physical function in patients with COPD enrolled in pulmonary rehabilitation (PR).Methods: Patients were assigned randomly to an intervention or control group. The intervention group underwent balance training three times a week for 6 weeks concurrently with PR. The control group received only the 6-week PR program. Clinical balance measures included the Berg Balance Scale (BBS), the Balance Evaluation Systems Test (BESTest), and the Activities-Specific Balance Confidence (ABC) scale. The physical function subscale of the 36-Item Short Form Health Survey (PF-10) and the 30-s chair-stand test were used to measure self-reported physical function and lower-extremity muscle strength, respectively.Results: Thirty-nine patients with COPD (mean FEV 1, 37.5% +/- 15.6% predicted) were enrolled in the study. Mean compliance with the balance-training program was 82.5%, and no adverse events were reported. Compared with control subjects, scores on the BBS (P