Pulmonary rehabilitation with balance training for fall reduction in chronic obstructive pulmonary disease: a randomized controlled trial
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| Titel: | Pulmonary rehabilitation with balance training for fall reduction in chronic obstructive pulmonary disease: a randomized controlled trial |
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| Autoren: | Hao, Q, Brooks, D, Ellerton, C, Goldstein, R, Lee, AL, Alison, JA, Dechman, G, Haines, KJ, Harrison, SL, Holland, AE, Marques, A, Spencer, L, Stickland, MK, Skinner, EH, Camp, PG, Ma, J, Beauchamp, MK |
| Verlagsinformationen: | Springer Science and Business Media LLC 2024-12-01 |
| Publikationsart: | Electronic Resource |
| Abstract: | BACKGROUND AND OBJECTIVES: Available evidence suggests that adults with chronic obstructive pulmonary disease (COPD) performed substantially worse than healthy controls on many balance measures and balance training can improve the balance measures in this population. We conducted this study to determine the effects of incorporating balance training into pulmonary rehabilitation (PR) on the incidence of falls at 12 months follow-up in high fall risk adults with COPD. METHODS: We conducted a prospective international multi-center randomized controlled trial. Eligible participants were adults with COPD at a high risk of future falls and were randomly assigned (1:1) to the intervention or control group. The intervention included personalized balance training for a targeted total of 90 min per week. Both the intervention and control groups received usual PR (2-3 times per week for 8-12 weeks). The primary outcome was the incidence of falls at 12-month follow-up using monthly fall diary calendars. Negative binomial regression or recurrent events models were used to examine the effects of the intervention on fall events. Multiple imputations were performed to deal with missing values. RESULTS: Of 258 participants who were enrolled in the trial, 178 provided falls information (intervention group = 91, control group = 87) and were included in the main analysis. Forty-one participants (45%) experienced at least one fall event in the intervention group and 33 (38%) in the control group (p = 0.34). The mean incidence of falls at 12 months was similar between the two groups (128 versus 128 per 100 person-years; mean difference: 0.30, 95% CI: -0.76 to 1.36 per 100 person-years). The results are robust after multiple imputations for missing data (n = 67). CONCLUSIONS: PR incorporating balance training compared to PR alone did not reduce the incidence of falls over the 12-month period in high fall risk adults with COPD. TRIAL REGISTRATION: The study was registered with ClinicalTria |
| Index Begriffe: | Journal Article |
| URL: | |
| Verfügbarkeit: | Open access content. Open access content https://creativecommons.org/licenses/by-nc-nd/4.0 CC BY-NC-ND |
| Other Numbers: | UMV oai:jupiter.its.unimelb.edu.au:11343/358577 Hao, Q., Brooks, D., Ellerton, C., Goldstein, R., Lee, A. L., Alison, J. A., Dechman, G., Haines, K. J., Harrison, S. L., Holland, A. E., Marques, A., Spencer, L., Stickland, M. K., Skinner, E. H., Camp, P. G., Ma, J. & Beauchamp, M. K. (2024). Pulmonary rehabilitation with balance training for fall reduction in chronic obstructive pulmonary disease: a randomized controlled trial. BMC Pulmonary Medicine, 24 (1), pp.408-. https://doi.org/10.1186/s12890-024-03215-2. 1471-2466 10.1186/s12890-024-03215-2 1471-2466 1536422506 |
| Originalquelle: | UNIV OF MELBOURNE From OAIster®, provided by the OCLC Cooperative. |
| Dokumentencode: | edsoai.on1536422506 |
| Datenbank: | OAIster |
Nájsť tento článok vo Web of Science | Abstract: | BACKGROUND AND OBJECTIVES: Available evidence suggests that adults with chronic obstructive pulmonary disease (COPD) performed substantially worse than healthy controls on many balance measures and balance training can improve the balance measures in this population. We conducted this study to determine the effects of incorporating balance training into pulmonary rehabilitation (PR) on the incidence of falls at 12 months follow-up in high fall risk adults with COPD. METHODS: We conducted a prospective international multi-center randomized controlled trial. Eligible participants were adults with COPD at a high risk of future falls and were randomly assigned (1:1) to the intervention or control group. The intervention included personalized balance training for a targeted total of 90 min per week. Both the intervention and control groups received usual PR (2-3 times per week for 8-12 weeks). The primary outcome was the incidence of falls at 12-month follow-up using monthly fall diary calendars. Negative binomial regression or recurrent events models were used to examine the effects of the intervention on fall events. Multiple imputations were performed to deal with missing values. RESULTS: Of 258 participants who were enrolled in the trial, 178 provided falls information (intervention group = 91, control group = 87) and were included in the main analysis. Forty-one participants (45%) experienced at least one fall event in the intervention group and 33 (38%) in the control group (p = 0.34). The mean incidence of falls at 12 months was similar between the two groups (128 versus 128 per 100 person-years; mean difference: 0.30, 95% CI: -0.76 to 1.36 per 100 person-years). The results are robust after multiple imputations for missing data (n = 67). CONCLUSIONS: PR incorporating balance training compared to PR alone did not reduce the incidence of falls over the 12-month period in high fall risk adults with COPD. TRIAL REGISTRATION: The study was registered with ClinicalTria |
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