Respiratory Medicine
Volume 103, Issue 12 , Pages 1885-1891 , December 2009

Impairments in balance discriminate fallers from non-fallers in COPD

  • M.K. Beauchamp

      Affiliations

    • Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Ontario, Canada
    • Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, Ontario, Canada
    • ,
  • K. Hill

      Affiliations

    • Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, Ontario, Canada
    • ,
  • R.S. Goldstein

      Affiliations

    • Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Ontario, Canada
    • Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, Ontario, Canada
    • ,
  • T. Janaudis-Ferreira

      Affiliations

    • Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, Ontario, Canada
    • ,
  • D. Brooks

      Affiliations

    • Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Ontario, Canada
    • Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, Ontario, Canada
    • Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada
    • Corresponding Author InformationCorresponding author. Tel.: +1 416 978 1739; fax: +1 416 946 8562.

Received 18 February 2009 ,Accepted 11 June 2009.

References 

  1. Lopez AD, Shibuya K, Rao C, et al. Chronic obstructive pulmonary disease: current burden and future projections. The European Respiratory Journal. 2006;27(2):397–412
  2. Skeletal muscle dysfunction in chronic obstructive pulmonary disease. A statement of the American Thoracic Society and European Respiratory Society. American Journal of Respiratory and Critical Care Medicine. 1999;159(4 Pt. 2):S1–40
  3. Grant I, Heaton RK, McSweeny AJ, Adams KM, Timms RM. Neuropsychologic findings in hypoxemic chronic obstructive pulmonary disease. Archives of Internal Medicine. 1982;142(8):1470–1476
  4. Butcher SJ, Meshke JM, Sheppard MS. Reductions in functional balance, coordination, and mobility measures among patients with stable chronic obstructive pulmonary disease. Journal of Cardiopulmonary Rehabilitation. 2004;24(4):274–280
  5. Chang AT, Seale H, Walsh J, Brauer SG. Static balance is affected following an exercise task in chronic obstructive pulmonary disease. Journal of Cardiopulmonary Rehabilitation and Prevention. 2008;28(2):142–145
  6. Cutson TM. Falls in the elderly. American Family Physician. 1994;49(1):149–156
  7. Guideline for the prevention of falls in older persons. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention. Journal of the American Geriatrics Society. 2001;49(5):664–672
  8. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. The New England Journal of Medicine. 1988;319(26):1701–1707
  9. Roig M, Eng JJ, Road JD, Reid WD. Falls in patients with chronic obstructive pulmonary disease: a call for further research. Respiratory Medicine. 2009;May 4. [Epub ahead of print]
  10. Biskobing DM. COPD and osteoporosis. Chest. 2002;121(2):609–620
  11. Rabe KF, Hurd S, Anzueto A, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. American Journal of Respiratory and Critical Care Medicine. 2007;176(6):532–555
  12. Brusasco V, Crapo R, Viegi G. Coming together: the ATS/ERS consensus on clinical pulmonary function testing. The European Respiratory Journal. 2005;26(1):1–2
  13. Cwikel JG, Fried AV, Biderman A, Galinsky D. Validation of a fall-risk screening test, the Elderly Fall Screening Test (EFST), for community-dwelling elderly. Disability and Rehabilitation. 1998;20(5):161–167
  14. Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Canadian Journal of Public Health. 1992;83(Suppl. 2):S7–11
  15. Finch E, Brooks D, Stratford P, Mayo N. Physical rehabilitation outcome measures: a guide to enhanced clinical-decision-making. 2nd ed.. Hamilton: Canadian Physiotherapy Association; 2002;
  16. Lajoie Y, Gallagher SP. Predicting falls within the elderly community: comparison of postural sway, reaction time, the Berg balance scale and the Activities-specific Balance Confidence (ABC) scale for comparing fallers and non-fallers. Archives of Gerontology and Geriatrics. 2004;38(1):11–26
  17. Shumway-Cook A, Baldwin M, Polissar NL, Gruber W. Predicting the probability for falls in community-dwelling older adults. Physical Therapy. 1997;77(8):812–819
  18. Steffen TM, Hacker TA, Mollinger L. Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Physical Therapy. 2002;82(2):128–137
  19. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society. 1991;39(2):142–148
  20. Okumiya K, Matsubayashi K, Nakamura T, et al. The timed "Up & Go" test is a useful predictor of falls in community-dwelling older people. Journal of the American Geriatrics Society. 1998;46(7):928–930
  21. Myers AM, Fletcher PC, Myers AH, Sherk W. Discriminative and evaluative properties of the activities-specific balance confidence (ABC) scale. The Journals of Gerontology. 1998;53(4):M287–M294
  22. Bestall JC, Paul EA, Garrod R, Garnham R, Jones PW, Wedzicha JA. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax. 1999;54(7):581–586
  23. ATS statement: guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine. 2002;166(1):111–117
  24. Donoghue D, Stokes EK. How much change is true change? The minimum detectable change of the Berg Balance Scale in elderly people. Journal of Rehabilitation Medicine. 2009;41(5):343–346
  25. Perneger TV. What's wrong with Bonferroni adjustments. BMJ (Clinical research ed). 1998;316(7139):1236–1238
  26. Redelmeier DA, Bayoumi AM, Goldstein RS, Guyatt GH. Interpreting small differences in functional status: the Six Minute Walk test in chronic lung disease patients. American Journal of Respiratory and Critical Care Medicine. 1997;155(4):1278–1282
  27. van Iersel MB, Munneke M, Esselink RA, Benraad CE, Olde Rikkert MG. Gait velocity and the Timed-Up-and-Go test were sensitive to changes in mobility in frail elderly patients. Journal of Clinical Epidemiology. 2008;61(2):186–191
  28. Cattaneo D, Regola A, Meotti M. Validity of six balance disorders scales in persons with multiple sclerosis. Disability and Rehabilitation. 2006;28(12):789–795
  29. Dibble LE, Lange M. Predicting falls in individuals with Parkinson disease: a reconsideration of clinical balance measures. Journal of Neurologic Physical Therapy. 2006;30(2):60–67
  30. Pulmonary rehabilitation-1999. American Thoracic Society. American Journal of Respiratory and Critical Care Medicine. 1999;159(5 Pt. 1):1666–1682
  31. Brooks D, Sottana R, Bell B, et al. Characterization of pulmonary rehabilitation programs in Canada in 2005. Canadian Respiratory Jouranl. 2007;14(2):87–92
  32. Yohannes AM, Connolly MJ. Pulmonary rehabilitation programmes in the UK: a national representative survey. Clinical Rehabilitation. 2004;18(4):444–449
  33. Pitta F, Troosters T, Spruit MA, Probst VS, Decramer M, Gosselink R. Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine. 2005;171(9):972–977
  34. Garcia-Aymerich J, Felez MA, Escarrabill J, et al. Physical activity and its determinants in severe chronic obstructive pulmonary disease. Medicine and Science in Sports and Exercise. 2004;36(10):1667–1673
  35. Scheffer AC, Schuurmans MJ, van Dijk N, van der Hooft T, de Rooij SE. Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age and Ageing. 2008;37(1):19–24
  36. Zijlstra GA, van Haastregt JC, van Rossum E, van Eijk JT, Yardley L, Kempen GI. Interventions to reduce fear of falling in community-living older people: a systematic review. Journal of the American Geriatrics Society. 2007;55(4):603–615
  37. Blake AJ, Morgan K, Bendall MJ, et al. Falls by elderly people at home: prevalence and associated factors. Age and Ageing. 1988;17(6):365–372
  38. Prudham D, Evans JG. Factors associated with falls in the elderly: a community study. Age and Ageing. 1981;10(3):141–146
  39. Cummings SR, Nevitt MC, Kidd S. Forgetting falls. The limited accuracy of recall of falls in the elderly. Journal of the American Geriatrics Society. 1988;36(7):613–616

PII: S0954-6111(09)00209-1

doi: 10.1016/j.rmed.2009.06.008

Respiratory Medicine
Volume 103, Issue 12 , Pages 1885-1891 , December 2009

Article Tools

* Image Usage & Resolution