4.5 Article

Balance is impaired in people with chronic obstructive pulmonary disease

Journal

GAIT & POSTURE
Volume 31, Issue 4, Pages 456-460

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.gaitpost.2010.01.022

Keywords

Postural control; Chronic obstructive pulmonary disease; Balance; Exercise; Respiratory conditions

Funding

  1. National Health and Medical Research Council of Australia

Ask authors/readers for more resources

Background: It has recently been suggested that people with chronic obstructive pulmonary disease have an increased risk of falls. Although falls risk is multifactorial, impaired balance may contribute. The primary aim of this study was to compare balance between people with and without chronic obstructive pulmonary disease and the secondary aim was to determine if balance deteriorates when respiratory demand is increased by upper limb exercise. Methods: Twelve people with chronic obstructive pulmonary disease and 12 healthy control subjects participated in this study. Participants stood on a force plate to record centre of pressure displacement during a range of conditions that challenge balance. Lumbar spine and hip motion were measured with inclinometers. Balance trials were performed before and after participation in upper limb exercise that increased respiratory demand in those with chronic obstructive pulmonary disease. Findings: People with chronic obstructive pulmonary disease had increased mediolateral centre of pressure displacement and increased angular motion of the hip compared to healthy controls. Mediolateral centre of pressure displacement was further increased in people with chronic obstructive pulmonary disease following exercise, but unchanged in controls. Anteroposterior centre of pressure displacement did not differ between groups. Interpretation: People with chronic obstructive pulmonary disease have reduced control of balance in the mediolateral direction. This may contribute to an increased risk of falls in this population. (C) 2010 Elsevier B.V. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Clinical Neurology

Relationship between systemic inflammation and recovery over 12 months after an acute episode of low back pain

David M. Klyne, Mary F. Barbe, Paul W. Hodges

Summary: Individual characteristics may influence the recovery and systemic inflammation of individuals with early-acute low back pain. Different subgroups of patients with specific biopsychosocial features exhibited distinct trajectories of recovery and inflammation.

SPINE JOURNAL (2022)

Article Rehabilitation

Uncertainty in low back pain care - insights from an ethnographic study

N. Costa, R. Olson, K. Mescouto, P. W. Hodges, M. Dillon, K. Evans, K. Walsh, N. Jensen, J. Setchell

Summary: This research explores how uncertainty is involved in low back pain care and how clinicians manage the accompanying emotions and tensions. The study identifies three themes: the sources of uncertainty, neglecting complexity, and attending to uncertainty. The findings emphasize the need for a healthcare culture that recognizes and addresses the emotional dimensions of patient-clinician interactions in dealing with uncertainty.

DISABILITY AND REHABILITATION (2023)

Article Anesthesiology

Cortical function and sensorimotor plasticity are prognostic factors associated with future low back pain after an acute episode: the Understanding persistent Pain Where it ResiDes prospective cohort study

Luke C. Jenkins, Wei-Ju Chang, Valentina Buscemi, Matthew Liston, Peter Humburg, Michael Nicholas, Thomas Graven-Nielsen, Paul W. Hodges, James H. McAuley, Siobhan M. Schabrun

Summary: This study aims to identify neurobiological and psychological risk factors for the development of chronic low back pain. Factors such as medical history, age, and emotional state have a significant impact on the development of chronic low back pain. Neurobiological risk factors explain an additional 15% of the variance in pain intensity at 6 months.
Review Rehabilitation

Outcome measures in clinical studies of ankle osteoarthritis: a systematic review?

Sultan A. Alanazi, Bill Vicenzino, Jonah Rhodes, Michelle D. Smith

Summary: This study aimed to explore and describe the outcome measures used in primary research on ankle osteoarthritis (OA) and propose corresponding health-related domains. The results showed that various outcome measures were used in ankle OA research, with the most commonly reported measures being the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale, plain radiographs for ankle alignment, numerical rating scale for pain severity, and goniometry for ankle range of motion. Based on these measures, 19 possible health-related domains were proposed, mainly related to the impact on daily life and the pathophysiological manifestations of ankle OA. This review can guide clinicians and researchers in selecting appropriate outcome measures.

PHYSIOTHERAPY (2023)

Article Physiology

Adaptability of the load sharing between the longissimus and components of the multifidus muscle during isometric trunk extension in healthy individuals

Louise Tier, Sauro E. Salomoni, Francois Hug, Manuela Besomi, Paul W. Hodges

Summary: The aim of this study was to investigate the coordination strategies between back muscles during a tightly constrained isometric trunk extension task. The results showed substantial variations in coordination within and between individuals, and changes in coordination after brief exposure to muscle activation feedback. These findings highlight the highly flexible control of back muscles.

EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY (2023)

Article Orthopedics

Characterising tibialis posterior tendinopathy using the International Classification of Functioning, Disability and Health: a cross sectional study

Megan H. Ross, Michelle D. Smith, Bill Vicenzino

Summary: This study compared individuals with Tibialis posterior tendinopathy (TPT) to asymptomatic controls across the International Classification of Functioning, Disability and Health (ICF) domains. It found that individuals with TPT had impairments in body structure and function, activity limitations, and participation restrictions. Treatment plans should consider these limitations in addition to body structure and function.

BRAZILIAN JOURNAL OF PHYSICAL THERAPY (2023)

Review Rehabilitation

The effect of lower limb osteoarthritis on work-related outcomes: a systematic review and meta-analysis

Yousef S. Alyousef, Venerina Johnston, Rebecca Mellor, Melanie L. Plinsinga, Haroun Zerguine, Michelle D. Smith

Summary: This study systematically describes and compares work-related outcomes in individuals with and without lower limb osteoarthritis (OA), finding that individuals with lower limb OA have poorer work-related outcomes.

DISABILITY AND REHABILITATION (2023)

Article Neurosciences

The effect of skilled motor training on corticomotor control of back muscles in different presentations of low back pain

Muath A. Shraim, Hugo Masse-Alarie, Sauro E. Salomoni, Paul W. Hodges

Summary: Transcranial magnetic stimulation (TMS) has revealed differences in the motor cortex (M1) between people with and without low back pain (LBP). Motor skill training can potentially reverse these changes, but it is unclear whether changes can be induced in people with LBP or whether this differs between LBP presentations.

JOURNAL OF ELECTROMYOGRAPHY AND KINESIOLOGY (2023)

Article Orthopedics

Falls and falls-related injuries in individuals with chronic ankle symptoms: a cross-sectional study

Munira M. Al Mahrouqi, Bill Vicenzino, David A. MacDonald, Michelle D. Smith

Summary: This study investigated the falls history in individuals with chronic ankle symptoms and compared it to those without the symptoms. The results showed that individuals with chronic ankle symptoms had a higher occurrence of falls and more severe injuries compared to the controls. They also had higher concern about falling and lower balance confidence. These findings highlight the importance of assessing falls and concerns about falling in individuals with chronic ankle symptoms.

JOURNAL OF FOOT AND ANKLE RESEARCH (2023)

Article Orthopedics

Protocol for a randomised feasibility trial comparing a combined program of education and exercise versus general advice for ankle osteoarthritis

Michelle D. Smith, Viana Vuvan, Natalie J. Collins, David J. Hunter, Nathalia Costa, Melinda M. Franettovich Smith, Bill Vicenzino

Summary: The primary aim of this study is to establish the feasibility of a combined education and exercise program compared to a general advice program for people with ankle osteoarthritis (OA). The secondary aims are to collect preliminary data and understand the perspectives of patients on their participation in the trial. Study findings will evaluate the efficacy of exercise in the management of ankle OA.

JOURNAL OF FOOT AND ANKLE RESEARCH (2023)

Article Medicine, General & Internal

The Role of Back Muscle Dysfunctions in Chronic Low Back Pain: State-of-the-Art and Clinical Implications

Thomas Matheve, Paul Hodges, Lieven Danneels

Summary: Changes in back muscle function and structure are common in patients with chronic low back pain. The potential role of back muscle dysfunctions in the persistence of low back pain differs between individuals due to heterogeneity in clinical presentation and back muscle dysfunctions within this population. Therefore, tailored interventions based on a thorough clinical examination considering the multidimensional nature of chronic low back pain are necessary. This article provides a state-of-the-art update on back muscle dysfunctions in patients with chronic low back pain and their implications for treatment, including dysfunctions in back muscle structure and function, exercise therapy potential, and the relationship between back muscle dysfunctions and clinical parameters. Additionally, an individualized approach for back muscle training in patients with chronic low back pain is described.

JOURNAL OF CLINICAL MEDICINE (2023)

Article Rehabilitation

It's like a nail being driven in the ankle: A qualitative study of individuals' lived experiences to inform a core domain set for ankle osteoarthritis

Sultan Ayyadah Alanazi, Bill Vicenzino, Liam R. Maclachlan, Michelle D. Smith

Summary: This study explored the lived experiences of individuals with ankle osteoarthritis and identified health-related domains for ankle osteoarthritis based on their perspectives. The findings propose 17 domains that are important to people with ankle osteoarthritis.

MUSCULOSKELETAL SCIENCE AND PRACTICE (2023)

Article Rehabilitation

Neck muscle activation in response to eye movement depends on sitting posture and is modified in whiplash associated disorders: Cross-sectional study

Catharina S. M. Bexander, Paul W. Hodges

Summary: This study investigated the effects of spinal posture and eye movement on neck muscle activity, as well as the differences between individuals with and without WAD. The findings suggest that both spinal posture and eye movement influence neck muscle activity, and these effects are exaggerated in individuals with WAD.

MUSCULOSKELETAL SCIENCE AND PRACTICE (2023)

Article Hospitality, Leisure, Sport & Tourism

There is low adoption of injury prevention programs in community netball

Lauren Davies, Tess Saad, Michelle D. Smith

Summary: Although neuromuscular injury prevention programs decrease injuries, implementation is challenging. Netball Australia developed the Netball KNEE program - a netball-specific warm-up program designed for netball coaches, players and support staff to enhance movement efficiency and prevent injury. This study aimed to explore the Reach, perceived Effectiveness, Adoption, Implementation and intended Maintenance of the Netball KNEE program in community netball.

INTERNATIONAL JOURNAL OF SPORTS SCIENCE & COACHING (2023)

Article Oncology

An Individualized Exercise Intervention for People with Multiple Myeloma-Study Protocol of a Randomized Waitlist-Controlled Trial

Jennifer L. Nicol, Carmel Woodrow, Brent J. Cunningham, Peter Mollee, Nicholas Weber, Michelle D. Smith, Andrew J. Nicol, Louisa G. Gordon, Michelle M. Hill, Tina L. Skinner

Summary: This study aims to evaluate the effectiveness of exercise intervention on health-related quality of life in multiple myeloma patients. Through a randomized controlled trial, patients will be divided into exercise group and control group to observe and record changes in multiple indicators, including bone health and pain, fatigue, cardiorespiratory fitness, muscle strength, body composition, disease response, and blood biomarkers. The findings will provide evidence for determining whether exercise should be included as part of standard myeloma care.

CURRENT ONCOLOGY (2022)

Article Neurosciences

Do increasingly unstable balance devices provide a graded challenge to bipedal stance in total hip arthroplasty patients?

Nina Gras, Torsten Brauner, Scott Wearing, Thomas Horstmann

Summary: This study aimed to investigate the challenge posed by progressively unstable balance devices to bipedal stance during early functional rehabilitation in THA patients. The results showed that increasingly compliant balance pads provided a progressive challenge, while the challenge posed by the oscillating platform was lower and independent of the ability to stand independently.

GAIT & POSTURE (2024)

Article Neurosciences

Reactive postural adjustment in response to predictable and unpredictable perturbations in healthy adults: A comparison between swayback, hyperlordotic and erect postures

Sharon M. H. Tsang, Evest H. W. Chan, Jason Y. H. Chan, Gladys P. Y. Huang, Kelly K. T. Lam, Eunice W. Y. Lam, Allan C. L. Fu, Eliza R. Sun

Summary: This study examined the differences in postural adjustments between erect, hyperlordotic, and swayback postures when facing external perturbations. The findings suggest that adopting hyperlordotic and swayback postures alters the contributions of the active and passive subsystems of the spine in postural control, potentially reducing the spine's ability to withstand loading and shear forces.

GAIT & POSTURE (2024)

Article Neurosciences

Evaluation of lumbar and hip movement characterization and muscle activities during gait in patients with knee osteoarthritis

Hsin-yi Wang, Cheng-Yi Ho, Min-Chun Pan

Summary: This study investigated the differences in lumbar and hip movements during gait and muscle activities related to knee osteoarthritis (KOA) patients and healthy participants. The results showed that KOA patients used a hyperlordotic lumbar and hip flexed strategy, leading to excessive stress on the lower extremity joints during gait.

GAIT & POSTURE (2024)

Article Neurosciences

Fear-related visual stimuli do not promote internal focus of attention in older adults

Yoshitaka Otani, Osamu Aoki

Summary: This study found that feelings of fear affect postural control but not the internal focus of attention. This finding may be useful in assessments and interventions for older adults with a fall risk.

GAIT & POSTURE (2024)

Article Neurosciences

Sex differences in dynamic joint stiffness during walking in older adults

Haruki Toda, Hiroaki Hobara, Mitsunori Tada

Summary: This study investigated sex differences in lower limb dynamic joint stiffness (DJS) during walking in older adults. The results showed that ankle DJS was lower in older women, which was caused by the reduced ankle plantarflexion moment. However, knee DJS did not elucidate the cause of knee osteoarthritis (OA) in older women.

GAIT & POSTURE (2024)

Article Neurosciences

Reliability and minimal detectable change of stiffness and other mechanical properties of the ankle joint in standing and walking

Luis H. Cubillos, Elliott J. Rouse, Thomas E. Augenstein, Varun Joshi, Edward S. Claflin, Chandramouli Krishnan

Summary: The study found that the reliability of stiffness, viscosity, and inertia of the ankle joint was good to excellent during standing. During walking, the reliability of stiffness and viscosity was also good to excellent, while that of inertia was fair to good. The minimal detectable change (MDC) ranged widely, but was higher for inertia during walking.

GAIT & POSTURE (2024)

Article Neurosciences

Biomechanical changes identified during a marathon race among high-school aged runners

Alexandra F. Dejong Lempke, Danielle L. Hunt, Sarah B. Willwerth, Pierre A. d'Hemecourt, William P. Meehan III, Kristin E. Whitney

Summary: Adolescent athletes alter their gait patterns throughout a marathon race, and there are correlations between biomechanical features and race performance among young marathoners.

GAIT & POSTURE (2024)

Article Neurosciences

The interaction effect of different footwear types and static navicular drop or dynamic ankle pronation on the joint stiffness of the lower limb during running

Ali Esmaeili, Sayed Esmaeil Hosseininejad, Amirali Jafarnezhadgero, Valdeci Carlos Dionisio

Summary: This study investigates the effects of footwear type, navicular drop and ankle pronation on lower limb joint stiffness during running. The results show that navicular drop and dynamic ankle pronation do not affect joint stiffness, but footwear type significantly affects joint stiffness. Conventional footwear increases ankle and hip joint stiffness while reducing knee joint stiffness, which may have implications for injury risk.

GAIT & POSTURE (2024)

Article Neurosciences

Differences in abductor hallucis activity during running in individuals with chronic ankle instability and copers

Takahiro Watanabe, Tomoya Takabayashi, Takanori Kikumoto, Yudai Kikuchi, Shunsuke Suzuki, Shiori Hiratsuka, Masayoshi Kubo

Summary: This study suggests that there are differences in abductor hallucis activity between individuals with chronic ankle instability and ankle sprain copers, indicating neuromuscular dysfunction in these patients, which leads to pain and instability symptoms.

GAIT & POSTURE (2024)

Article Neurosciences

Gait stability and the relationship with energy cost of walking in polio survivors with unilateral plantarflexor weakness

Elza van Duijnhoven, Marit van der Veen, Fieke S. Koopman, Frans Nollet, Sjoerd M. Bruijn, Merel-Anne Brehm

Summary: Gait stability is impaired in polio survivors with plantarflexor weakness, characterized by increased step width and step length variability and lower MoSAP. These factors are related to the elevated energy cost of walking in polio survivors.

GAIT & POSTURE (2024)

Article Neurosciences

Relationships between trunk muscle activation and thoraco-lumbar kinematics in non-specific chronic low back pain subgroups during a forward bending task

Rebecca Hemming, Alister du Rose, Liba Sheeran, Robert van Deursen, Valerie Sparkes

Summary: In a forward bending task, there is a relationship between trunk muscle activation and regional thoracic and lumbar kinematics in NSCLBP subgroups, indicating different motor control strategies adopted by different subgroups when performing bending tasks.

GAIT & POSTURE (2024)

Review Neurosciences

Alterations of postural control across the menstrual cycle - A systematic review

Carina Pohle, Linda Becker, Jochen Baumeister

Summary: This systematic review is the first to compile evidence on the effect of the menstrual cycle on postural control. The evidence regarding the influence of the menstrual cycle on postural control is unclear. However, a trend of decreased postural control from the early follicular phase to the ovulatory phase was observed in balance tasks that eliminated or altered sensory input.

GAIT & POSTURE (2024)