慢性阻塞性肺疾病患者肺康复期间6个月平衡训练的效果
Effect of 6 Months of Balance Training During Pulmonary Rehabilitation in Patients With COPD.
作者信息
Mkacher Wajdi, Mekki Marwa, Tabka Zouhair, Trabelsi Yassine
机构信息
Department of Physiology and Lung Function Testing (UR12 ES06), Sousse Faculty of Medicine, University of Sousse, Sousse, Tunisia.
出版信息
J Cardiopulm Rehabil Prev. 2015 May-Jun;35(3):207-13. doi: 10.1097/HCR.0000000000000109.
PURPOSE
Balance impairment is recognized as an important issue for patients with chronic obstructive pulmonary disease (COPD). The aim of this study was to examine the effect of balance training as part of pulmonary rehabilitation (PR) on balance in COPD patients.
METHODS
Patients were randomly assigned to an intervention or usual care group. The intervention group underwent balance training 3 times a week for 6 months in addition to the standard PR. The control group received 6 months of the standard PR program only. Balance was assessed by the Timed Up and Go (TUG), Tinetti, Berg Balance Scale (BBS), and the Unipodal Stance (UST) tests. Balance confidence was rated using the ABC scale. Exercise tolerance was determined using a 6-Minute Walk Test.
RESULTS
Following the completion of PR, the intervention group showed improvement in all balance measures. Only TUG, ABC, and UST scores were improved in the usual care group (P < .05). Results demonstrated significant between-group differences in TUG, Tinetti, BBS, and ABC scores (P < .01) and UST score (P < .05).
CONCLUSIONS
Balance training incorporated into a standard PR program significantly improves scores on balance tests in COPD patients.
目的
平衡功能障碍被认为是慢性阻塞性肺疾病（COPD）患者的一个重要问题。本研究的目的是探讨作为肺康复（PR）一部分的平衡训练对COPD患者平衡功能的影响。
方法
患者被随机分为干预组或常规护理组。干预组除接受标准PR外，每周进行3次平衡训练，持续6个月。对照组仅接受6个月的标准PR方案。通过定时起立行走测试（TUG）、Tinetti测试、伯格平衡量表（BBS）和单足站立测试（UST）评估平衡功能。使用ABC量表对平衡信心进行评分。通过6分钟步行测试确定运动耐力。
结果
PR完成后，干预组在所有平衡测量指标上均有改善。常规护理组仅TUG、ABC和UST评分有所改善（P < 0.05）。结果显示，两组在TUG、Tinetti、BBS和ABC评分（P < 0.01）以及UST评分（P < 0.05）上存在显著差异。
结论
将平衡训练纳入标准PR方案可显著提高COPD患者平衡测试的得分。
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