Department of Chest Diseses, Faculty of Medicine, Aydin Adnan Menderes University, Aydin, Turkey.
Department of Physical Medicine and Rehabilitation, Atatürk State Hospital, Aydin, Turkey.
Int J Clin Pract. 2021 Apr;75(4):e13901. doi: 10.1111/ijcp.13901. Epub 2020 Dec 18.
Patients with chronic obstructive pulmonary disease (COPD) have impaired balance and hence fall more frequently. Easy application of balance evaluation tests can prevent the loss of time in the outpatient clinic for patients with COPD. In this study, we aimed to compare the efficacy of Berg Balance Scale (BBS), a time-consuming but a widely used test, with other easy-to-perform tests such as the Single Leg Stance (SLS), Five Repetition Sit to Stand (5STS), Four Step Square (FSST), and Timed Up and Go (TUG) tests.
A total of 71 patients with COPD and 70 control subjects with matching demographic characteristics were included in the study. All patients undertook pulmonary function tests and their scores of 6-min walk-test (6MWT), modified Medical Research Council (mMRC) dyspnoea scale, COPD assessment questionnaire (CAT) and body mass index (B) were recorded. In addition, the severity of airway obstruction (O), the dyspnoea severity (D) and exercise capacity (E) (BODE) index scores were measured. All patients with COPD were classified into four groups, A to D, based on the GOLD 2017 criteria. All subjects undertook the BBS, SLS, 5STS, FSST and TUG tests.
Balance tests revealed increased balance impairment in patients with COPD in comparison with the control subjects (P < .05). The BBS, SLS, FSST and TUG examinations suggested that balance impairment was frequent in Groups C and D patients with COPD (P < .05). FSST and TUG had the highest correlation with BBS (r = -.812 and -.842 and P < .001 and <.001, respectively). The results of FSST and TUG were the closest to those of BBS test.
FSST and TUG tests can be applied for the assessment of bodily balance status among patients with COPD in outpatient clinics.
患有慢性阻塞性肺疾病（COPD）的患者平衡能力受损，因此更容易摔倒。易于应用平衡评估测试可以防止 COPD 患者在门诊就诊时浪费时间。在这项研究中，我们旨在比较 Berg 平衡量表（BBS）的功效，BBS 是一种耗时但广泛使用的测试，与其他易于进行的测试（如单腿站立（SLS）、5 次重复站立-坐下（5STS）、四步正方形（FSST）和计时起立行走（TUG）测试）。
本研究共纳入 71 例 COPD 患者和 70 例具有匹配人口统计学特征的对照组。所有患者均接受肺功能检查，并记录其 6 分钟步行试验（6MWT）、改良医学研究委员会（mMRC）呼吸困难量表、COPD 评估问卷（CAT）和体重指数（B）评分。此外，还测量了气道阻塞严重程度（O）、呼吸困难严重程度（D）和运动能力（E）（BODE）指数评分。根据 GOLD 2017 标准，所有 COPD 患者均分为 A 至 D 四组。所有受试者均接受 BBS、SLS、5STS、FSST 和 TUG 测试。
平衡测试显示，与对照组相比，COPD 患者的平衡能力受损更为严重（P<0.05）。BBS、SLS、FSST 和 TUG 检查表明，COPD 患者 C 组和 D 组的平衡障碍更为常见（P<0.05）。FSST 和 TUG 与 BBS 相关性最高（r=-0.812 和-0.842，P<0.001 和<0.001）。FSST 和 TUG 的结果与 BBS 测试最接近。
FSST 和 TUG 测试可用于评估 COPD 患者在门诊中的身体平衡状况。
