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Prevalence of Balance Deficits in Chronic Obstructive Pulmonary Disease

Singh Pallavi , Singh Pallavi , Mitra Shambhovi , Kumar Lokender , Sharma M. Divya

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Physiotherapy and Occupational Therapy Journal 7(2):p 61-68, April - June 2014. | DOI:

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Abstract

Background: Although primary path physiology of COPD is pulmonary but extra pulmonary manifestation like skeletal muscles dysfunction, physical capacity etc. are studied. Preliminary Evidence shows deficit in postural control in COPD. We aimed at finding out prevalence of balance deficits in chronic Obstructive pulmonary  disease (COPD), little is known regarding the disordered subcomponents underlying control of balance. Objective: To find out the prevalence of balance deficit in patients with Chronic Obstructive Pulmonary disease. Participants : 100 subjects ( 96 male and 4 female ) with COPD participated in this study. Methods: A observational study design was used. Subjects aged between 40-60 years were recruited for study. Balance was evaluating using the Berg Balance Scale; Timed Up and Go Test and Sit and Reach Test. Socioeconomic status was assessed by Kuppuswamy Scale. Results: According to Berg Balance Scale 67% had medium fall risk and 33% had low fall risk. As per Timed Up and Go Test 65% had high risk of falls. Berg Balance Scores and Timed Up and Go Test had a significant correlation (p= .000 ;p < 0.05). Berg Balance Scores and Timed Up and Go Test score had significant correlation with FEV1(r=0.195,p=0.051); (r=0.218,p=0.029). Conclusion: In conclusion , this study showed that a majority of Chronic Obstructive pulmonary Disease patients have balance issues.

Keywords: Chronic obstructive pulmonary disease; Berg balance scale; Timed up and go test; Sit and reach test; Kuppuswamy scale.


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