What we do > Publications > 3872940

Pulmonary Rehabilitation With Balance Training for Fall Reduction in Chronic Obstructive Pulmonary Disease: Protocol for a Randomized Controlled Trial.

AuthorsBeauchamp, M.K.
Brooks, D.
Ellerton, C.
Lee, A. L.
Alison, J.
Camp, P.G.
Dechman, G.
Haines, K.
Harrison, S.L.
Holland, A.E.
Marques, A.
Moineddin, R.
Skinner, E.H.
Spencer, L.
Stickland, M.K.
Xie, F.
Goldstein, R.S.
TypeProtocol
JournalJMIR Research Protocols
PubMed ID29158206
Year of Publication2017
URLhttps://www.ncbi.nlm.nih.gov/pubmed/29158206
DOI/10.2196/resprot.8178.
Download Pulmonary_Rehabilitation_With_Balance_Training_for_Fall_Reduction_in_Chronic_Obstructive_Pulmonary_Disease__Protocol_for_a_Randomized_Controlled_Trial.pdf (121.8 KB)
AbstractBACKGROUND:

Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide. A growing body of evidence shows that individuals with COPD have important deficits in balance control that may be associated with an increased risk of falls. Pulmonary rehabilitation (PR) is a key therapeutic intervention for individuals with COPD; however, current international guidelines do not include balance training and fall prevention strategies.
OBJECTIVE:

The primary aim of this trial is to determine the effects of PR with balance training compared to PR with no balance training on the 12-month rate of falls in individuals with COPD. Secondary aims are to determine the effects of the intervention on balance, balance confidence, and functional lower body strength, and to estimate the cost-effectiveness of the program.
METHODS:

A total of 400 individuals from nine PR centers across Canada, Europe, and Australia will be recruited to participate in a randomized controlled trial. Individuals with COPD who have a self-reported decline in balance, a fall in the last 2 years, or recent near fall will be randomly assigned to an intervention or control group. The intervention group will undergo tailored balance training in addition to PR and will receive a personalized home-based balance program. The control group will receive usual PR and a home program that does not include balance training. All participants will receive monthly phone calls to provide support and collect health care utilization and loss of productivity data. Both groups will receive home visits at 3, 6, and 9 months to ensure proper technique and progression of home exercise programs. The primary outcome will be incidence of falls at 12-month follow-up. Falls will be measured using a standardized definition and recorded using monthly self-report fall diary calendars. Participants will be asked to record falls and time spent performing their home exercise program on the fall diary calendars. Completed calendars will be returned to the research centers in prepaid envelopes each month. Secondary measures collected by a blinded assessor at baseline (pre-PR), post-PR, and 12-month follow-up will include clinical measures of balance, balance confidence, functional lower body strength, and health status. The cost-effectiveness of the intervention group compared with the control group will be evaluated using the incremental cost per number of falls averted and the incremental cost per quality-adjusted life years gained.
RESULTS:

Recruitment for the study began in January 2017 and is anticipated to be complete by December 2019. Results are expected to be available in 2020.
CONCLUSIONS:

Findings from this study will improve our understanding of the effectiveness and resource uses of tailored balance training for reducing falls in individuals with COPD. If effective, the intervention represents an opportunity to inform international guidelines and health policy for PR in individuals with COPD who are at risk of falling.
TRIAL REGISTRATION:

ClinicalTrials.gov NCT02995681; https://clinicaltrials.gov/ct2/show/NCT02995681 (Archived by WebCite at http://www.webcitation.org/6ukhxgAsg).

http://www.ibas.org.au/what-we-do/publications/3872940


< More publications



ARIELARIEL

Interstitial lung disease (ILD) is a chronic lung condition that causes stiff lungs and restricts sufferers from taking a deep breath. Exercise in a gym, such as walking or riding a bike, can help make...

HEALTHY MALES AND FEMALES WANTED FOR SLEEP STUDYHEALTHY MALES AND FEMALES WANTED FOR SLEEP STUDY

Interested to participate in a study investigating the effect of fatigue on driving performance?

Notch monitoring in sleepNOTCH MONITORING IN SLEEP

Sleep apnea is a condition where breathing is abnormal during sleep. There are two main forms of sleep apnea: obstructive and central. For obstructive sleep apnea, breathing is reduced because the airway...

IBAS researcher featured on NHMRC Tracker magazineIBAS RESEARCHER FEATURED ON NHMRC TRACKER MAGAZINE

Prof Anne Holland's research on chronic obstructive pulmonary disease is featured as one of the 10 best research topics in the NHMRC publication, Tracker.

Good sleep more essential than ever during COVID-19GOOD SLEEP MORE ESSENTIAL THAN EVER DURING COVID-19

This Sleep Awareness Week, Austin Health's sleep experts remind us all that sleep is integral to good health, particularly at times when we're under stress.

Professor David Berlowitz receives over 7 million in grantsPROFESSOR DAVID BERLOWITZ RECEIVES OVER 7 MILLION IN GRANTS

University of Melbourne Chair of Physiotherapy at Austin Health, Professor David Berlowitz has had quite a memorable week.

Do you have Spinal cord injury? Tired? Get treated!DO YOU HAVE SPINAL CORD INJURY? TIRED? GET TREATED!

Melbourne researchers have found that 80 percent of people with quadriplegic spinal injuries have sleep apnoea. It's having a big effect on their lives but they don't know they have it, and they don't know it can be treated.

Institute for Breathing and Sleep

Level 5, Harold Stokes Building, Austin Hospital
145 Studley Road
Heidelberg, Victoria, 3084

(03) 9496 5390

Email Us

Donate