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Titre : | Effects of land- and water-based exercise programmes on postural balance in individuals with COPD: additional results from a randomised clinical trial (2020) |
Auteurs : | Larissa A. de Castro ; Josiane M. Felcar ; Débora R. de Carvalho ; Laís S. Vidotto ; Rubens A. Da Silva ; Fabio Pitta ; Vanessa S. Probst |
Type de document : | Article |
Dans : | Physiotherapy (Vol. 107, 2020) |
Article en page(s) : | p. 58-65 |
Note générale : | https://doi.org/10.1016/j.physio.2019.08.001 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Broncho-pneumopathie chronique obstructive ; Chutes accidentelles ; Équilibre postural ; Hydrothérapie ; Traitement par les exercices physiques |
Résumé : |
Objective
To investigate the effects of water-based exercise training on postural balance in individuals with chronic obstructive pulmonary disease (COPD), and compare the effects of two similar protocols of land- and water-based exercise programmes on postural balance in this population. Design Randomised clinical trial. Setting University-based, outpatient, physical therapy clinic. Subjects Fifty individuals with COPD. Interventions Participants were assigned at random to the land group (LG; n = 27) or the water group (WG; n = 23), and underwent high-intensity endurance and strength training three times per week for 3 months. Main outcome measures Functional balance was assessed by the timed up and go test (TUG), and static balance was assessed with a force platform in the following conditions: standing with feet hip-width apart and eyes open; standing with feet hip-width apart and eyes closed; standing on a short base; and one-legged stance. Results Seventeen subjects completed the intervention in the LG {nine males, mean age 64 [standard deviation (SD) 8] years, mean forced expiratory volume in 1 second (FEV1) 48 (SD 17) %predicted} compared with 14 subjects in the WG [nine males, mean age 65 (SD 8) years, FEV1 51 (SD 15) %predicted]. Water-based exercise training had a positive effect on functional balance [TUG: mean difference −1.17 (−1.93 to −0.41 95% confidence interval) seconds; P = 0.006], whereas static balance remained unaltered for both groups. There was no between-group difference in postural balance after exercise training; however, a higher proportion of participants who had a clinically relevant improvement in the TUG were in the WG (LG 35%, WG 64%; P Conclusion Functional balance improved after 3 months of high-intensity exercise training performed in water. Despite the environment, non-specific training seems to be insufficient to improve static balance. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940618301032 |