Effect of Lower Limbs Strengthening to Improve Balance in COPD Patients, Randomized Control Trial
Keywords:
COPD, Balance, PFT, NeuroCom’s Balance Master, strengthening protocol.Abstract
Background: COPD is a progressive disease associated with an amplified chronic inflammatory response to nox-ious particles or gases in the airways and lungs. It’s management includes Pulmonary Rehabilitation .But Pulmonary Rehabilitation stays confined to the rehabilitation of lungs, it does not include treatment for secondary impairments like balance problems in patients with COPD. Aim - To improve the balance of patients suffering from COPD by im-proving the peripheral muscle strength with the help of progressive resisted exercises in addition to regular pulmo-nary rehabilitation. Objectives- 1.To find, if there is any improvement of balance by using P.R.E of lower limbs along with pulmonary rehab in COPD patients.2.To identify whether balance improvement can be done by pulmo-nary rehab for COPD.3.To compare whether pulmonary rehab with P.R.E or pulmonary rehab alone is effective in improving balance in COPD patients. Methodology- 30 subjects fulfilling the inclusion and exclusion criteria were selected. They were then segregated into groups by simple randomization procedure i.e group A and group B. Bal-ance was then assessed with NeuroCom’s Balance Master of both the groups. Subjects of Group A received pulmo-nary rehabilitation with strengthening exercises for lower limbs according to De Lorme’s model for 3 weeks, where-as Group B received the regular pulmonary rehabilitation (for 3 weeks). After the treatment protocol was complet-ed, the balance was reassessed for both the groups with the help of NeuroCom’s Balance Master. Result and Conclusion -The The intergroup significance were calculated by using Wilcoxon signed rank test and intragroup signifi-cance was calculated by using the Mann-Whitney rank sum test. On overall comparisons of treatment of group A and group B, group A showed significant improvement individually, but when compared with each other there was no statistically significant difference observed.
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