Effect of balance training on patients with chronic obstructive pulmonary disease: a systematic review and Meta-analysis
10.3760/cma.j.cn115624-20230317-00173
- VernacularTitle:平衡训练对慢性阻塞性肺疾病患者影响的荟萃分析
- Author:
Teng ZHANG
1
;
Haihua YAN
;
Qian ZHAO
;
Xin LI
;
Hongxia WU
Author Information
1. 山西医科大学 山西省人民医院,太原 030001
- Keywords:
Pulmonary disease, chronic obstructive;
Rehabilitation;
Balance training;
Balance ability;
Meta-analysis
- From:
Chinese Journal of Health Management
2023;17(10):766-772
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze and evaluate the impact of balance training on patients with chronic obstructive pulmonary disease (COPD).Methods:The randomized controlled trials of balance training in COPD patients in PubMed, Embase, Web of science, the Cochrane Library, CNKI, Wanfang, VIP, and Chinese Biomedical Literature Database were searched. The retrieval time was from the establishment of the database to November 20, 2022. A Meta-analysis was conducted using RevMan5.3 on balance ability, exercise ability, quality of life, and balance confidence in patients with COPD.Results:A total of 432 patients were included in 7 studies. The results of the Meta-analysis showed that compared with other training, balanced training could improve the balance ability of patients [Timed Up and Go Test: mean difference ( MD)=-2.19, 95% CI (-2.86, -1.52); P<0.001, Berg Balance Scale: MD=4.02, 95% CI (0.78, 7.27); P=0.020, the Balance Evaluation Systems Test: MD=7.83, 95% CI (0.13, 15.52); P=0.050], exercise ability [Six-Minute Walk Test: standard mean difference ( SMD)=0.21, 95% CI (0.01, 0.40); P=0.040] and quality of life [COPD Assessment Test and St. George′s Respiratory Questionnaire: SMD=-0.54, 95% CI (-1.08, -0.01); P=0.050], but balance training did not effectively enhance patients′ activity balance confidence [Activities-Specific Balance Confidence Scale: MD=9.34, 95% CI (-0.98, 19.66); P=0.080]. Conclusion:Balance training can improve the balance ability, exercise ability, and quality of life of patients with COPD, but the impact on patients′ activity balance confidence needs to be further verified.