EFFECT OF LOWER LIMBS STRENGTHENING TO IMPROVE BALANCE IN COPD PATIENTS, RANDOMIZED CONTROL TRIAL
| Main Authors: | Dr.Raminder Kaur Kathuriya, Dr Arijit Kumar Das |
|---|---|
| Format: | Article Journal |
| Bahasa: | eng |
| Terbitan: |
, 2019
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/3753835 |
Daftar Isi:
- 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 Conclu-sion-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.