Chronic Obstructive Pulmonary Disease Clinical Trial
Official title:
Effect of Inspiratory Muscle Training on Posture in Chronic Obstructive Pulmonary Disease Patients (COPD)
Chronic obstructive pulmonary disease (COPD) is a respiratory disease that results in
progressive airflow limitation and respiratory distress. Physiopathological features of COPD
suggest that people who suffer from this disease have many risk factors for falls that have
been identified in older individuals. Risk of falls is multi-factorial and impaired balance
has been shown to contribute.
The investigators aimed to demonstrate that, IMT performed during a PRP may improve Postural
control in COPD patients.
Chronic obstructive pulmonary disease COPD is a preventable and treatable disease. According
to the WHO, COPD would be the third leading cause of death by 2030. This disease is
characterized by airflow limitation that is not fully reversible. The airflow limitation is
usually progressive and associated with an abnormal inflammatory response of the lung to
noxious particles or gases. However, emerging data showed that COPD patients demonstrate
important deficits in balance and control which associated to a high risk of fall.
Individuals with COPD, especially those with inspiratory muscle weakness, increased their
reliance on ankle muscle proprioceptive signals and decreased their reliance on back muscle
proprioceptive signals during balance control, resulting in a decreased postural stability
compared to healthy controls. These proprioceptive changes may be due to an impaired postural
contribution of the inspiratory muscles to trunk stability.
Inspiratory muscle training (IMT) has been shown to be an effective modality for COPD
patients for improving the maximal inspiratory muscle strength, the dyspnea and
health-related quality of life. However, the effect of inspiratory muscle training on
postural control is not studying. The purpose of this study is to evaluate the effect of the
inspiratory muscles training on posture in COPD patients.
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