The influence of cognitive load on static balance in chronic obstructive pulmonary disease patients.


Journal

The clinical respiratory journal
ISSN: 1752-699X
Titre abrégé: Clin Respir J
Pays: England
ID NLM: 101315570

Informations de publication

Date de publication:
Mar 2021
Historique:
received: 13 07 2020
accepted: 13 11 2020
pubmed: 21 11 2020
medline: 19 8 2021
entrez: 20 11 2020
Statut: ppublish

Résumé

Patients with chronic obstructive pulmonary disease (COPD) may demonstrate cognitive function and balance deterioration. These two phenomena are often realized simultaneously during daily living activities, where the risk of falling may be increased due to possible postural disturbance when focusing on a cognitive task during motion. Despite the high rate of falls in COPD, there is currently a lack of affordable clinical instruments to quantify the interaction between cognitive tasks and static balance in these patients. Therefore, this study aims to assess the balance perturbation induced by cognitive tasks using a new cost-effective protocol which can easily be implemented in clinical settings. A total of 21 COPD patients (Age: 64 ± 8 yrs, Forced Expiratory Volume in one second = 41 ± 17%, Women: 7) and 21 matched healthy controls participated in the study. They performed two cognitive tasks (counting backward by 3s and naming animals) with eyes open and with eyes closed. Each trial lasted 60 s, with balance-related parameters recorded and quantified using a Wii Balance Board. A three-way ANOVA (cognitive task, eyes action, and health status) for balance-related parameters derived from the center of pressure displacement was performed. COPD, vision, and cognitive tasks altered the balance; no interaction between conditions was observed. There was no correlation between cognitive ability, respiratory function, and the balance-related parameters. Compared to healthy controls, the COPD patients had impaired balance. Cognitive tasks altered postural control in both COPD and controls, where this alteration was more pronounced with eyes closed.

Identifiants

pubmed: 33217122
doi: 10.1111/crj.13307
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

351-357

Informations de copyright

© 2020 John Wiley & Sons Ltd.

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Auteurs

Olivier Van Hove (O)

Department of Pneumology, Erasme Hospital, Brussels, Belgium.

Ana Maria Cebolla (AM)

Laboratory of Neurophysiology and Movement Biomechanics, Université Libre de Bruxelles, Brussels, Belgium.

Vasileios Andrianopoulos (V)

Institute for Pulmonary Rehabilitation Research, Schoen Klinik Berchtesgadener Land, Schoenau am Koenigssee, Germany.

Dimitri Leduc (D)

Department of Pneumology, Erasme Hospital, Brussels, Belgium.
Laboratory of Cardiorespiratory Physiology, Université Libre de Bruxelles, Brussels, Belgium.

Pierre Antoine Guidat (PA)

Laboratory of Functional Anatomy, Université Libre de Bruxelles, Brussels, Belgium.

Véronique Feipel (V)

Laboratory of Functional Anatomy, Université Libre de Bruxelles, Brussels, Belgium.

Gaël Deboeck (G)

Research Unit in Rehabilitation, Université Libre de Bruxelles, Brussels, Belgium.

Bruno Bonnechère (B)

Department of Psychiatry and Behavioural and Clinical Neurosciences, University of Cambridge, Cambridge, UK.

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