EFFECT OF LOWER LIMBS STRENGTHENING TO IMPROVE BALANCE IN COPD PATIENTS- RANDOMIZED CONTROL TRIAL.
LOWER LIMBS STRENGTHENING TO IMPROVE BALANCE IN COPD
Background: COPD is a progressive disease associated with an amplified chronic inflammatory response to noxious 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 improving the peripheral muscle strength with the help of progressive resisted exercises in addition to regular pulmonary 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 pulmonary 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. Balance was then assessed with NeuroCom’s Balance Master of both the groups. Subjects of Group A received pulmonary rehabilitation with strengthening exercises for lower limbs according to De Lorme’s model for 3 weeks, whereas Group B received the regular pulmonary rehabilitation (for 3 weeks). After the treatment protocol was completed, 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 significance 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.
Keywords:COPD, Balance, PFT, NeuroCom’s Balance Master, strengthening protocol.
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