Impaired Postural Control Reduces Sit-to-Stand-to-Sit Performance in Individuals with Chronic Obstructive Pulmonary Disease
Identifieur interne : 002D17 ( Ncbi/Checkpoint ); précédent : 002D16; suivant : 002D18Impaired Postural Control Reduces Sit-to-Stand-to-Sit Performance in Individuals with Chronic Obstructive Pulmonary Disease
Auteurs : Lotte Janssens [Belgique] ; Simon Brumagne [Belgique] ; Alison K. Mcconnell [Royaume-Uni] ; Kurt Claeys [Belgique] ; Madelon Pijnenburg [Belgique] ; Nina Goossens [Belgique] ; Chris Burtin [Belgique, Pays-Bas] ; Wim Janssens [Belgique] ; Marc Decramer [Belgique] ; Thierry Troosters [Belgique]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
Functional activities, such as the sit-to-stand-to-sit (STSTS) task, are often impaired in individuals with chronic obstructive pulmonary disease (COPD). The STSTS task places a high demand on the postural control system, which has been shown to be impaired in individuals with COPD. It remains unknown whether postural control deficits contribute to the decreased STSTS performance in individuals with COPD.
Center of pressure displacement was determined in 18 individuals with COPD and 18 age/gender-matched controls during five consecutive STSTS movements with vision occluded. The total duration, as well as the duration of each sit, sit-to-stand, stand and stand-to-sit phase was recorded.
Individuals with COPD needed significantly more time to perform five consecutive STSTS movements compared to healthy controls (19±6 vs. 13±4 seconds, respectively; p = 0.001). The COPD group exhibited a significantly longer stand phase (p = 0.028) and stand-to-sit phase (p = 0.001) compared to the control group. In contrast, the duration of the sit phase (p = 0.766) and sit-to-stand phase (p = 0.999) was not different between groups.
Compared to healthy individuals, individuals with COPD needed significantly more time to complete those phases of the STSTS task that require the greatest postural control. These findings support the proposition that suboptimal postural control is an important contributor to the decreased STSTS performance in individuals with COPD.
Url:
DOI: 10.1371/journal.pone.0088247
PubMed: 24533072
PubMed Central: 3922802
Affiliations:
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<author><name sortKey="Janssens, Wim" sort="Janssens, Wim" uniqKey="Janssens W" first="Wim" last="Janssens">Wim Janssens</name>
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<author><name sortKey="Decramer, Marc" sort="Decramer, Marc" uniqKey="Decramer M" first="Marc" last="Decramer">Marc Decramer</name>
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<author><name sortKey="Troosters, Thierry" sort="Troosters, Thierry" uniqKey="Troosters T" first="Thierry" last="Troosters">Thierry Troosters</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Functional activities, such as the sit-to-stand-to-sit (STSTS) task, are often impaired in individuals with chronic obstructive pulmonary disease (COPD). The STSTS task places a high demand on the postural control system, which has been shown to be impaired in individuals with COPD. It remains unknown whether postural control deficits contribute to the decreased STSTS performance in individuals with COPD.</p>
</sec>
<sec><title>Methods</title>
<p>Center of pressure displacement was determined in 18 individuals with COPD and 18 age/gender-matched controls during five consecutive STSTS movements with vision occluded. The total duration, as well as the duration of each sit, sit-to-stand, stand and stand-to-sit phase was recorded.</p>
</sec>
<sec><title>Results</title>
<p>Individuals with COPD needed significantly more time to perform five consecutive STSTS movements compared to healthy controls (19±6 vs. 13±4 seconds, respectively; p = 0.001). The COPD group exhibited a significantly longer stand phase (p = 0.028) and stand-to-sit phase (p = 0.001) compared to the control group. In contrast, the duration of the sit phase (p = 0.766) and sit-to-stand phase (p = 0.999) was not different between groups.</p>
</sec>
<sec><title>Conclusions</title>
<p>Compared to healthy individuals, individuals with COPD needed significantly more time to complete those phases of the STSTS task that require the greatest postural control. These findings support the proposition that suboptimal postural control is an important contributor to the decreased STSTS performance in individuals with COPD.</p>
</sec>
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