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
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uniqKey="Janssens L" first="Lotte" last="Janssens">Lotte Janssens</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Brumagne, Simon" sort="Brumagne, Simon" uniqKey="Brumagne S" first="Simon" last="Brumagne">Simon Brumagne</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Mcconnell, Alison K" sort="Mcconnell, Alison K" uniqKey="Mcconnell A" first="Alison K." last="Mcconnell">Alison K. Mcconnell</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Centre for Sports Medicine and Human Performance, Brunel University, Uxbridge, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Sports Medicine and Human Performance, Brunel University, Uxbridge</wicri:regionArea><wicri:noRegion>Uxbridge</wicri:noRegion></affiliation></author><author><name sortKey="Claeys, Kurt" sort="Claeys, Kurt" uniqKey="Claeys K" first="Kurt" last="Claeys">Kurt Claeys</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven KULAB, Bruges, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven KULAB, Bruges</wicri:regionArea><wicri:noRegion>Bruges</wicri:noRegion></affiliation></author><author><name sortKey="Pijnenburg, Madelon" sort="Pijnenburg, Madelon" uniqKey="Pijnenburg M" first="Madelon" last="Pijnenburg">Madelon Pijnenburg</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Goossens, Nina" sort="Goossens, Nina" uniqKey="Goossens N" first="Nina" last="Goossens">Nina Goossens</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Burtin, Chris" sort="Burtin, Chris" uniqKey="Burtin C" first="Chris" last="Burtin">Chris Burtin</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>Respiratory Rehabilitation and Respiratory Division, University Hospital Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Respiratory Rehabilitation and Respiratory Division, University Hospital Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Department of Allied Health Professions, Fontys University of Applied Sciences, Eindhoven, Netherlands</addr-line></nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Allied Health Professions, Fontys University of Applied Sciences, Eindhoven</wicri:regionArea><wicri:noRegion>Eindhoven</wicri:noRegion></affiliation></author><author><name sortKey="Janssens, Wim" sort="Janssens, Wim" uniqKey="Janssens W" first="Wim" last="Janssens">Wim Janssens</name><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>Respiratory Rehabilitation and Respiratory Division, University Hospital Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Respiratory Rehabilitation and Respiratory Division, University Hospital Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Decramer, Marc" sort="Decramer, Marc" uniqKey="Decramer M" first="Marc" last="Decramer">Marc Decramer</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>Respiratory Rehabilitation and Respiratory Division, University Hospital Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Respiratory Rehabilitation and Respiratory Division, University Hospital Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author><author><name sortKey="Troosters, Thierry" sort="Troosters, Thierry" uniqKey="Troosters T" first="Thierry" last="Troosters">Thierry Troosters</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>KU Leuven Department of Rehabilitation Sciences, University of Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4"><addr-line>Respiratory Rehabilitation and Respiratory Division, University Hospital Leuven, Leuven, Belgium</addr-line></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Respiratory Rehabilitation and Respiratory Division, University Hospital Leuven, Leuven</wicri:regionArea><wicri:noRegion>Leuven</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Leidy, Nk" uniqKey="Leidy N">NK Leidy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eisner, Md" uniqKey="Eisner M">MD Eisner</name></author><author><name sortKey="Iribarren, C" uniqKey="Iribarren C">C Iribarren</name></author><author><name sortKey="Blanc, Pd" uniqKey="Blanc P">PD Blanc</name></author><author><name sortKey="Yelin, Eh" uniqKey="Yelin E">EH Yelin</name></author><author><name sortKey="Ackerson, L" uniqKey="Ackerson L">L Ackerson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dall, Pm" uniqKey="Dall P">PM Dall</name></author><author><name sortKey="Kerr, A" uniqKey="Kerr A">A 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uniqKey="Segers J">J Segers</name></author><author><name sortKey="Decramer, M" uniqKey="Decramer M">M Decramer</name></author><author><name sortKey="Kwakkel, G" uniqKey="Kwakkel G">G Kwakkel</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Belgique</li><li>Pays-Bas</li><li>Royaume-Uni</li></country></list><tree><country name="Belgique"><noRegion><name sortKey="Janssens, Lotte" sort="Janssens, Lotte" uniqKey="Janssens L" first="Lotte" last="Janssens">Lotte Janssens</name></noRegion><name sortKey="Brumagne, Simon" sort="Brumagne, Simon" uniqKey="Brumagne S" first="Simon" last="Brumagne">Simon Brumagne</name><name sortKey="Burtin, Chris" sort="Burtin, Chris" uniqKey="Burtin C" first="Chris" last="Burtin">Chris Burtin</name><name sortKey="Burtin, Chris" sort="Burtin, Chris" uniqKey="Burtin C" first="Chris" last="Burtin">Chris Burtin</name><name sortKey="Claeys, Kurt" sort="Claeys, Kurt" uniqKey="Claeys K" first="Kurt" last="Claeys">Kurt Claeys</name><name sortKey="Claeys, Kurt" sort="Claeys, Kurt" uniqKey="Claeys K" first="Kurt" last="Claeys">Kurt Claeys</name><name sortKey="Decramer, Marc" sort="Decramer, Marc" uniqKey="Decramer M" first="Marc" last="Decramer">Marc Decramer</name><name sortKey="Decramer, Marc" sort="Decramer, Marc" uniqKey="Decramer M" first="Marc" last="Decramer">Marc Decramer</name><name sortKey="Goossens, Nina" sort="Goossens, Nina" uniqKey="Goossens N" first="Nina" last="Goossens">Nina Goossens</name><name sortKey="Janssens, Wim" sort="Janssens, Wim" uniqKey="Janssens W" first="Wim" last="Janssens">Wim Janssens</name><name sortKey="Pijnenburg, Madelon" sort="Pijnenburg, Madelon" uniqKey="Pijnenburg M" first="Madelon" last="Pijnenburg">Madelon Pijnenburg</name><name sortKey="Troosters, Thierry" sort="Troosters, Thierry" uniqKey="Troosters T" first="Thierry" last="Troosters">Thierry Troosters</name><name sortKey="Troosters, Thierry" sort="Troosters, Thierry" uniqKey="Troosters T" first="Thierry" last="Troosters">Thierry Troosters</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Mcconnell, Alison K" sort="Mcconnell, Alison K" uniqKey="Mcconnell A" first="Alison K." last="Mcconnell">Alison K. Mcconnell</name></noRegion></country><country name="Pays-Bas"><noRegion><name sortKey="Burtin, Chris" sort="Burtin, Chris" uniqKey="Burtin C" first="Chris" last="Burtin">Chris Burtin</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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