Evidence map›Paper›PMID 38925795›Full record

SynthesisEuropean respiratory review : an official journal of the European Respiratory Society2024

Exercise-based interventions targeting balance and falls in people with COPD: a systematic review and meta-analysis.

Kirsti J Loughran, Jonathan Emerson, Leah Avery, Sophie Suri, Darren Flynn, Eileen Kaner, Tim Rapley, Denis Martin, Jamie McPhee, Caroline Fernandes-James and 1 more

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in European respiratory review : an official journal of the European Respiratory Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Kirsti J LoughranSchool of Health and Life Sciences, Teesside University, Middlesbrough, UK.ORCID https://orcid.org/0000-0001-8661-4684
Jonathan EmersonSchool of Health and Life Sciences, Teesside University, Middlesbrough, UK.
Leah AverySchool of Health and Life Sciences, Teesside University, Middlesbrough, UK.
Sophie SuriSchool of Health and Life Sciences, Teesside University, Middlesbrough, UK.
Darren FlynnDepartment of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
Eileen KanerPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Tim RapleyDepartment of Social Work, Community Wellbeing and Education, Northumbria University, Newcastle upon Tyne, UK.
Denis MartinSchool of Health and Life Sciences, Teesside University, Middlesbrough, UK.
Jamie McPheeDepartment of Sport and Exercise Sciences, Manchester Metropolitan University Institute of Sport, Manchester, UK.
Caroline Fernandes-JamesRespiratory Department, University Hospital of North Tees, North Tees & Hartlepool NHS Foundation Trust, Hardwick, UK.
Samantha L HarrisonSchool of Health and Life Sciences, Teesside University, Middlesbrough, UK s.l.harrison@tees.ac.uk.ORCID https://orcid.org/0000-0002-8871-781X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis review quantifies the mean treatment effect of exercise-based interventions on balance and falls risk in people with COPD.

methodsA structured search strategy (2000-2023) was applied to eight databases to identify studies evaluating the impact of exercise-based interventions (≥14 days in duration) on balance or falls in people with COPD. Pooled mean treatment effects (95% confidence intervals (CIs), 95% prediction intervals (PIs)) were calculated for outcomes reported in five or more studies. Inter-individual response variance and the promise of behaviour change techniques (BCTs) were explored.

results34 studies (n=1712) were included. There were greater improvements in balance post intervention compared to controls for the Berg Balance Scale (BBS) (mean 2.51, 95% CI 0.22-4.80, 95% PI -4.60-9.63), Timed Up and Go (TUG) test (mean -1.12 s, 95% CI -1.69- -0.55 s, 95% PI -2.78-0.54 s), Single-Leg Stance (SLS) test (mean 3.25 s, 95% CI 2.72-3.77 s, 95% PI 2.64-3.86 s) and Activities-specific Balance Confidence (ABC) scale (mean 8.50%, 95% CI 2.41-14.58%, 95% PI -8.92-25.92%). Effect on falls remains unknown. Treatment effects were larger in male

conclusionEvidence for the effect of exercise-based interventions eliciting clinically important improvements in balance for people with COPD is weak, but targeted balance training produces the greatest benefits. Future exercise interventions may benefit from inclusion of the identified promising BCTs.

Indexed as

Accidental FallsExercise TherapyPostural BalancePulmonary Disease, Chronic ObstructiveAgedFemaleHumansLungMaleMiddle AgedRecovery of FunctionRisk FactorsTreatment Outcome

Identifiers

PMID38925795
PMCPMC11216689

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.