Evidence map›Paper›PMID 39182033›Full record

Trial reportBMC pulmonary medicine2024

Pulmonary rehabilitation with balance training for fall reduction in chronic obstructive pulmonary disease: a randomized controlled trial.

Qiukui Hao, Dina Brooks, Cindy Ellerton, Roger Goldstein, Annemarie L Lee, Jennifer A Alison, Gail Dechman, Kimberley J Haines, Samantha L Harrison, Anne E Holland and 7 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC pulmonary medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02995681 (Randomized Controlled Trial of Balance Training for Fall Reduction in Individuals With COPD), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT02995681 naterminatednot on this map

Randomized Controlled Trial of Balance Training for Fall Reduction in Individuals With COPD

TypeinterventionalSponsorWest Park Healthcare CentreRan2017 to 2022Enrolled258ConditionsCopd, Fall PatientsArmsBalance training, Pulmonary rehab
3 · Its place in the literature

Who cites it

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

  1. Exercise-based interventions targeting balance and falls in people with COPD: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2024
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
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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

17 authors.

Qiukui HaoSchool of Rehabilitation Science, Faculty of Health Science, McMaster University, IAHS, 1400 Main St. W, Hamilton, ON, L8S 1C7, Canada.
Dina BrooksSchool of Rehabilitation Science, Faculty of Health Science, McMaster University, IAHS, 1400 Main St. W, Hamilton, ON, L8S 1C7, Canada.
Cindy EllertonDepartment of Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada.
Roger GoldsteinDepartment of Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada.
Annemarie L LeeInstitute for Breathing and Sleep, Melbourne, VIC, Australia.
Jennifer A AlisonSchool of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Gail DechmanSchool of Physiotherapy, Faculty of Health, Dalhousie University, Halifax, NS, Canada.
Kimberley J HainesPhysiotherapy Department, Western Health, Department of Critical Care, The University of Melbourne, Melbourne, VIC, Australia.
Samantha L HarrisonSchool of Health and Life Sciences, Teesside University, Middlesbrough, UK.
Anne E HollandInstitute for Breathing and Sleep, Melbourne, VIC, Australia.
Alda MarquesLab3R-Respiratory Research and Rehabilitation Laboratory, School of Health Sciences (ESSUA), Institute of Biomedicine (iBiMED), University of Aveiro, Aveiro, Portugal.
Lissa SpencerSchool of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Michael K SticklandDivision of Pulmonary Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Elizabeth H SkinnerDepartment of Physiotherapy, School of Primary and Allied Health Care, Monash University, Melbourne, VIC, Australia.
Pat G CampDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
Jinhui MaDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Marla K BeauchampSchool of Rehabilitation Science, Faculty of Health Science, McMaster University, IAHS, 1400 Main St. W, Hamilton, ON, L8S 1C7, Canada. beaucm1@mcmaster.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesAvailable evidence suggests that adults with chronic obstructive pulmonary disease (COPD) performed substantially worse than healthy controls on many balance measures and balance training can improve the balance measures in this population. We conducted this study to determine the effects of incorporating balance training into pulmonary rehabilitation (PR) on the incidence of falls at 12 months follow-up in high fall risk adults with COPD.

methodsWe conducted a prospective international multi-center randomized controlled trial. Eligible participants were adults with COPD at a high risk of future falls and were randomly assigned (1:1) to the intervention or control group. The intervention included personalized balance training for a targeted total of 90 min per week. Both the intervention and control groups received usual PR (2-3 times per week for 8-12 weeks). The primary outcome was the incidence of falls at 12-month follow-up using monthly fall diary calendars. Negative binomial regression or recurrent events models were used to examine the effects of the intervention on fall events. Multiple imputations were performed to deal with missing values.

resultsOf 258 participants who were enrolled in the trial, 178 provided falls information (intervention group = 91, control group = 87) and were included in the main analysis. Forty-one participants (45%) experienced at least one fall event in the intervention group and 33 (38%) in the control group (p = 0.34). The mean incidence of falls at 12 months was similar between the two groups (128 versus 128 per 100 person-years; mean difference: 0.30, 95% CI: -0.76 to 1.36 per 100 person-years). The results are robust after multiple imputations for missing data (n = 67).

conclusionsPR incorporating balance training compared to PR alone did not reduce the incidence of falls over the 12-month period in high fall risk adults with COPD.

trial registrationThe study was registered with ClinicalTrials.gov (NCT02995681) on 14/12/2016.

Indexed as

Accidental FallsPostural BalancePulmonary Disease, Chronic ObstructiveAgedExercise TherapyFemaleHumansIncidenceMaleMiddle AgedProspective StudiesAccidental fallsCOPDExercise therapyPhysical therapy

Identifiers

PMID39182033
PMCPMC11344953

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.