The Relationship Between Pain, Balance and Gait in People With Chronic Obstructive Pulmonary Disease

N/ACompletedNCT04202991

Teesside University43 enrolled

Overview

The balance, gait and pain in Chronic Obstructive Pulmonary Disease (COPD) study will aim to investigate the link between balance and gait impairment, and high rates of pain in people with COPD. This cross-sectional observational study will compare balance and gait outcomes for people with COPD who have pain, to those who are pain free.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Chronic Obstructive Pulmonary Disease Balance Impairment Gait Impairment Pain

Interventions

Exposure - painOTHER

Groups are defined by their naturally occurring exposure to pain or not

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Have a spirometry confirmed diagnosis of COPD as per Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines * Be 18 years or over at the point of recruitment * Be able to communicate with good verbal English or use adaptive equipment to communicate. * Be able to complete test procedures * Stable COPD (six weeks clear of exacerbation) * No uncorrected visual or somatosensory disturbance Exclusion Criteria: * No other conditions that may affect balance or gait e.g. neurological or vestibular conditions * Recent exacerbation of COPD (within the last six weeks) * Unable to provide written informed consent * Unable to speak English or no translation options available * Any other acute health conditions that would make activity unsafe e.g. acute infection, unstable cardiac disease.

Locations (2)

South Tees Hospitals NHS Trust

Middlesbrough, United Kingdom

North Tees Hospitals NHS Trust

Stockton-on-Tees, United Kingdom

Outcomes

Primary Outcomes

Balance Evaluations Systems Test (BESTest)

BESTest is a quantitative assessment tool that identifies disordered systems underlying postural control that are responsible for poor functional balance. It was developed for clinicians to differentiate balance problems into six underlying systems that may constrain balance. It was developed from the theoretical understanding of balance control systems based on Bernstein's concept that postural control results from a set of interacting systems. It has 36 items that evaluate performance of 6 balance systems: bio-mechanical constraints, stability limits/verticality, anticipatory responses, postural responses, sensory orientation, and stability in gait. A higher score indicates better balance.

Time frame: 20-30 minutes

Secondary Outcomes

Berg Balance Scale

The Berg balance scale is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks. It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function. A total score of 56 is available, higher scores indicate better balance.

Time frame: 5 minutes (for additional items not featured within the BESTest

Gait analysis

Temporospatial gait analysis using the 'Gaitrite' walkway.

Time frame: 10 minutes

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.