TY - JOUR
T1 - Dual-Task Performance in Individuals with Chronic Obstructive Pulmonary Disease
T2 - A Systematic Review with Meta-Analysis
AU - Pasten, Joselyn González
AU - Aguayo, Jennifer Campos
AU - Aburto, Javiera
AU - Araya-Quintanilla, Felipe
AU - Álvarez-Bustos, Alejandro
AU - Valenzuela-Fuenzalida, Juan José
AU - Camp, Pat G.
AU - Sepúlveda-Loyola, Walter
N1 - Publisher Copyright:
© 2024 Joselyn González Pasten et al.
PY - 2024
Y1 - 2024
N2 - Background: Chronic obstructive pulmonary disease (COPD) is characterized by important extrapulmonary alterations that could affect the performance in dual task (DT) (motor and cognitive tasks executed simultaneously), which is defined as DT interference (DTI).Objective: To compare the performance of DT between individuals with COPD and healthy control subjects (HCSs).Methods: The literature search was conducted in seven databases (Medline, Scopus, Web of Science, PEDro, SciELO, LILACS, and Google Scholar) up to December 2023, including studies published in English, Spanish, or Portuguese. Studies with individuals diagnosed with COPD older than 60 years, who were evaluated with any DT assessment, and compared with HCS were included. The quality of the studies was evaluated using the risk of bias in nonrandomized studies of interventions (ROBINS-I). The meta-analysis was performed with JAMOVI software 5.4. The study protocol was registered on PROSPERO (CRD42023435212).Results: From a total of 128 articles, 5 observational studies were selected in this review, involving 252 individuals aged between 60 and 80 years, from France, Italy, Canada, Turkey, and Belgium. Notable DTI was observed in individuals with COPD compared to HCS (standard mean difference SMD=0.91; 95% confidence interval (CI) 0.06-1.75, p=0.04). Individuals with COPD had impaired gait speed, balance control, muscle strength, and cognitive interference during DT compared to HCS. DT assessment protocols included different combination of motor and cognitive tasks, using functional test, gait analysis, and muscle strength paired with countdown and verbal fluency tasks. Studies presented low (n=2), moderate (n=1), and serious (n=2) overall risk of bias.Conclusion: Older adults diagnosed with COPD exhibited a significant DTI compared to HCSs, which is characterized by poorer physical and cognitive performance during DT execution. These findings highlight the importance of incorporating DT assessments into clinical practice for individuals with COPD.
AB - Background: Chronic obstructive pulmonary disease (COPD) is characterized by important extrapulmonary alterations that could affect the performance in dual task (DT) (motor and cognitive tasks executed simultaneously), which is defined as DT interference (DTI).Objective: To compare the performance of DT between individuals with COPD and healthy control subjects (HCSs).Methods: The literature search was conducted in seven databases (Medline, Scopus, Web of Science, PEDro, SciELO, LILACS, and Google Scholar) up to December 2023, including studies published in English, Spanish, or Portuguese. Studies with individuals diagnosed with COPD older than 60 years, who were evaluated with any DT assessment, and compared with HCS were included. The quality of the studies was evaluated using the risk of bias in nonrandomized studies of interventions (ROBINS-I). The meta-analysis was performed with JAMOVI software 5.4. The study protocol was registered on PROSPERO (CRD42023435212).Results: From a total of 128 articles, 5 observational studies were selected in this review, involving 252 individuals aged between 60 and 80 years, from France, Italy, Canada, Turkey, and Belgium. Notable DTI was observed in individuals with COPD compared to HCS (standard mean difference SMD=0.91; 95% confidence interval (CI) 0.06-1.75, p=0.04). Individuals with COPD had impaired gait speed, balance control, muscle strength, and cognitive interference during DT compared to HCS. DT assessment protocols included different combination of motor and cognitive tasks, using functional test, gait analysis, and muscle strength paired with countdown and verbal fluency tasks. Studies presented low (n=2), moderate (n=1), and serious (n=2) overall risk of bias.Conclusion: Older adults diagnosed with COPD exhibited a significant DTI compared to HCSs, which is characterized by poorer physical and cognitive performance during DT execution. These findings highlight the importance of incorporating DT assessments into clinical practice for individuals with COPD.
UR - http://www.scopus.com/inward/record.url?scp=85201582817&partnerID=8YFLogxK
U2 - 10.1155/2024/1230287
DO - 10.1155/2024/1230287
M3 - Article
C2 - 39157540
AN - SCOPUS:85201582817
SN - 2090-1836
VL - 2024
JO - Pulmonary Medicine
JF - Pulmonary Medicine
M1 - 1230287
ER -