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Nadeem S, Fawad M, Sheraz S, Farooq V, Malik S, Tariq M I. A Randomized Controlled Trial Comparing the Effects of Otago Exercise and Circuit Training on Balance and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease (COPD). PTJ 2026; 16 (S1)
URL: http://ptj.uswr.ac.ir/article-1-824-en.html
URL: http://ptj.uswr.ac.ir/article-1-824-en.html
Saba Nadeem1 
, Muhammad Fawad *2 , Suman Sheraz1 , Varda Farooq2 , Saima Malik1 , Muhammad Iqbal Tariq1
, Muhammad Fawad *2 , Suman Sheraz1 , Varda Farooq2 , Saima Malik1 , Muhammad Iqbal Tariq1
1- Riphah College of Rehabilitation & Allied Health Sciences, Islamabad campus, Riphah International University, Pakistan
2- Department of Physical Therapy, Ibadat International University Islamabad, Pakistan
2- Department of Physical Therapy, Ibadat International University Islamabad, Pakistan
Abstract: (7 Views)
Purpose: Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of death worldwide. Beyond pulmonary symptoms, COPD patients also experience systemic manifestations, including impaired balance, leading to falls and reduced quality of life6. This study compares the effects of the Otago Exercise Program (OzeEP) and Circuit Training (CT) on balance and quality of life in COPD patients.
Methodology: In this randomized controlled trial, 42 persons of both sexes with a history of falls and moderate-to-severe chronic obstructive pulmonary disease (COPD) according to GOLD criteria were recruited. Using the sealed envelope approach, participants were randomly assigned into two groups: the Otago exercise group (OEG) and the circuit training group (CTG) with 21 participants per group. For eight weeks (three sessions per week), each group engaged in their assigned exercises in addition to routine pulmonary rehabilitation. The assessments were taken at Baseline, week four, and week eight of intervention. Data was analyzed on SPSS version 20. Normality was assessed through Shapiro wilk test and most of the data was normally distributed so parametric test was applied. Confidence interval was kept at 95% and p value less than 0.05 was considered significant.
Results: The study included 42 COPD patients with a predicted FEV1 of 39.47± 4.95. Both groups demonstrated a significant improvement in balance and quality of life after completing the exercise protocol (P<0.01) for within-group differences. However, there were no statistically significant (P>0.05) differences between the two groups.
Conclusion: For improving balance and quality of life in individuals with moderate to severe COPD, both circuit training and the Otago exercise program are beneficial, and neither is superior to the other. Patients with COPD can improve their quality of life and balance by participating in the Otago home-based exercise program.
Methodology: In this randomized controlled trial, 42 persons of both sexes with a history of falls and moderate-to-severe chronic obstructive pulmonary disease (COPD) according to GOLD criteria were recruited. Using the sealed envelope approach, participants were randomly assigned into two groups: the Otago exercise group (OEG) and the circuit training group (CTG) with 21 participants per group. For eight weeks (three sessions per week), each group engaged in their assigned exercises in addition to routine pulmonary rehabilitation. The assessments were taken at Baseline, week four, and week eight of intervention. Data was analyzed on SPSS version 20. Normality was assessed through Shapiro wilk test and most of the data was normally distributed so parametric test was applied. Confidence interval was kept at 95% and p value less than 0.05 was considered significant.
Results: The study included 42 COPD patients with a predicted FEV1 of 39.47± 4.95. Both groups demonstrated a significant improvement in balance and quality of life after completing the exercise protocol (P<0.01) for within-group differences. However, there were no statistically significant (P>0.05) differences between the two groups.
Conclusion: For improving balance and quality of life in individuals with moderate to severe COPD, both circuit training and the Otago exercise program are beneficial, and neither is superior to the other. Patients with COPD can improve their quality of life and balance by participating in the Otago home-based exercise program.
Keywords: COPD, Balance, Otago Exercise program, circuit training exercises, Pulmonary rehabilitation
Type of Study: Research |
Subject:
Physical Therapy
Received: 2025/09/11 | Accepted: 2026/03/6 | Published: 2026/06/22
Received: 2025/09/11 | Accepted: 2026/03/6 | Published: 2026/06/22
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