Development of an unsupported arm exercise test in patients with chronic obstructive pulmonary disease.

Su Zhan, Frank J Cerny, William J Gibbons, M Jeffery Mador, Yow-Wu Wu
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引用次数: 64

Abstract

Background: Unsupported arm exercise tests have been used to evaluate the effects of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD), but the reliability and validity of these tests are not established.

Objective: We evaluated the test-retest reliability and validity of a 6-minute pegboard and ring test (PBRT) in 27 outpatients with COPD and 30 age-matched controls.

Methods: We evaluated a 6-minute PBRT, subject demographics, pulmonary function and disease-specific quality of life questionnaire, and the Pulmonary Functional Status Dyspnea Questionnaire-Modified version in 27 patients with COPD.

Results: Highly significant correlation coefficients (r = .91, P < .001) were found between test and retest of PBRT scores. Statistically significant correlation coefficients were found between PBRT scores and pulmonary function tests such as FEV1% pred and FVC% pred, and activity domain and subdomain of Pulmonary Functional Status Dyspnea Questionnaire-Modified (P

Conclusion: PBRT is a reliable and valid method to assess unsupported arm exercise endurance in patients with COPD.

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慢性阻塞性肺疾病患者无支撑臂运动试验的发展
背景:无支撑臂运动试验已被用于评估慢性阻塞性肺疾病(COPD)患者肺康复的效果,但这些试验的信度和效度尚未确定。目的:我们在27例COPD门诊患者和30例年龄匹配的对照组中评估了6分钟钉板和环试验(PBRT)的重测信度和效度。方法:我们评估了27例COPD患者的6分钟PBRT,受试者人口统计学,肺功能和疾病特异性生活质量问卷,以及肺功能状态呼吸困难问卷-修改版。结果:PBRT测试成绩与重测成绩之间存在极显著相关系数(r = 0.91, P < 0.001)。PBRT评分与肺功能测试(如FEV1% pred和FVC% pred)以及肺功能状态呼吸困难问卷(P)的活动域和亚域之间存在统计学显著相关系数。结论:PBRT是评估COPD患者无支撑臂运动耐力的可靠有效方法。
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