Tania Janaudis-Ferreira1, Kylie Hill2, Roger S Goldstein3, Karin Wadell4, Dina Brooks5. 1. Department of Respiratory Medicine, West Park Healthcare Centre ; Department of Physical Therapy ; St. John's Rehabilitation Hospital, Toronto. 2. Department of Respiratory Medicine, West Park Healthcare Centre ; School of Physiotherapy and Curtin Health Innovation Research Institute, Curtin University ; Lung Institute of Western Australia and Centre for Asthma, Allergy and Respiratory Research, University of Western Australia, Perth, Australia. 3. Department of Respiratory Medicine, West Park Healthcare Centre ; Department of Physical Therapy ; Department of Medicine, University of Toronto. 4. Department of Community Medicine and Rehabilitation, Umeå University, Sweden. 5. Department of Respiratory Medicine, West Park Healthcare Centre ; Department of Physical Therapy.
Abstract
PURPOSE: To determine (1) the relationship among three common upper-limb tests for patients with chronic obstructive pulmonary disease (COPD): unsupported upper limb exercise test (UULEX), 6-minute pegboard and ring test (6PBRT), and a muscle-strength test using a hand-held dynamometer; and (2) the responsiveness of these three tests to changes after pulmonary rehabilitation that included a resistance arm-training programme. METHODS: The study was a secondary analysis of a randomized controlled trial (RCT). The UULEX and the 6PBRT were used to measure peak arm exercise capacity and arm function, respectively. A handheld dynamometer was used to measure elbow and shoulder flexion force. We analyzed baseline data for all participants in the RCT, as well as baseline and post-PR data for those who completed 6-week follow-up testing. RESULTS:36 patients with COPD (mean forced expiratory volume in 1 second [FEV1]=35% [SD 15%] predicted; age 66 [9] y) participated, of whom 13 completed an arm-training programme. The correlations among the test results ranged from 0.41 to 0.81 (p<0.0001). Standardized response means were 1.0 for muscle force of elbow flexion, 1.2 for shoulder flexion, and 1.8 for the 6PBRT and UULEX. CONCLUSIONS: Although the three tests (UULEX, 6PBRT, and muscle-strength test using a hand-held dynamometer) are intended to measure different constructs, they were moderately to highly correlated with one another. The 6PBRT, UULEX, and muscle-strength test were demonstrated to be responsive to the resistance arm-training programme.
RCT Entities:
PURPOSE: To determine (1) the relationship among three common upper-limb tests for patients with chronic obstructive pulmonary disease (COPD): unsupported upper limb exercise test (UULEX), 6-minute pegboard and ring test (6PBRT), and a muscle-strength test using a hand-held dynamometer; and (2) the responsiveness of these three tests to changes after pulmonary rehabilitation that included a resistance arm-training programme. METHODS: The study was a secondary analysis of a randomized controlled trial (RCT). The UULEX and the 6PBRT were used to measure peak arm exercise capacity and arm function, respectively. A handheld dynamometer was used to measure elbow and shoulder flexion force. We analyzed baseline data for all participants in the RCT, as well as baseline and post-PR data for those who completed 6-week follow-up testing. RESULTS: 36 patients with COPD (mean forced expiratory volume in 1 second [FEV1]=35% [SD 15%] predicted; age 66 [9] y) participated, of whom 13 completed an arm-training programme. The correlations among the test results ranged from 0.41 to 0.81 (p<0.0001). Standardized response means were 1.0 for muscle force of elbow flexion, 1.2 for shoulder flexion, and 1.8 for the 6PBRT and UULEX. CONCLUSIONS: Although the three tests (UULEX, 6PBRT, and muscle-strength test using a hand-held dynamometer) are intended to measure different constructs, they were moderately to highly correlated with one another. The 6PBRT, UULEX, and muscle-strength test were demonstrated to be responsive to the resistance arm-training programme.
Authors: Tania Janaudis-Ferreira; Kylie Hill; Roger S Goldstein; Priscila Robles-Ribeiro; Marla K Beauchamp; Thomas E Dolmage; Karin Wadell; Dina Brooks Journal: Chest Date: 2010-08-19 Impact factor: 9.410
Authors: Tetsuya Takahashi; Sue C Jenkins; Geoffrey R Strauss; Carol P Watson; Fiona R Lake Journal: J Cardiopulm Rehabil Date: 2003 Nov-Dec Impact factor: 2.081
Authors: Rosimeire Marcos Felisberto; Cassia Fabiane de Barros; Kelly Cristina Albanezi Nucci; Andre Luis Pereira de Albuquerque; Elaine Paulin; Christina May Moran de Brito; Wellington Pereira Yamaguti Journal: Int J Chron Obstruct Pulmon Dis Date: 2018-05-22
Authors: Cassia Fabiane de Barros; Rosimeire Marcos Felisberto; Kelly Cristina Albanezi Nucci; Andre Luis Pereira de Albuquerque; Elaine Paulin; Christina May Moran de Brito; Wellington Pereira Yamaguti Journal: PLoS One Date: 2020-11-10 Impact factor: 3.240