Clinimetric properties of field exercise tests in cystic fibrosis: a systematic review.

IF 9 1区医学 Q1 RESPIRATORY SYSTEM

European Respiratory Review Pub Date : 2024-12-18 Print Date: 2024-10-01 DOI:10.1183/16000617.0142-2024

Jennifer Corda, Anne E Holland, Esta-Lee Tannenbaum, Narelle S Cox

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引用次数: 0

Abstract

Objectives: Accurate measurement of exercise capacity is an important prognostic indicator for people with cystic fibrosis (pwCF); however, gold-standard, cardiopulmonary exercise tests are commonly unavailable. This review systematically describes the clinimetric properties of field exercise tests for pwCF.

Methods: A systematic review was undertaken for studies reporting field exercise tests in pwCF. Four electronic databases were searched for studies published from 1990 to January 2024. Where available, clinimetric properties reported included reliability, validity, responsiveness and interpretability.

Results: 4041 studies were identified with 153 eligible for inclusion. 10 different field exercise tests were described, including six walk/run tests (incremental shuttle walk test (ISWT), modified shuttle test-15 levels (MST-15), MST-25 levels (MST-25), 20-m shuttle test, 6-min walk test (6MWT) and 12-min walk test (12MWT)), three step tests (3-min step test (3MST), incremental step test and Alfred step test (A-STEP)) and the 1-min sit-to-stand test (1STS). Reliability was found for the ISWT, MST-15, 6MWT, 1STS and 3MST (intraclass correlation coefficients >0.80). The ISWT, MST-15 and 6MWT were found to be valid (concurrent and discriminate). Responsiveness was supported for the 6MWT only. Four tests (MST-15, 6MWT, 3MST and 1STS) demonstrated ceiling effects.

Conclusion: This review supports the reliability, validity and responsiveness of the 6MWT in pwCF. The ISWT and MST-15 were found to be valid. The 1STS is reliable and feasible, but its utility is limited by ceiling effects. The 3MST, MST-25, 20-m shuttle test, incremental step test, A-STEP and 12MWT require further investigations of their clinimetric properties.

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囊性纤维化野外运动试验的临床特性：系统综述

目的：准确测量运动能力是预测囊性纤维化（pwCF）患者预后的重要指标；然而，黄金标准的心肺运动测试通常是不可用的。这篇综述系统地描述了pwCF的野外运动试验的临床特性。方法：对报告pwCF野外运动试验的研究进行系统回顾。在四个电子数据库中检索了1990年至2024年1月发表的研究。在可用的情况下，报告的临床特性包括信度、效度、反应性和可解释性。结果：共纳入4041项研究，其中153项符合纳入条件。10种不同的野外运动测试，包括6个步行/跑步测试（增量穿梭步行测试（ISWT）、改进穿梭测试-15级（MST-15）、MST-25级（MST-25）、20米穿梭测试、6分钟步行测试（6MWT）和12分钟步行测试（12MWT））、3个步骤测试（3分钟步骤测试（3MST）、增量步骤测试和阿尔弗雷德步骤测试（A-STEP））和1分钟坐立测试（1STS）。ISWT、MST-15、6MWT、1STS和3MST的类内相关系数为>0.80。ISWT， MST-15和6MWT被发现是有效的（并发和区分）。响应性仅支持6MWT。四项测试（MST-15、6MWT、3MST和1STS）显示了天花板效应。结论：本综述支持6MWT在pwCF中的信度、效度和反应性。ISWT和MST-15被发现是有效的。1STS是可靠和可行的，但其效用受到天花板效应的限制。3MST、MST-25、20米穿梭试验、增量步进试验、A-STEP和12MWT的临床特性需要进一步研究。

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来源期刊

European Respiratory Review Medicine-Pulmonary and Respiratory Medicine

CiteScore

14.40

自引率

1.30%

发文量

审稿时长

24 weeks

期刊介绍： The European Respiratory Review (ERR) is an open-access journal published by the European Respiratory Society (ERS), serving as a vital resource for respiratory professionals by delivering updates on medicine, science, and surgery in the field. ERR features state-of-the-art review articles, editorials, correspondence, and summaries of recent research findings and studies covering a wide range of topics including COPD, asthma, pulmonary hypertension, interstitial lung disease, lung cancer, tuberculosis, and pulmonary infections. Articles are published continuously and compiled into quarterly issues within a single annual volume.