Feasibility and Reproducibility of the Unsupported Upper Limb Exercise Test and Six-Minute Peg Board Ring Test for Children and Adolescents.

IF 2.3 3区医学 Q1 PEDIATRICS

Pediatric Pulmonology Pub Date : 2025-10-01 DOI:10.1002/ppul.71331

Marina Rodrigues, Renatha Carvalho, Brenda Vilas-Boas Gomes, Vanessa Pereira Lima, Raquel Annoni, Fernando Holguin, María Teresa Politi, Fernanda Cordoba Lanza

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引用次数: 0

Abstract

Objective: To evaluate the feasibility and reproducibility of two field tests for upper limbs (Unsupported Upper Limb Exercise Test - UULEX and 6-min Pegboard Ring Test - 6PBRT) in children and adolescents.

Methods: Feasibility study. Fifteen healthy volunteers aged 6-17 years were included. Lung function was performed, followed by: Cardiopulmonary Exercise Test (CPET), UULEX and 6PBRT. The CPET was performed on an upper limb ergometer using an incremental protocol. UULEX: seated arm-raising while holding weighted bars (0.25-2.0 kg) through graded heights; outcome = test duration (min). 6PBRT: seated transfer of rings between lower and upper pegs for 6 min; outcome = total rings moved. For all tests, peak oxygen consumption (VO₂peak) was also an outcome. The UULEX and 6PBRT were performed twice each (test and retest), 30-min apart. Feasibility criteria were (i) no major procedural difficulties and (ii) < 15% of participants reaching ceiling or floor thresholds.

Results: Median age 11 [9-15] years-old, and normal lung function (> 80% predicted). No volunteers considered the tests challenging.

Uulex: Two volunteers (13%) reached the celling (13 min), none reached the floor (1 min). 6MPRT: no ceiling cases, one volunteer (6%) stopped above the floor (206 rings). The UULEX test versus retest was 9.5 [8.0-12.0] min versus 9.4 [8.2-12.0] min (p = 0.13) (ICC = 0.93 (0.78-0.97), p < 0.001). The 6PBRT test vs. retest was 299 [258-373] rings vs. 340 [244-387] rings (p = 0.05) (ICC = 0.97 (0.91-0.99), p < 0.001). Standard errors were < 10% of their respective medians. The CPET elicited higher VO₂peak (22.8 [19.4-26] mL/kg·min^-1) compared to UULEX (11.8 [10.2-13.6] mL/kg) or 6PBRT (11.6 [9-12] mL/kg) (p = 0.001).

Conclusion: Both UULEX and 6PBRT are feasible and reproducible field tests for upper limbs in children and adolescents, providing practical options for upper-limb functional assessment.

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儿童和青少年无支撑上肢运动试验和6分钟钉板环试验的可行性和可重复性。

目的：评价两种儿童和青少年上肢现场试验（无支撑上肢运动试验- UULEX和6分钟钉板环试验- 6PBRT）的可行性和可重复性。方法：可行性研究。包括15名6-17岁的健康志愿者。进行肺功能检查，随后进行心肺运动试验（CPET）、ulex和6PBRT。采用增量方案在上肢测力仪上进行CPET。ulex：坐式举臂，同时持有加权杠杠（0.25-2.0公斤），通过分级高度；结果=测试持续时间（分钟）。6PBRT：上下销之间的环座转移6分钟；结果=移动的环总数。对于所有测试，峰值耗氧量（vo2峰值）也是一个结果。ulex和6PBRT各进行两次（测试和重新测试），间隔30分钟。可行性标准为(i)无重大手术困难；（ii）结果：中位年龄11岁[9-15]，肺功能正常（预测> 80%）。没有志愿者认为这些测试具有挑战性。ulex：两名志愿者（13%）到达天花板（13分钟），没有人到达地板（1分钟）。6MPRT：没有天花板案例，一个志愿者（6%）停在地板以上（206环）。与ulex （11.8 [10.2-13.6] mL/kg）或6PBRT （11.6 [9-12] mL/kg）相比，ulex试验和复测分别为9.5 [8.0-12.0]min和9.4 [8.2-12.0]min (p = 0.13) （ICC = 0.93 (0.78-0.97), p = 0.001）。结论：ulex和6PBRT均可用于儿童和青少年上肢的现场测试，具有可行性和可重复性，为上肢功能评估提供了实用的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Pulmonology 医学-呼吸系统

CiteScore

6.00

自引率

12.90%

发文量

468

审稿时长

3-8 weeks

期刊介绍： Pediatric Pulmonology (PPUL) is the foremost global journal studying the respiratory system in disease and in health as it develops from intrauterine life though adolescence to adulthood. Combining explicit and informative analysis of clinical as well as basic scientific research, PPUL provides a look at the many facets of respiratory system disorders in infants and children, ranging from pathological anatomy, developmental issues, and pathophysiology to infectious disease, asthma, cystic fibrosis, and airborne toxins. Focused attention is given to the reporting of diagnostic and therapeutic methods for neonates, preschool children, and adolescents, the enduring effects of childhood respiratory diseases, and newly described infectious diseases. PPUL concentrates on subject matters of crucial interest to specialists preparing for the Pediatric Subspecialty Examinations in the United States and other countries. With its attentive coverage and extensive clinical data, this journal is a principle source for pediatricians in practice and in training and a must have for all pediatric pulmonologists.