Comparison of the modified shuttle walk test in children with cystic fibrosis and healthy controls.

IF 1.5 Q3 REHABILITATION

Physiotherapy Research International Pub Date : 2024-01-01 Epub Date: 2023-10-11 DOI:10.1002/pri.2052

Francieli Camila Mucha, Renata Maba Gonçalves Wamosy, Janaina Cristina Scalco, Ana Carolina da Silva Almeida, Bianca Dana Horongozo Itaborahy, Juliana Cardoso, Anamaria Fleig Mayer, Camila Isabel Santos Schivinski

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引用次数: 0

Abstract

Objective: To evaluate and compare performance in the modified shuttle walk test (MSWT) with cardiorespiratory parameters and respiratory muscle strength in children with cystic fibrosis (CF) and healthy controls.

Methods: A cross-sectional study with children divided into the CF group (CFG) and healthy control group (HCG). Two MSWTs were performed and the data from the test with the longest distance walked and its cardiorespiratory parameters (blood pressure, respiratory rate, heart rate (HR), oxygen saturation, and dyspnea sensation) were considered, the last three every 4 levels. Respiratory muscle strength was evaluated using a manometer. The Wilcoxon test was used to compare the parameters before and after the MSWT, and the Mann-Whitney and independent t-tests were applied to compare the data between the groups. The distance walked and its association with the variation in cardiorespiratory parameters and respiratory muscle strength were analyzed by Spearman's correlation.

Results: Sixty-two children (31 in each group) participated, with an average age of 10.2 (2.1) years. Children with CF had poorer performance in the average distance walked (CFG 716.7 (274.3)) when compared to the HCG (948.0 (202.8)). Both groups exhibited an increase in all the cardiorespiratory parameters at the end of the test, but the CFG displayed less variation in some parameters. Children with CF presented a positive correlation between distance walked and respiratory muscle strength, HR variation, and systolic blood pressure.

Conclusions: There was no difference in respiratory muscle strength between the groups. In the CFG, the greater the respiratory muscle strength, the better the performance in the MSWT. The CFG exhibited less variation in cardiorespiratory parameters than the HCG.

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改良穿梭行走试验在囊性纤维化儿童和健康对照中的比较。

目的：评估并比较囊性纤维化（CF）儿童和健康对照组在改良穿梭行走试验（MSWT）中的表现与心肺参数和呼吸肌强度。方法：对儿童进行横断面研究，分为CF组（CFG）和健康对照组（HCG）。进行了两次MSWT，并考虑了最长步行距离的测试数据及其心肺参数（血压、呼吸频率、心率（HR）、血氧饱和度和呼吸困难感），最后三次为每4个水平。使用压力计评估呼吸肌强度。Wilcoxon检验用于比较MSWT前后的参数，Mann-Whitney和独立t检验用于比较各组之间的数据。采用Spearman相关分析了步行距离及其与心肺参数和呼吸肌肉力量变化的关系。结果：62名儿童（每组31名）参加，平均年龄10.2（2.1）岁。与HCG（948.0（202.8））相比，CF儿童的平均步行距离（CFG 716.7（274.3））较差。在测试结束时，两组的所有心肺参数都有所增加，但CFG在某些参数上的变化较小。CF儿童的步行距离与呼吸肌力量、HR变化和收缩压呈正相关。结论：两组患者的呼吸肌力量无明显差异。在CFG中，呼吸肌力量越大，在MSWT中的表现越好。CFG的心肺参数变化小于HCG。

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

Physiotherapy Research International REHABILITATION-

CiteScore

3.30

自引率

5.90%

发文量

期刊介绍： Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.