Marina Rodrigues, Renatha Carvalho, Brenda Vilas-Boas Gomes, Vanessa Pereira Lima, Raquel Annoni, Fernando Holguin, María Teresa Politi, Fernanda Cordoba Lanza
{"title":"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。","authors":"Marina Rodrigues, Renatha Carvalho, Brenda Vilas-Boas Gomes, Vanessa Pereira Lima, Raquel Annoni, Fernando Holguin, María Teresa Politi, Fernanda Cordoba Lanza","doi":"10.1002/ppul.71331","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Median age 11 [9-15] years-old, and normal lung function (> 80% predicted). No volunteers considered the tests challenging.</p><p><strong>Uulex: </strong>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<sup>-1</sup>) compared to UULEX (11.8 [10.2-13.6] mL/kg) or 6PBRT (11.6 [9-12] mL/kg) (p = 0.001).</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":19932,"journal":{"name":"Pediatric Pulmonology","volume":"60 10","pages":"e71331"},"PeriodicalIF":2.3000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Feasibility and Reproducibility of the Unsupported Upper Limb Exercise Test and Six-Minute Peg Board Ring Test for Children and Adolescents.\",\"authors\":\"Marina Rodrigues, Renatha Carvalho, Brenda Vilas-Boas Gomes, Vanessa Pereira Lima, Raquel Annoni, Fernando Holguin, María Teresa Politi, Fernanda Cordoba Lanza\",\"doi\":\"10.1002/ppul.71331\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>Median age 11 [9-15] years-old, and normal lung function (> 80% predicted). No volunteers considered the tests challenging.</p><p><strong>Uulex: </strong>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<sup>-1</sup>) compared to UULEX (11.8 [10.2-13.6] mL/kg) or 6PBRT (11.6 [9-12] mL/kg) (p = 0.001).</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":19932,\"journal\":{\"name\":\"Pediatric Pulmonology\",\"volume\":\"60 10\",\"pages\":\"e71331\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pediatric Pulmonology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/ppul.71331\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Pulmonology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/ppul.71331","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
Feasibility and Reproducibility of the Unsupported Upper Limb Exercise Test and Six-Minute Peg Board Ring Test for Children and Adolescents.
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.
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.
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