How should we measure function in patients with chronic heart and lung disease?

Guyatt, Gordon; Thompson, Penelope; Berman, Leslie B.; Sullivan, Michael J.; Townsend, Marie; Jones, Norman L.; Pugsley, Stewart O.

doi:10.1016/0021-9681(85)90035-9

Cited by 466 publications

(291 citation statements)

References 19 publications

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“…The six minute walk test (6MW) was used to measure physical performance. Two tests were performed approximately 30 minutes apart on the same day in a hospital corridor (Guyatt et al, 1985). If the two walk distances did not agree within 10%, a third walk was performed.…”

Section: Measurementsmentioning

confidence: 99%

Associations between symptoms, functioning, and perceptions of mastery with global self-rated health in patients with COPD: A cross-sectional study

Nguyen

Donesky

Carrieri‐Kohlman

2008

International Journal of Nursing Studies

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Section: Measurementsmentioning

confidence: 99%

Associations between symptoms, functioning, and perceptions of mastery with global self-rated health in patients with COPD: A cross-sectional study

Nguyen

Donesky

Carrieri‐Kohlman

2008

International Journal of Nursing Studies

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“…For example, the 6-minute walk (8) is a popular objective surrogate because of its simplicity, correlation with dyspnea, functional status (9) and quality of life (10), and its responsiveness to a wide variety of interventions (11). However, even laboratory-based exercise tests are only indirect surrogates of "freeliving" functional performance and only capture limited aspects of the disease's overall impact (5).…”

Section: Introductionmentioning

confidence: 99%

Activity Monitoring and Energy Expenditure in COPD Patients: A Validation Study

Patel

Benzo

Slivka

et al. 2007

COPD: Journal of Chronic Obstructive Pulmonary Disease

128

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There is increasing interest in the objective measurement of physical activity in chronic obstructive pulmonary disease (COPD) patients due to the close relationship between physical activity level, health, disability and mortality. We aimed to (a) determine the validity and reproducibility of an activity monitor that integrates accelerometry with multiple physiologic sensors in the determination of energy expenditure in COPD subjects and (b) to document the independent contribution of the additional physiologic sensors to accelerometry measures in improving true energy expenditure determination. Eight subjects (4 male, FEV 1 56.4 ± 14.1%, RV 145.0 ± 75.7%) performed 2 separate 6-minute walk and 2 incremental shuttle walk exercise tests. Energy expenditure was calculated during each exercise test using the physiologic activity monitor and compared to a validated exhaled breath metabolic system. Test-retest reproducibility of physiologic activity monitor during the walking tests was comparable to an exhaled breath metabolic system. Physiologic sensor data significantly improved the explained variance in energy expenditure determination (r 2 = 0.88) compared to accelerometry data alone (r 2 = 0.68). This physiologic activity monitor provides a valid and reproducible estimate of energy expenditure during slow to moderate paced walking in a laboratory setting and represents an objective method to assess activity in COPD subjects.

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“…The distances covered during the 6MWT, which appropriately reflect the physical capacity to perform daily tasks, were registered for analyses [22][23][24] . The test was carried out, following the procedures and recommendations of the American Thoracic Society 25 , which were adapted to the Brazilian Portuguese language 26 .…”

Section: Six-minute Walk Testmentioning

confidence: 99%

Strength of the respiratory and lower limb muscles and functional capacity in chronic stroke survivors with different physical activity levels

Polese¹,

Pinheiro²,

Faria³

et al. 2013

Braz. J. Phys. Ther.

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| Background: The assessment of strength and its relationships with functional capacity could contribute to more specific and effective disability management of stroke survivors. Objective: To compare and investigate associations between measures of strength and functional capacity of 98 chronic stroke survivors, stratified into three groups, according to their physical activity levels. Method: The physical activity levels were classified as impaired, moderately active, and active, based on their Human Activity Profile (HAP) scores. Strength was assessed by the maximal inspiratory (MIP) and expiratory (MEP) pressures and by the residual deficits (RDs) of work of the lower limb and trunk muscles, whereas functional capacity was evaluated by the distance covered during the six-minute walking test (6MWT). Results: One-way analyses of variance revealed significant differences between the groups, except between the active and moderately active groups regarding the RDS of the hip and knee flexors/extensors and ankle dorsiflexors (2.91

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How should we measure function in patients with chronic heart and lung disease?

Cited by 466 publications

References 19 publications

Associations between symptoms, functioning, and perceptions of mastery with global self-rated health in patients with COPD: A cross-sectional study

Associations between symptoms, functioning, and perceptions of mastery with global self-rated health in patients with COPD: A cross-sectional study

Activity Monitoring and Energy Expenditure in COPD Patients: A Validation Study

Strength of the respiratory and lower limb muscles and functional capacity in chronic stroke survivors with different physical activity levels

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