Relationship and Responsiveness of Three Upper-Limb Tests in Patients with Chronic Obstructive Pulmonary Disease

Janaudis-Ferreira, Tânia; Hill, Kylie; Goldstein, Roger; Wadell, Karin; Brooks, Dina

doi:10.3138/ptc.2011-49

Cited by 27 publications

(27 citation statements)

References 9 publications

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“…We measured upper limb functional exercise capacity using the UULEX and found similar impairment as reported in people with COPD . We observed that 85% of patients with ILD reported arm fatigue as the primary reason for ending the UULEX.…”

Section: Discussionsupporting

confidence: 55%

“…We measured upper limb functional exercise capacity using the UULEX and found similar impairment as reported in people with COPD. 15,40 We observed that 85% of patients with ILD reported arm fatigue as the primary reason for ending the UULEX. In addition, we found a moderate association between elbow flexor muscle strength and the total exercise time.…”

Section: Discussionmentioning

confidence: 94%

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Skeletal muscle atrophy in advanced interstitial lung disease

Mendes

Wickerson

Helm³

et al. 2015

Respirology

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Background and objective: A limited number of studies examine skeletal muscle dysfunction in individuals with interstitial lung disease (ILD). We compared upper and lower limb muscle size and strength in individuals with advanced ILD with healthy controls. Second, the relationships of muscle size to muscle strength and function were explored. Methods: Individuals with advanced ILD listed for lung transplant and healthy control subjects were studied. B-mode ultrasound was performed to assess cross-sectional area (CSA) of rectus femoris and thickness of gastrocnemius and soleus and biceps brachii. Subjects performed isometric muscle strength testing, Short Physical Performance Battery, Timed Up and Go, and Unsupported Upper Limb Exercise Test. Results: Twenty-six individuals with advanced ILD (61 ± 8 years; 73% males; forced vital capacity: 2 ± 0.8 L, 49 ± 13% predicted; diffusing capacity of carbon monoxide: 9.3 ± 4 mL/min/mm Hg, 51 ± 20% predicted) and 12 healthy age and gender-matched controls (56 ± 9.5 years; 50% males) were included. Compared with controls, people with ILD had a smaller CSA of rectus femoris (7.6 ± 2.1 vs 9.4 ± 2.4 cm

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Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 94%

Skeletal muscle atrophy in advanced interstitial lung disease

Mendes

Wickerson

Helm³

et al. 2015

Respirology

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“…UULEX is a test in which the exercise is increased to a maximum, which requires larger arm movements . In studies evaluating the concurrent validity of UULEX, the relationship with the 6PBRT has been found to be high, as both UULEX and the 6PBRT measure exercise capacity . The 30‐second push‐up test also evaluates the strength and endurance of the arm‐shoulder girdle and is a recommended test in the physical fitness test battery .…”

Section: Discussionmentioning

confidence: 99%

Validity and reliability of the unsupported upper‐limb exercise test in individuals with rheumatoid arthritis

2019

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Background Rheumatoid arthritis (RA) is a chronic disease which affects the performance of the upper extremities. There is no method to evaluate the specific upper extremity endurance of individuals with this disease. The unsupported upper‐limb exercise test (UULEX) is a performance test that evaluates upper extremity performance (functionality and endurance). Aim The aim of this study was to examine the reliability and validity of UULEX and the minimal detectable change (MDC) in individuals with RA. Methods and Materials The study included 71 patients (15 male, 56 female) with a mean age of 52.15 ± 10.11 years. The intraclass correlation coefficient (ICC) was used to assess the reliability of UULEX. MDC estimates were calculated using baseline data. Correlations of UULEX with the Disability of Arm, Shoulder and Hand Questionnaire (DASH), Health Assessment Questionnaire (HAQ), 30‐second push‐up test and 6 pegboard ring test (6PBRT) were assessed for concurrent validity. Results The level, weight and duration scores of the UULEX test were found to be excellent for intra‐rater reliability (ICC = 0.922, 0.960, 0.958). Intra‐rater MDC values were determined to be 0.35, 2.04, and 0.80 seconds, respectively. Moderate‐excellent correlations were found between UULEX and DASH, HAQ, 30‐second push‐up test and 6PBRT (P < .05). Conclusion The results of this study showed that UULEX test is a valid and reliable method for the assessment of upper extremity performance in individuals with RA.

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“…24 As soon as a participant finished each test, we recorded the band reached, total exercise time, self-reported dyspnoea and local muscle fatigue (using the MBS), and peak heart and …”

Section: 22mentioning

confidence: 99%

The Unsupported Upper Limb Exercise Test in People Without Disabilities: Assessing the Within-Day Test–Retest Reliability and the Effects of Age and Gender

Oliveira

Cruz

Jácome³

et al. 2018

Physiotherapy Canada

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Purpose: To estimate the within-day test-retest reliability and standard error of measurement (SEM) of the unsupported upper limb exercise test (UULEX) in adults without disabilities and to determine the effects of age and gender on performance of the UULEX. Method:A cross-sectional study was conducted with 100 adults without disabilities (44 men, mean age 44.2 [SD 26] y; 56 women, mean age 38.1 [SD 24.1] y). Participants performed three UULEX tests to establish within-day reliability, measured using an intra-class correlation coefficient (ICC) model 2 (two-way random effects) with a single rater (ICC [2,1]) and SEM. The effects of age and gender were examined using two-factor mixed-design analysis of variance (ANOVA) and one-way repeated-measures ANOVA. For analysis purposes, four sub-groups were created: younger adults, older adults, men, and women. Results: Excellent within-day reliability and a small SEM were found in the four sub-groups (younger adults The within-day test-retest reliability and SEM values of the UULEX may be used to define the magnitude of the error obtained with repeated measures. One UULEX test seems to be adequate for younger adults to achieve reliable results, whereas three tests seem to be needed for older adults.:Key Words: outcome assessment; standard error of measurement; UULEX; within-day reliability. Nevertheless, arm ergometers are expensive and require trained health professionals to conduct and interpret the tests; thus, their use is somewhat limited in community exercise programmes.The unsupported upper limb exercise test (UULEX) is a symptom-limited, incremental test first described by Takahashi and colleagues 14 to assess upper limb peak exercise capacity in patients with chronic obstructive pulmonary disease (COPD). UULEX test-retest reliability has been studied in patients with COPD, and it has shown excellent ICCs for UULEX total exercise time (ICC = 0.98), with no significant differences among tests conducted within 2-4 days. 14 The UULEX's excellent reliability results, along with its higher portability, ease of implementation, and low cost, make it a promising measure for use in community exercise programmes with people without disabilities.Nevertheless, evidence shows that the measurement properties of a given test are specific to a particular population. 15 Thus, before recommending use of the UULEX with people without disabilities, its reliability -namely, its within-day test-retest and standard error of measurement (SEM) -should be established for younger and older people without disabilities, as well as for men and women, because significantly different performances on endurance tests have been found with these populations. 16,17 SEM values will inform health and sports professionals about the minimum number of tests needed to achieve a reliable baseline measure. This information will enhance the assessment of upper limb peak exercise capacity in people without disabilities and the development of exercise programmes for this population.As a result, this st...

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Relationship and Responsiveness of Three Upper-Limb Tests in Patients with Chronic Obstructive Pulmonary Disease

Cited by 27 publications

References 9 publications

Skeletal muscle atrophy in advanced interstitial lung disease

Skeletal muscle atrophy in advanced interstitial lung disease

Validity and reliability of the unsupported upper‐limb exercise test in individuals with rheumatoid arthritis

The Unsupported Upper Limb Exercise Test in People Without Disabilities: Assessing the Within-Day Test–Retest Reliability and the Effects of Age and Gender

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