The validity and reliability of the ADL-Glittre test for children

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Objective This study aimed to compare the physiological responses induced by the modified shuttle walk test (MSWT), the 6‐minute walk test (6MWT), and the pediatric Glittre activities of daily living test for children (TGlittre‐P) in healthy children. Method This was an analytical observational cross‐sectional study. All subjects underwent an anthropometric evaluation, pulmonary function test, TGlittre‐P, 6MWT, and MSWT using a portable gas analyzer. Each test was conducted on the same day, and a maximum period of 15 days was considered for completion of the 3 days of data collection. Results Overall, 24 subjects were included (mean age, 9.78 ± 1.27 years). The peak oxygen consumption (VO2peak) during the MSWT (1409.94 ± 285.13 mL/kg/min) was significantly higher than that during the TGlittre‐P (982.19 ± 205.95 mL/kg/min) and 6MWT (982.85 ± 257.09 mL/kg/min) (P < .001 for both). There was no difference in VO2peak as well as most of the physiological variables between the 6MWT and TGlittre‐P (P = .987). The MSWT VO2peak correlated with the 6MWT VO2peak (r = 0.67; P = .00) and the TGlittre‐P VO2peak (r = 0.43; P = .04). The VO2peak values achieved in the 6MWT and TGlittre‐P were also correlated (r = 0.68; P = .00). Unlike in the MSWT, in which the physiological measurements show an incremental response, the VO2, heart rate, minute ventilation, and respiratory exchange ratio were stabilized in the TGlittre‐P and 6MWT. Conclusion The TGlittre‐P and 6MWT showed similar physiological responses and required less metabolic, respiratory, and cardiovascular overload than the MSWT. The performance measures and VO2peak values obtained in the three tests were correlated.

Section: Discussionmentioning

confidence: 87%

Section: Methodsmentioning

confidence: 99%

“…Next, the child returns the objects to the lower shelf and then to the top shelf. Finally, the child walks back along the course to the starting position and sits on a chair …”

Section: Methodsmentioning

confidence: 99%

“…A single verbal command (sit and stand) is given at each lap. Comparison of the results with the percentage predicted values for age was based on the equation by Martins et al…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of the physiological responses induced by different pediatric exercise field tests in children

Scalco

Minsky

Mayer

et al. 2019

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Use of portable gas analyzers during pediatric field testing

Itaborahy

Wamosy

Scalco

et al. 2020

Objective To compare performance and cardiorespiratory responses in field tests performed by healthy children, with and without the use of a portable gas analyzer (PGA), and to analyze the reproducibility of the tests. Method The study included healthy children aged 6 to 14 years old. The sample was divided into children who underwent field tests (modified shuttle walk test [MSWT], 6‐minute walk test [6MWT], and ADL‐Glittre for pediatrics [TGlittre‐P]) without PGA (GS) and children who carried the equipment K4b2—COSMED, Rome, Italy (GK). Results A total of 120 children participated in the study, 31 in the GK (mean age 10.16 ± 1.81 years old) and 89 in GS (mean age 10.1 ± 1.79 years old). The groups did not differ from each other and there was no significant difference in the performance of the 6MWT and MSWT intergroup (P > .05), but the significant alteration in the variables of the cardiorespiratory response was identified. In the TGlittre‐P, the GK completed the test in a shorter time than the GS (2.69 ± 0.38 minutes vs 2.91 ± 0.40 minutes) and both presented alterations in most cardiorespiratory variables. The intragroup reproducibility showed concordance in all tests, and there was no concordance between groups (P > .05). Conclusion The use of PGA had a lower time spent on TGlittre‐P. In the 6MWT and MSWT, there was no difference in cardiorespiratory performance and response with and without the use of PGA. The three field tests were reproducible, but the same test, with and without the use of PGA, did not show agreement.

Deviations of body functions and structure, activity limitations, and participation restrictions of the International Classification of Functioning, Disability, and Health model in children with cystic fibrosis and non–cystic fibrosis bronchiectasis

özipek

Arıkan

Çalık-Kütükçü

et al. 2020

Background To the best of our knowledge, there is no study in the literature investigating the extrapulmonary outcomes of children with non–cystic fibrosis (CF) bronchiectasis and CF under the framework of the International Classification of Functioning, Disability, and Health (ICF) model. The purpose of the present study is to evaluate the children with CF and non‐CF bronchiectasis using the ICF model. Materials and Methods Children with CF, non‐CF bronchiectasis, and healthy counterparts were evaluated (20 participants in each group) according to the ICF items in domain b (body functions), domain s (body structures), and domain d (activities and participation). The pulmonary functions, respiratory and peripheral muscle strength tests, and posture analysis were carried out for domain b. For domain d, however, the Glittre‐activities of daily living test and Pediatric Outcome Data Collection were used. Results Muscle strength of shoulder abductors and hip extensors in children with CF was significantly lower than healthy children and adolescents (P < .05). The severity of lateral and posterior postural abnormalities in children with CF and non‐CF bronchiectasis was higher than those of healthy children (P < .05). Among the patient groups, global function, sports/physical function, expectations, transfers/basic mobility, and pain/comfort were the most affected participation dimensions (P < .05). Conclusions This study highlights the need for comprehensive up‐to‐date evaluation methods according to the ICF model for understanding rehabilitation requirements in CF and non‐CF bronchiectasis in different age groups.