Cider Asa, Carlsson Stefan, Arvidsson Christer, Andersson Bert, Sunnerhagen Katharina Stibrant
Cardiovascular Institute, Department of Cardiology, Göteborg University, Göteborg, Sweden.
Eur J Cardiovasc Nurs. 2006 Jun;5(2):122-6. doi: 10.1016/j.ejcnurse.2005.10.001. Epub 2005 Oct 28.
In clinical praxis it is important to be able to assess the effect of rehabilitation in patients with chronic heart failure (CHF). There is therefore a need for simple clinical tests that are objective, reliable and valid measures.
The aim of this study was to examine the reliability of three muscle endurance tests for patients with CHF and to compare the results to a healthy control group.
The study included 20 patients (7 women) with CHF and 20 healthy persons. Dynamic endurance of the shoulder and calf muscle was measured as well as static shoulder endurance. All three tests were performed twice, within 5-10 days.
The reliability (rs) of the tests for the patients with CHF was between 0.90-0.99 and for the healthy persons between 0.79-0.98. There was also a significant difference in dynamic endurance in shoulder flexion and in heel-rise left leg test between patients with CHF and healthy persons.
Tests of dynamic and static endurance of the shoulder muscle and dynamic calf muscle endurance are reliable assessment tools for use in clinical practice. Patients with CHF have reduced isotonic muscular endurance compared with healthy persons.
在临床实践中，能够评估慢性心力衰竭（CHF）患者的康复效果非常重要。因此，需要简单的临床测试，这些测试是客观、可靠且有效的测量方法。
本研究的目的是检验针对CHF患者的三项肌肉耐力测试的可靠性，并将结果与健康对照组进行比较。
该研究纳入了20例CHF患者（7名女性）和20名健康人。测量了肩部和小腿肌肉的动态耐力以及肩部静态耐力。所有三项测试均在5至10天内进行了两次。
CHF患者测试的可靠性（rs）在0.90 - 0.99之间，健康人的可靠性在0.79 - 0.98之间。CHF患者与健康人在肩部屈曲动态耐力和左腿提踵测试中的动态耐力也存在显著差异。
肩部肌肉的动态和静态耐力测试以及小腿肌肉动态耐力测试是临床实践中可靠的评估工具。与健康人相比，CHF患者的等张肌肉耐力降低。
