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家庭氧疗的慢性阻塞性肺疾病患者五次坐站测试的可靠性。

Reliability of the five-repetition sit-to-stand test in patients with chronic obstructive pulmonary disease on domiciliary oxygen therapy.

机构信息

Physiotherapy Department; Núcleo de Assistência, Ensino e Pesquisa em Reabilitação Pulmonar, Universidade do Estado de Santa Catarina (UDESC), Florianópolis, Brazil.

Programa de Pós-Graduação em Fisioterapia, Centro de Ciências da Saúde e do Esporte, Universidade do Estado de Santa Catarina, Florianópolis, Brazil.

出版信息

Physiother Theory Pract. 2020 Jan;36(1):219-225. doi: 10.1080/09593985.2018.1480680. Epub 2018 Jun 1.

DOI:10.1080/09593985.2018.1480680
PMID:29856241
Abstract

: To evaluate the reliability and learning effect of the five-repetition sit-to-stand test (5STSt) in severe and very severe chronic obstructive pulmonary disease (COPD) patients on domiciliary oxygen therapy compare the results with those of COPD patients not on such therapy. : Twenty-eight COPD patients were included in the domiciliary oxygen therapy group (DOTG) and 17 in the control group (CG). The participants of the groups were paired by age, sex, body mass index, and lung function. The groups performed two 5STSt (5STSt and 5STSt). : In total, 96% of the patients in the DOTG performed better on the second 5STSt (5STSt) (17.1 ± 4.63s), with an average reduction of 3.87 ± 3.50 s ( < 0.001) and a learning effect of 18.4%. In the CG, 82.3% of patients had better performance on the 5STSt (15.06 ± 3.45 s), with an average reduction of 1.38 ± 2.51 s ( = 0.035) and a learning effect of 8.39%. The 5STSt had an ICC of 0.79 (95%CI: 0.02-0.93;  < 0.001) in the DOTG and of 0.89 (95%CI: 0.65-0.96;  < 0.001) in the CG. : The 5STSt is reliable in patients with severe and very severe COPD on domiciliary oxygen therapy, with learning effect of nearly 18% in the DOTG. Thus, performing two tests is recommended to achieve the patient´s best performance in this population.

摘要

: 评估 5 次重复坐站测试(5STSt)在严重和极重度慢性阻塞性肺疾病(COPD)患者接受家庭氧疗(DOTG)中的可靠性和学习效果,并将结果与未接受此类治疗的 COPD 患者进行比较。 : 共纳入 28 例接受家庭氧疗的 COPD 患者(DOTG)和 17 例对照组(CG)。根据年龄、性别、体重指数和肺功能对两组患者进行配对。两组均进行两次 5STSt(5STSt 和 5STSt)。 : DOTG 组共有 96%的患者在第二次 5STSt(5STSt)中表现更好(17.1±4.63s),平均减少 3.87±3.50 s(<0.001),学习效果为 18.4%。CG 组中,82.3%的患者在 5STSt 中表现更好(15.06±3.45 s),平均减少 1.38±2.51 s(=0.035),学习效果为 8.39%。DOTG 组 5STSt 的 ICC 为 0.79(95%CI:0.02-0.93;<0.001),CG 组为 0.89(95%CI:0.65-0.96;<0.001)。 : 5STSt 在接受家庭氧疗的严重和极重度 COPD 患者中具有可靠性,DOTG 中有近 18%的学习效果。因此,建议在该人群中进行两次测试以达到患者的最佳表现。

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