Scalco Janaina Cristina, Martins Renata, Keil Patricia Morgana Rentz, Mayer Anamaria Fleig, Schivinski Camila Isabel Santos
Universidade do Estado de Santa Catarina, Florianópolis, SC, Brasil.
Rev Paul Pediatr. 2018 Oct-Dec;36(4):500-510. doi: 10.1590/1984-0462/;2018;36;4;00002. Epub 2018 Nov 14.
To identify studies that evaluated psychometric properties of functional capacity tests in children and adolescents, and to verify which of these have satisfactory properties of measurement.
Searches on MEDical Literature Analysis and Retrieval System Online (MEDLINE), Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Scientific Electronic Library Online (SciELO) databases without limiting period or language. Two investigators independently selected articles based on the following inclusion criteria: children and/or adolescent population (healthy or with cardiorespiratory diseases); and assessment of psychometric properties of functional capacity tests. Studies with (I) adult samples, (II) sample with neurological diseases, and (III) on reference values or prediction equations only were excluded.
From the total of 677 articles identified, 11 were selected. These evaluated the psychometric properties of the following tests: 6-minute walk test (6MWT) (n=7); 6MWT and the 3-minute step test (3MST) (n=1); and Incremental Shuttle Walk Test (ISWT) (n=3). Reproducibility and reliability were good for 6MWT and ISWT, and moderate for 3MST. The ISWT showed high validity measures for both healthy children and children with chronic respiratory disease. The validity of 6MWT varied across studies, and should be analyzed according to the health conditions of test takers. The validity of 3MST is unclear, and further studies in pediatric population are required.
Most studies investigated 6MWT measurement properties. Validity of 6MWT varied according to different pediatric populations. The use of 6MWT, ISWT and 3MST tests to measure clinically important changes in children and adolescents with cardiorespiratory diseases is still unclear.
识别评估儿童和青少年功能能力测试心理测量特性的研究，并验证其中哪些具有令人满意的测量特性。
在医学文献分析和在线检索系统（MEDLINE）、护理及相关健康文献累积索引（CINAHL）和科学电子图书馆在线（SciELO）数据库中进行检索，不限时间和语言。两名研究人员根据以下纳入标准独立选择文章：儿童和/或青少年人群（健康或患有心肺疾病）；以及对功能能力测试心理测量特性的评估。排除以下研究：（I）成人样本；（II）患有神经系统疾病的样本；以及（III）仅关于参考值或预测方程的研究。
从总共识别出的677篇文章中，选择了11篇。这些文章评估了以下测试的心理测量特性：6分钟步行测试（6MWT）（n = 7）；6MWT和3分钟阶梯测试（3MST）（n = 1）；以及递增往返步行测试（ISWT）（n = 3）。6MWT和ISWT的可重复性和可靠性良好，3MST的可重复性和可靠性中等。ISWT对健康儿童和慢性呼吸道疾病儿童均显示出较高的效度指标。6MWT的效度在不同研究中有所不同，应根据测试者的健康状况进行分析。3MST的效度尚不清楚，需要在儿科人群中进行进一步研究。
大多数研究调查了6MWT的测量特性。6MWT的效度因不同的儿科人群而异。使用6MWT、ISWT和3MST测试来测量患有心肺疾病的儿童和青少年临床上重要的变化仍不明确。
