Department of Physiotherapy and Post-Graduation Program for Physiotherapy, State University of Santa Catarina , Florianópolis, SC, Brazil.
Pediatric Pneumologist, Santa Catarina Cystic Fibrosis Referral Center , Florianópolis, SC, Brazil.
Physiother Theory Pract. 2021 Jan;37(1):81-88. doi: 10.1080/09593985.2019.1616341. Epub 2019 May 20.
: To evaluate the functional capacity in children and adolescents with cystic fibrosis (CF) through the pediatric Glittre ADL-test (TGlittre-P) and its implications for respiratory mechanics, physiological parameters and clinical markers. : Impulse oscillometry system (IOS) parameters, vital signs (heart rate, respiratory rate and blood pressure), perception of dyspnea and peripheral oxygen saturation (SpO) were assessed before and immediately after the TGlittre-P. Test performance was correlated with age, quality of life, disease severity, nutrition, spirometry and IOS parameters. : Twenty-six patients were included thirteen boys, mean age of 9.54 ± 1.94 and FEV of 71.45%±22.67%. The mean time to complete the test was 2.94 min, similar to that predicted for healthy children. There was a correlation of time with age, as well as with some IOS parameters. Disease severity, spirometric parameters, nutritional aspects and quality of life (QoL) were correlated with performance in the TGlittre-P. Immediate increase of vital signs and decline in SpO were observed after the test, without an impact on IOS parameters. : Patients with CF showed similar performance and changes of vital signs at the TGlittre-P compared to reference values for healthy children. There were no immediate changes in parameters for the assessed respiratory mechanics. Also, there was no correlation of time to complete the TGLittre-P test with respiratory mechanics, physiological parameters and clinical markers.
评估囊性纤维化(CF)患儿的功能能力:通过儿科 Glittre ADL 测试(TGlittre-P)及其对呼吸力学、生理参数和临床标志物的影响。在进行 TGlittre-P 之前和之后立即评估脉冲振荡系统(IOS)参数、生命体征(心率、呼吸频率和血压)、呼吸困难感知和外周血氧饱和度(SpO)。测试表现与年龄、生活质量、疾病严重程度、营养、肺活量测定和 IOS 参数相关。
共纳入 26 例患者,其中 13 例为男性,平均年龄为 9.54±1.94 岁,FEV 为 71.45%±22.67%。完成测试的平均时间为 2.94 分钟,与健康儿童的预测值相似。时间与年龄以及一些 IOS 参数相关。疾病严重程度、肺活量测定参数、营养状况和生活质量(QoL)与 TGlittre-P 的表现相关。测试后立即观察到生命体征的增加和 SpO 的下降,但对 IOS 参数没有影响。
与健康儿童的参考值相比,CF 患者在 TGlittre-P 上表现出相似的表现和生命体征变化。评估的呼吸力学参数没有立即发生变化。此外,完成 TGLittre-P 测试的时间与呼吸力学、生理参数和临床标志物之间没有相关性。