Mendes Liliane P de Souza, Parreira Verônica Franco, Spencer Lissa M, Vieira Danielle Soares Rocha, Alison Jennifer Ailsey
Rehabilitation Sciences Program, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Department of Physiotherapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
COPD. 2020 Aug;17(4):392-400. doi: 10.1080/15412555.2020.1756236. Epub 2020 Jun 29.
The Glittre-ADL test assesses the functional capacity for activities of daily living of people with chronic obstructive pulmonary disease (COPD). In the test, a weighted backpack is worn (2.5 kg for women and 5.0 kg for men). The differential in weight between men and women is not common in other tests of exercise capacity and may limit the comparison of the test between sexes. The primary aim of this study was to validate the Glittre-ADL test performed without the backpack in people with COPD. Forty participants with mild to severe COPD (mean ± SD age: 70 ± 6 years; FEV: 48 ± 20%predicted) were recruited and performed two six-minute walk tests (visit 1); two Glittre-ADL tests with backpack (visit 2), and the Glittre-ADL test with and without the backpack, in random order (visit 3). The Glittre-ADL test time was shorter without the backpack than with the backpack [mean difference -0.37 min (95%CI -0.59 to -0.15)] and heart rate (HR) and oxygen saturation (SpO) were equivalents between tests [-1.31 beats/minute (-3.92 to 1.30) and -0.95% (-2.27 to 0.37), respectively]. The Glittre-ADL test without the backpack elicited similar HR and SpO2 responses as the test with the backpack, indicating equivalence of physiological demand. Thus, the Glittre-ADL test without the backpack was a valid, responsive, and appropriate test to assess functional capacity for activities of daily living.
Glittre-ADL测试评估慢性阻塞性肺疾病（COPD）患者的日常生活活动功能能力。在该测试中，需佩戴一个有重量的背包（女性为2.5千克，男性为5.0千克）。男女之间的重量差异在其他运动能力测试中并不常见，这可能会限制该测试在不同性别之间的比较。本研究的主要目的是验证在COPD患者中不佩戴背包进行的Glittre-ADL测试。招募了40名患有轻度至重度COPD的参与者（平均±标准差年龄：70±6岁；第一秒用力呼气容积：48±20%预测值），并进行了两次六分钟步行测试（第一次就诊）；两次佩戴背包的Glittre-ADL测试（第二次就诊），以及随机顺序进行的佩戴和不佩戴背包的Glittre-ADL测试（第三次就诊）。不佩戴背包时的Glittre-ADL测试时间比佩戴背包时短[平均差异-0.37分钟（95%置信区间-0.59至-0.15）]，并且测试之间的心率（HR）和血氧饱和度（SpO）相当[-1.31次/分钟（-3.92至1.30）和-0.95%（-2.27至0.37）]。不佩戴背包的Glittre-ADL测试引发的HR和SpO2反应与佩戴背包的测试相似，表明生理需求相当。因此，不佩戴背包的Glittre-ADL测试是评估日常生活活动功能能力的有效、灵敏且合适的测试。
