Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Eskisehir Osmangazi University, Eskisehir, Turkey.
J Asthma. 2022 Jul;59(7):1387-1395. doi: 10.1080/02770903.2021.1930040. Epub 2021 May 31.
The 6-minute pegboard and ring test (6PBRT) is a test of upper-extremity functional capacity designed for and validated in chronic obstructive pulmonary disease. The aim of this study was to evaluate the validity and reliability of the 6PBRT in asthma patients.
Thirty-four adults (30 women, 4 men) with well-controlled asthma were included. Unsupported upper-extremity exercise capacity was assessed using 6PBRT, maximal arm exercise capacity using an arm ergometer, handgrip strength using a hand dynamometer, activities of daily living with the London Chest Activities of Daily Living Scale (LCADL), Milliken ADL scale (MAS) and health-related quality of life using the Asthma Quality of Life Questionnaire (AQLQ) and Health Assessment Questionnaire Disability Index (HAQ-DI).
The 6PBRT showed moderate to excellent test-retest reliability with an intraclass correlation coefficient (ICC) value of 0.872 [95% confidence interval (CI) 0.702-0.941]. The 6PBRT was reproducible according to Bland-Altman analysis, with upper and lower limits of agreement of 53.51 and -25.08 rings moved, respectively. The 6PBRT score was significantly correlated with maximum workload ( = 0.514, = 0.002) achieved in the arm ergometer test, change in dyspnea during 6PBRT (r = -0.402, = 0.020), LCADL-self-care (r = -0.364, = 0.037), MAS total ( = 0.483, = 0.005), AQLQ-symptom domain ( = 0.420, = 0.026) and HAQ-DI total scores (r = -0.390, = 0.025).
The 6PBRT can be used as a valid and reliable test to evaluate functional arm exercise capacity in patients with well-controlled asthma.
六分钟指板和环测试（6PBRT）是一种专为慢性阻塞性肺疾病设计并经过验证的上肢功能能力测试。本研究旨在评估 6PBRT 在哮喘患者中的有效性和可靠性。
纳入 34 名病情控制良好的成年哮喘患者（30 名女性，4 名男性）。使用 6PBRT 评估非支撑上肢运动能力，使用手臂测力计评估最大手臂运动能力，使用握力计评估握力，使用伦敦胸活动日常生活量表（LCADL）、米利肯日常生活量表（MAS）和哮喘生活质量问卷（AQLQ）和健康评估问卷残疾指数（HAQ-DI）评估日常生活活动和健康相关生活质量。
6PBRT 的测试-重测信度为中等至极好，组内相关系数（ICC）值为 0.872[95%置信区间（CI）为 0.702-0.941]。6PBRT 经 Bland-Altman 分析具有可重复性，上下限分别为 53.51 个和 -25.08 个环移动。6PBRT 评分与手臂测力计测试中达到的最大工作量（r=0.514，p=0.002）、6PBRT 期间呼吸困难变化（r=-0.402，p=0.020）、LCADL-自我护理（r=-0.364，p=0.037）、MAS 总分（r=0.483，p=0.005）、AQLQ-症状域（r=0.420，p=0.026）和 HAQ-DI 总分（r=-0.390，p=0.025）显著相关。
6PBRT 可作为评估病情控制良好的哮喘患者上肢功能运动能力的有效、可靠测试。
