《简化版功能性上肢功能测试的有效性、可重复性和最小可检测差值：用于中重度哮喘和 COPD 成人》。
Validity, Reproducibility, and Minimal Detectable Difference of the Functional Upper Extremity Function Test - Simplified Version - for Adults With Moderate to Severe Asthma and COPD.
机构信息
Stricto Sensu Graduate Program in Rehabilitation Sciences, University Pitágoras Unopar, Londrina, Paraná, Brazil; and Laboratory of Research in Respiratory Physiotherapy, State University of Londrina (UEL), Londrina, Paraná, Brazil.
Department of Physiotherapy, University for the Development of the State and the Pantanal Region, Campo Grande, Brazil.
出版信息
Respir Care. 2023 Aug;68(8):1058-1066. doi: 10.4187/respcare.10464. Epub 2023 May 23.
BACKGROUND
Upper-limbs (ULs) functional tests which are valid and reliable for individuals with chronic respiratory disease (CRD) are scarce. The aim of this study was to investigate the intra-rater reproducibility, validity, minimal detectable difference (MDD), and learning effect of the Upper Extremity Function Test - simplified version (UEFT_S) functional test and to characterize its performance for adults with moderate-severe asthma and COPD.
METHODS
The UEFT_S was performed twice, and the number of elbow flexions in 20 s was the outcome. In addition, spirometry, 6-min walk test (6MWT), handgrip dynamometry (HGD), and usual and maximum timed-up-and-go tests (TUG_usual and TUG_max) were also performed.
RESULTS
Eighty-four individuals with moderate-severe CRD and 84 control individuals matched by anthropometric data were analyzed. Individuals with CRD presented better performance in the UEFT_S than controls ( = .023). UEFT_S correlated significantly with HGD, TUG_usual, TUG_max, and 6MWT ( < .047 for all). The test-retest intraclass correlation coefficient was 0.91 [0.86-0.94], and the MDD was 0.4%.
CONCLUSIONS
The UEFT_S is a valid and reproducible tool to assess the functionality of the ULs in people with moderate-severe asthma and COPD. When applied in the modified form, the test can be considered simple, fast, and inexpensive, with an easy outcome to interpret.
背景
针对慢性呼吸系统疾病（CRD）患者，目前缺乏有效且可靠的上肢功能测试。本研究旨在评估简化版上肢功能测试（UEFT_S）的内部一致性、有效性、最小可检测差异（MDD）和学习效应，并对其在中重度哮喘和 COPD 患者中的表现进行特征分析。
方法
两次重复进行 UEFT_S，20 秒内的肘部屈伸次数为结果。此外，还进行了肺功能检查、6 分钟步行试验（6MWT）、手握力测试（HGD）和常规及最大计时起立行走测试（TUG_usual 和 TUG_max）。
结果
共分析了 84 名中重度 CRD 患者和 84 名匹配人体测量数据的对照组个体。与对照组相比，CRD 患者在 UEFT_S 中的表现更好（ =.023）。UEFT_S 与 HGD、TUG_usual、TUG_max 和 6MWT 显著相关（<.047）。测试-再测试的组内相关系数为 0.91[0.86-0.94]，MDD 为 0.4%。
结论
UEFT_S 是一种有效且可重复的工具，可用于评估中重度哮喘和 COPD 患者上肢的功能。当以改良形式应用时，该测试可被认为是简单、快速、经济的，且结果易于解读。
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