PAY 测试：一种评估哮喘儿童和青少年功能表现的新方法。
The PAY test: a new approach for assessing functional performance in children and adolescents with asthma.
机构信息
Universidade Federal de Minas Gerais (UFMG), Departamento de Fisioterapia, Belo Horizonte, MG, Brazil; Universidade Nove de Julho, Programa de Pós-Graduação em Ciências da Reabilitação, São Paulo, SP, Brazil.
Universidade Nove de Julho, Programa de Pós-Graduação em Ciências da Reabilitação, São Paulo, SP, Brazil.
出版信息
J Pediatr (Rio J). 2023 Nov-Dec;99(6):597-603. doi: 10.1016/j.jped.2023.05.002. Epub 2023 May 23.
OBJECTIVE
To develop, validate, and test the reproducibility of a new test capable of assessing functional performance in children and adolescents (PAY test: Performance Activity in Youth).
METHODS
participants without and with asthma were included in the development and validation phases, respectively. The PAY test includes five activities: transition from sitting to standing, walking 10 m, step climbing, shoulder extension and flexion, and star jumps. Participants underwent the Pediatric Glittre test (TGlittre-P test time), modified shuttle test (MST), and cardiopulmonary exercise test (CPET).
OUTCOMES
PAY test and TGlittre-P test times, oxygen uptake (VO), and distance walked in the MST.
RESULTS
8 healthy volunteers, aged 12 (7 - 15) years old were included in the development phase and 34 participants with asthma, aged 11 (7 -14) years old, in the validation phase. The PAY test elicited greater physiological responses (VO 33.5 ± 6.9 mL/kg) than the TGlittre-P (VO: 27.4 ± 9.0 mL/kg), but lower than the MST (VO: 48.9 ± 14.2 mL/kg) and CPET (VO: 42.0 ± 8.8 mL/kg), p < .05. Moderate correlation between the PAY test time and the TGlittre-P time (r = 0.70, p < .001) and distance walked in the MST (r = -0.72, p < .001). The PAY test time was longer in participants with asthma than in healthy participants (3.1 [3.0 - 3.3] min vs. 2.3 [2.1 - 2.4 min]), p < .001.; and the test was reproducible (ICC 0.78, CI 95% 0.55-0.90, p < .001).
CONCLUSIONS
The PAY test is a valid and reproducible tool for assessing functional performance in children and adolescents with asthma.
目的
开发、验证并测试一种新的能够评估儿童和青少年功能表现的测试方法（PAY 测试：青少年活动表现）。
方法
分别纳入无哮喘和有哮喘的参与者进入开发和验证阶段。PAY 测试包括五个活动：从坐姿到站姿的转换、行走 10 米、台阶攀爬、肩部伸展和弯曲以及星跳。参与者进行了儿科 Glittre 测试（TGlittre-P 测试时间）、改良 shuttle 测试（MST）和心肺运动测试（CPET）。
结果
纳入开发阶段的 8 名健康志愿者，年龄 12（7-15）岁，纳入验证阶段的 34 名哮喘患儿，年龄 11（7-14）岁。PAY 测试引起的生理反应（VO33.5±6.9mL/kg）大于 TGlittre-P（VO：27.4±9.0mL/kg），但小于 MST（VO：48.9±14.2mL/kg）和 CPET（VO：42.0±8.8mL/kg），p<.05。PAY 测试时间与 TGlittre-P 时间（r=0.70，p<.001）和 MST 行走距离（r=-0.72，p<.001）之间存在中度相关性。哮喘患儿的 PAY 测试时间长于健康参与者（3.1[3.0-3.3]分钟 vs. 2.3[2.1-2.4 分钟]），p<.001；且该测试具有可重复性（ICC0.78，95%CI0.55-0.90，p<.001）。
结论
PAY 测试是一种有效且可重复的评估哮喘儿童和青少年功能表现的工具。
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