Mendes Liliane Patrícia de Souza, Parreira Verônica Franco, Rocha Bianca Carmona, Spencer Lissa M, Velloso Marcelo, Alison Jennifer A
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.
Respir Med. 2025 Feb;237:107945. doi: 10.1016/j.rmed.2025.107945. Epub 2025 Jan 6.
The Glittre-ADL test is a comprehensive test to evaluate functional capacity in patients with chronic obstructive pulmonary disease (COPD).
The primary aim was to validate the Glittre-ADL test with and without the backpack performed in three laps as an alternative to five laps in people with COPD.
Forty-eight participants with mild to severe COPD (mean ± SD age: 71 ± 7 years; FEV: 46 ± 17 %predicted) were recruited and performed two 6-min 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 tests were performed in five laps and symptoms, heart rate and oxygen saturation were recorded for three and five laps. The Glittre-ADL test performed in three laps provoked the same oxygen desaturation [mean ± SD oxygen saturation (SpO): 90 ± 6 vs 90 ± 6, p = 0.249] and rate of perceived exertion (RPE) [RPE legs: 2.91 ± 2.23 vs 3.08 ± 2.56, p = 0.380; RPE arms: 1.91 ± 1.77 vs 2.16 ± 1.92, p = 0.306] to the Glittre-ADL test performed in five laps for both Glittre with the backpack and without the backpack SpO [mean ± SD: 90 ± 6 vs 90 ± 7, p = 0.249], and RPE [legs: 3.02 ± 2.28 vs 3.25 ± 2.37, p = 0.380; arms: 2.13 ± 1.91 vs 2.03 ± 1.84, p = 0.306]. The heart rate and dyspnoea were significantly lower for both Glittre-ADL tests performed in three laps.
The 3-lap Glittre-ADL test may be a more practical alternative to the 5-lap test, while still remaining a good test of functional capacity for activities of daily living.
Glittre-ADL测试是一项用于评估慢性阻塞性肺疾病（COPD）患者功能能力的综合测试。
主要目的是验证在慢性阻塞性肺疾病患者中，背负背包和不背负背包进行三圈的Glittre-ADL测试能否替代五圈测试。
招募了48名轻度至重度慢性阻塞性肺疾病患者（平均年龄±标准差：71±7岁；第一秒用力呼气容积：46±17%预计值），并让他们进行两次6分钟步行测试（第一次就诊）；两次背负背包的Glittre-ADL测试（第二次就诊），以及随机顺序进行的背负背包和不背负背包的Glittre-ADL测试（第三次就诊）。
Glittre-ADL测试进行五圈，并记录三圈和五圈时的症状、心率和血氧饱和度。进行三圈的Glittre-ADL测试引起的血氧饱和度下降[平均±标准差血氧饱和度（SpO）：90±6 vs 90±6，p = 0.249]和主观用力程度（RPE）率[腿部RPE：2.91±2.23 vs 3.08±2.56，p = 0.380；手臂RPE：1.91±1.77 vs 2.16±1.92，p = 0.306]与进行五圈的Glittre-ADL测试相同，无论是背负背包还是不背负背包的Glittre-ADL测试SpO[平均±标准差：90±6 vs 90±7，p = 0.249]和RPE[腿部：3.02±2.28 vs 3.25±2.37，p = 0.380；手臂：2.13±1.91 vs 2.03±1.84，p = 0.306]。两种进行三圈的Glittre-ADL测试的心率和呼吸困难程度均显著较低。
三圈的Glittre-ADL测试可能是五圈测试更实用的替代方法，同时仍然是日常生活活动功能能力的良好测试。
