Gedikli Yasemin, Ozcan Kahraman Buse, Birlik Merih, Acar Serap, Savci Sema
Faculty of Physical Therapy and Rehabilitation, Department of Physiotherapy and Rehabilitation, Dokuz Eylül University, Izmir, Turkey.
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Selcuk University, Konya, Turkey.
Clin Rheumatol. 2025 Feb;44(2):719-726. doi: 10.1007/s10067-025-07309-y. Epub 2025 Jan 9.
To investigate the validity and reliability of the Londrina ADL Protocol in patients with systemic sclerosis (SSc).
The study included 39 individuals with SSc and 30 healthy participants aged 18-70 years. Performance-related ADL assessment was performed with the Londrina ADL Protocol which was performed twice by the same rater and energy expenditure during the test with the Dynaport Move Monitor device. Functional capacity (6 Minute Walk Test-6MWT), upper extremity muscle strength (hand-held dynamometer), hand and finger grip strength (hand dynamometer and pinch meter), upper extremity functionality (Q-Dash Questionnaire and 9 Hole Peg Test), self-reported ADL (Milliken ADL Scale (MAS)) and quality of life (SF-36 questionnaire) were evaluated.
Upper extremity muscle strength, functional capacity, upper extremity functionality, and quality of life of individuals with SSc were found to be significantly lower and the time spent by individuals with SSc in the Londrina ADL Protocol was lower and the time spent by individuals with SSc in the Londrina ADL Protocol was significantly longer compared to the healthy group (p<0.05). Performance in the the Londrina ADL had high intraclass correlation coefficient ICC=0.813. A moderate negative correlation was found between the time to complete the Londrina Protocol and 6MWT (p<0.05), and a weak negative correlation was found between dominant side hand grip strength (p<0.05) and MAS (p<0.05) in individuals with SSc. A moderate positive correlation was found between the Londrina Protocol and the 9-Hole Peg Test for the dominant side (p<0.05).
The Londrina Protocol is a valid and reliable method, hence, this makes it appropriate for an objective, performance-based evaluation of ADL in SSc population. Key Points • The results obtained by reapplication the Londrina ADL Protocol under the same conditions showed that the Londrina ADL Protocol is a highly reliable assessment method in scleroderma patients. • Considering the activities and protocol content of the Londrina ADL Protocol, it is thought to show functional performance better than the Glittre ADL test and 6MWT. • The Londrina ADL Protocol is appropriate for objective and performance-based assessment of ADL in the SSc population for both research and clinical practice.
探讨隆德里纳日常生活活动能力评估方案（Londrina ADL Protocol）在系统性硬化症（SSc）患者中的有效性和可靠性。
该研究纳入了39例系统性硬化症患者和30名年龄在18至70岁之间的健康参与者。使用隆德里纳日常生活活动能力评估方案对与表现相关的日常生活活动能力进行评估，该评估由同一名评估者进行两次，并使用Dynaport Move Monitor设备在测试过程中测量能量消耗。评估了功能能力（6分钟步行试验-6MWT）、上肢肌肉力量（手持测力计）、手部和手指握力（手握力计和捏力计）、上肢功能（Q-Dash问卷和9孔插针试验）、自我报告的日常生活活动能力（米利肯日常生活活动量表（MAS））和生活质量（SF-36问卷）。
与健康组相比，系统性硬化症患者的上肢肌肉力量、功能能力、上肢功能和生活质量显著降低，系统性硬化症患者在隆德里纳日常生活活动能力评估方案中花费的时间显著更长（p<0.05）。隆德里纳日常生活活动能力评估的表现具有较高的组内相关系数ICC=0.813。在系统性硬化症患者中，完成隆德里纳评估方案的时间与6MWT之间存在中度负相关（p<0.05），优势侧手握力（p<0.05）与MAS（p<0.05）之间存在弱负相关。在优势侧，隆德里纳评估方案与9孔插针试验之间存在中度正相关（p<0.05）。
隆德里纳评估方案是一种有效且可靠的方法，因此，它适用于对系统性硬化症患者的日常生活活动能力进行客观的、基于表现的评估。要点 • 在相同条件下重新应用隆德里纳日常生活活动能力评估方案所获得的结果表明，隆德里纳日常生活活动能力评估方案在硬皮病患者中是一种高度可靠的评估方法。 • 考虑到隆德里纳日常生活活动能力评估方案的活动和方案内容，认为它比Glittre日常生活活动能力测试和6MWT能更好地显示功能表现。 • 隆德里纳日常生活活动能力评估方案适用于在系统性硬化症患者中对日常生活活动能力进行客观的、基于表现的评估，适用于研究和临床实践。
