Lima Vanessa Pereira, Lopes Paulo Henrique, Costa Henrique Silveira, Costa Maria Carolina Barbosa, Rocha Jefferson Freitas, Rodrigues Vanessa Gomes Brandão, Maciel Emílio Henrique Barroso, Alves Frederico Lopes, Prates Maria Cecília Sales Mendes, Campos Patrícia Cardoso, Lacerda Ana Cristina Rodrigues, Figueiredo Pedro Henrique Scheidt
From the:Physiotherapy Department at Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Minas Gerais, Brazil.
Postgraduate Course in Reabilitação e Desempenho Funcional da Faculdade de Ciências Biológicas e da Saúde da Universidade Federal dos Vales do Jequitinhonha e Mucuri, Minas Gerais, Brazil.
Physiother Can. 2025 Feb;77(1):81-88. doi: 10.3138/ptc-2022-0067. Epub 2023 Sep 20.
To verify the 6-minute pegboard and ring test (6PBRT) validity for functional evaluation in hemodialysis patients and upper limb (UL) functional capacity by the 6PBRT. In a cross-sectional study, patients on hemodialysis three times a week for at least 6 months performed the 6PBRT as well as handgrip strength and endurance. Health-related quality of life (HRQoL) by KDQOL-SF questionnaire, Human Activities Profile (HAP), and level of social participation were also evaluated. Convergent validity was verified by correlation analysis. Thirty-seven individuals were evaluated, predominantly adult males (67.6%). The mean age was 50.1 (SD 16.4) years old. The average number of rings moved during the 6PBRT was 306.2 (SD 68.2). The 6PBRT correlated with handgrip strength ( = 0.37; = 0.025), the domain "Functional Capacity" ( = 0.49; = 0.008) of the KDQOL-SF questionnaire, and with HAP score ( = 0.43; = 0.01). There was no correlation between handgrip endurance ( = 0.18; = 0.281) and social participation ( = -0.12; = 0.48). Heart rate and dyspnea (modified Borg scale) increased by 13.3 bpm (95% CI: 9.8, 16.8) and 0.5 points (95% CI: 0.1, 0.9) during the 6PBRT. The 6PBRT is associated with UL strength, physical aspects related to HRQoL, and daily activity level, which accounts for its construct validity. Therefore, the test has potential value in the functional evaluation of the ULs in hemodialysis patients. However, in this population, the level of social participation seems to depend on other factors than the functional capacity of the UL itself.
通过6分钟钉板套环试验（6PBRT）验证其在血液透析患者功能评估中的有效性以及评估上肢（UL）功能能力。在一项横断面研究中，每周进行三次血液透析至少6个月的患者进行了6PBRT以及握力和耐力测试。还通过KDQOL-SF问卷、人类活动概况（HAP）和社会参与水平评估了与健康相关的生活质量（HRQoL）。通过相关性分析验证了收敛效度。共评估了37人，主要为成年男性（67.6%）。平均年龄为50.1（标准差16.4）岁。6PBRT期间移动的套环平均数量为306.2（标准差68.2）。6PBRT与握力（r = 0.37；p = 0.025）、KDQOL-SF问卷的“功能能力”领域（r = 0.49；p = 0.008）以及HAP评分（r = 0.43；p = 0.01）相关。握力耐力（r = 0.18；p = 0.281）与社会参与之间无相关性（r = -0.12；p = 0.48）。6PBRT期间心率和呼吸困难（改良Borg量表）分别增加了13.3次/分钟（95%CI：9.8，16.8）和0.5分（95%CI：0.1，0.9）。6PBRT与UL力量、与HRQoL相关的身体方面以及日常活动水平相关，这说明了其结构效度。因此，该测试在血液透析患者UL功能评估中具有潜在价值。然而，在这一人群中，社会参与水平似乎取决于UL自身功能能力以外的其他因素。
