Development, Validity and Reliability of the Londrina Activities of Daily Living Protocol for Subjects With COPD

Sant’Anna, Thaís; Donária, Leila; Furlanetto, Karina Couto; Morakami, Fernanda Kazmierski; Rodrigues, Antenor; Grosskreutz, Talita; Hernandes, Nídia A.; Gosselink, Rik; Pitta, Fábio

doi:10.4187/respcare.05058

Cited by 17 publications

(26 citation statements)

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“…Five activities are included in the Londrina ADL protocol, activities that involve the upper limbs, lower limbs, and trunk flexion/inclination/ rotation, which can be fully and realistically performed, without pretending or simulating. Also, all the activities included are relatively simple to organize from the logistical point of view [ 7 ].…”

Section: Methodsmentioning

confidence: 99%

“…The subject takes the objects one by one, with both hands and puts them all on the right side and then again on the left side of the table [ 8 , 11 ]. There is no standardized order for object positioning and this activity represents activities that involve upper-limb movements in the sitting position [ 7 ].…”

Section: Methodsmentioning

confidence: 99%

“…Walking with bags : The subject walks over a 6 m line, 3 consecutive times carrying 2 bags (of 10% body weight with 5% in each bag), one in each hand [ 8 , 11 ]. This activity represents activities that involve carrying loads while walking, inside home or in the street [ 7 ].…”

Section: Methodsmentioning

confidence: 99%

“…Thus, it appears to be a better and more appropriate option than the 6MWT for evaluating an individual’s functional capacity [ 4 ]. However, the activities included in the Glittre ADL test do not mimic the actual functional tasks performed in day-to-day life, which may be affected in people with COPD [ 7 ]. Another option to assess functional capacity is to use questionnaires.…”

Section: Introductionmentioning

confidence: 99%

“…Another option to assess functional capacity is to use questionnaires. A few questionnaires like the Modified Pulmonary Functional Status and Dyspnea Questionnaire (PFSDQM) and the London chest activity of daily living questionnaire (LCADL) are commonly used in clinical settings and report the degree of symptoms and the perception of ADL performance of the patients [ 7 ]. However, psychological or cognitive factors might play a vital role in an individual’s response to such questionnaires [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Londrina activities of daily living protocol and Glittre ADL test on cardio-pulmonary response in patients with COPD: a cross-sectional study

et al. 2020

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Background: In COPD patients it is very important to assess the activities of daily living (ADL) due to an impairment of independence and quality of life. There is a lack of retrievable data regarding the cardio-pulmonary response to Londrina ADL protocol in patients with COPD. The aim of the present study was to assess the cardio-pulmonary response to Londrina ADL protocol in patients with COPD and to compare this with responses to the Glittre ADL test. Methods: This cross-sectional study was done on 30 COPD subjects. Each subject was made to perform the Londrina ADL protocol, Glittre ADL test, twice each, on subsequent days. The Londrina ADL protocol comprises 5 activities representing ADL, involving upper limbs, lower limbs, and trunk movements. The Glittre ADL test consists of completing a circuit while carrying a weighted backpack (2.5 kg for women, 5.0 kg for men). The better value of the two was taken into consideration. For the Londrina ADL protocol and Glittre ADL test the outcome of primary interest was time and for the six-minute walk test was the distance walked. The secondary outcomes for all the tests were heart rate, systolic blood pressure, diastolic blood pressure, respiratory rate, saturation of oxygen in blood and dyspnea.Results: The COPD subjects of age group 63.27±11.07 years took 5.94±0.36 min to complete trial 2 of the Londrina ADL protocol. A significant physiological increase in heart rate (p≤0.01), respiratory rate (p≤0.01), blood pressure (p≤0.01) and severity of dyspnea (p≤0.01) were observed whereas saturation of oxygen in blood (p≤0.01) was reduced at the end of the Londrina ADL protocol and Glittre ADL test. There was a positive, non-significant correlation between the six-minute walk test distance and the Londrina ADL protocol time (r=0.236) (p=0.209). A positive, not significant correlation was observed between the Glittre ADL test (time) and the Londrina ADL protocol (time) (r=0.194) (p=0.304) and a negative but not significant correlation between the six-minute walk test (distance) and the Glittre ADL test (time) (r= -0.184) (p=0.330).Conclusion: The Londrina ADL protocol can be used as an assessment tool to the evaluation of functional performance and activities of daily living in COPD along with other test protocols in pulmonary rehabilitation.

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Section: Methodsmentioning

confidence: 99%