Can the Glittre ADL test differentiate the functional capacity of COPD patients from that of healthy subjects?

Corrêa, Krislainy S.; Karloh, Manuela; Martins, Letícia Q.; Santos, Karoliny dos; Mayer, Anamaria Fleig

doi:10.1590/s1413-35552011005000034

Cited by 66 publications

(66 citation statements)

References 34 publications

(50 reference statements)

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“…The time spent by patients with COPD to perform the GT was 60% greater than that in a control group 21 , which is similar to the percentage (64%) difference found in our study when comparing the CAP and control groups. It is interesting to note that our patients with CAP had similar times for performing the GT compared with patients with COPD in this other study 16 (272.8 sec and 280.2 sec, respectively).…”

Section: Discussionsupporting

confidence: 89%

“…It has been demonstrated that GT performance time in patients with COPD is longer in comparison with a control group 21 . The time spent by patients with COPD to perform the GT was 60% greater than that in a control group 21 , which is similar to the percentage (64%) difference found in our study when comparing the CAP and control groups.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, the authors suggested that the GT yields information complementary to the 6MWT 16 . This seems reasonable because the 6MWT uses only the act of walking, which is not representative of the metabolic expenditure and dyspnea induced by the different ADL provided by the GT 21 . Based on these considerations, it is possible that the GT is more suitable for the FC evaluation in patients hospitalized for CAP.…”

Section: Discussionmentioning

confidence: 99%

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Patients hospitalized for community-acquired pneumonia present reduced functional performance

José¹,

Corso²

2013

Braz. J. Phys. Ther.

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| Background: Symptoms of fatigue and dyspnea, treatment with oral corticosteroids, high circulating levels of cytokines, and oxidant/antioxidant imbalance in patients hospitalized with community-acquired pneumonia (CAP) could affect the patients' exercise tolerance and peripheral muscle strength (PMS). Objective: To evaluate the functional capacity (FC) of patients hospitalized for CAP and to correlate the FC with length of hospital stay. Method: We prospectively evaluated 45 patients (49±16 years; CAP group) and 20 healthy subjects (53±17 years; control group). They were randomized to perform, on separate days, a 6-minute walk test (6MWT), a test of PMS, and the Glittre test (GT). Additionally, the SF-36 questionnaire and the MRC scale were completed and evaluated. Results: There were significant differences between the groups (CAP and controls) for the 6MWT (381.3±108 vs. 587.1±86.8 m) and GT (272.8±104.3 vs. 174±39 sec). The CAP group also presented worse health-related quality of life (HRQoL) scores, reduced strength (quadriceps and biceps), and higher scores of dyspnea. The time required to perform the GT correlated with the length of hospital stay (r=0.35, P=0.02) and dyspnea (r=0.36, P=0.02). Significant correlations were observed between GT and 6MWT (r=-0.66, P=0.0001) and between GT with the physical functioning domain of SF-36 (r=-0.51, P=0.0001). Conclusions:Patients hospitalized for CAP presented with reduced FC, PMS, and HRQoL during hospitalization. In addition, GT performance was related to the length of hospital stay.Keywords: pneumonia; physical therapy; exercise tolerance; quality of life; muscle strength. HOW TO CITE THIS ARTICLE

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Patients hospitalized for community-acquired pneumonia present reduced functional performance

José¹,

Corso²

2013

Braz. J. Phys. Ther.

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“…Clinical trials aimed at evaluating functional capacity usually consist of reproducing the common daily activities of these patients by imposing a constant or incremental load. The six-minute walking test (6MWT), the Glittre ADL test (TGlittre) and the shuttle test (TShuttle) reflect the functional limits and exercise limits in patients with COPD 2,[5][6][7] . However, these tests require a large space, making clinical practice difficult.…”

Section: Introductionmentioning

confidence: 99%

Chester step test: assessment of functional capacity and magnitude of cardiorespiratory response in patients with COPD and healthy subjects

Karloh¹,

Corrêa²,

Martins³

et al. 2013

Braz. J. Phys. Ther.

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| Background: the assessment of functional capacity in patients with chronic obstructive pulmonary disease (COPD) has been performed by simple and easy to apply methods that mimic everyday activities, such as the Chester step test (TChester). Objectives: to investigate whether TChester is able to differentiate functional capacity and the magnitude of cardiorespiratory response of patients with COPD from healthy subjects; and to compare it with the cardiorespiratory response induced by shuttle test (TShuttle) and six-minute walk test (6MWT). Method: 10 patients with COPD (64±10 years, and forced expiratory volume at the first second -FEV1 38.1±11.8% predicted) and 10 healthy subjects (63±7 years, and FEV1 of 95.8±18.0% predicted) underwent evaluation of pulmonary function, functional status and capacity (6MWT, TShuttle and TChester). Results: COPD patients had worst performance in all tests, when compared to healthy subjects (TChester 2,1±0,9 vs. 4,1±1,1 completed levels; TC6min: 435±105,1 vs. 593±87,3 m; TShuttle 251±84,6 vs. 436±55,4 m; p<0.05). TChester correlated with TShuttle and 6MWT (r =0.67 and 0.83, respectively, p<0.05). There were no differences in heart rate and dyspnea in TChester levels between groups (p>0.05). SpO2 was lower in COPD patients since the first TChester level (p<0.05). Conclusion: TChester is valid in the assessment of functional capacity of COPD patients, being able to distinguish them from healthy subjects, inducing similar cardiovascular demand and greater desaturation in COPD patients.Keywords: rehabilitation; evaluation; functional capacity; exercise tolerance; chronic obstructive pulmonary disease. HOW TO CITE THIS ARTICLE

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“…The TGlittre mimics several real-life situations with a set of usual activities performed in daily life that are troublesome for patients with COPD, including walking. This could reflect more faithfully the limitations experienced by these patients in their day-to-day (15), (22). It was found correlation between the total score of LCADL with the domain 'activity' of the SGRQ.…”

Section: Discussionmentioning

confidence: 74%

Relationship between the functional status constructs and quality of life in COPD

et al. 2014

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Introduction: Functional status is an important component of health related quality of life (QOL) in patients with chronic obstructive pulmonary disease (COPD). However there is a lack of studies aiming to evaluate the association between QOL and the different methods for assessing patient´s limitation to perform ADL. Objectives: To investigate the association between QOL and functional status, measured by four different instruments: London Chest Activity of Daily Living scale (LCADL), six-minute walking test (6MWT), Glittre ADL-test (TGlittre) and assessment of physical activities in daily living (PADL). Methods: Twenty-three patients with COPD, GOLD 2 to 4, were submitted to the following evaluations: spirometry, the Saint George Respiratory Questionnaire (SGRQ), LCADL, 6MWT, TGlittre and assessment of PADL. Pearson or Spearman correlation coefficients were used to verify the association between the variables. Results: It was observed correlation between all domains of the SGRQ and the 6MWT, between TGlittre and 'leisure' domain of LCADL; and between the domain 'activity' of the SGRQ with the total score of LCADL (r = 0.53), LCADL% (r =

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Can the Glittre ADL test differentiate the functional capacity of COPD patients from that of healthy subjects?

Cited by 66 publications

References 34 publications

Patients hospitalized for community-acquired pneumonia present reduced functional performance

Patients hospitalized for community-acquired pneumonia present reduced functional performance

Chester step test: assessment of functional capacity and magnitude of cardiorespiratory response in patients with COPD and healthy subjects

Relationship between the functional status constructs and quality of life in COPD

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