Physiological responses to the Glittre-ADL test in patients with chronic obstructive pulmonary disease

Karloh, Manuela; Karsten, Marlus; Pissaia, Fernanda Vergani; Araújo, Cintia Laura Pereira de; Mayer, Anamaria Fleig

doi:10.2340/16501977-1217

Cited by 56 publications

(51 citation statements)

References 29 publications

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“…It includes activities that require rising from a seated position, activities with lower and upper extremities, as well as walking 8 . Recently, Karloh et al 9 compared the physiological response induced by the Glittre-ADL test with the six-minute walk test in COPD patients and observed that the peak oxygen consumption was approximately 7% higher (p<0.05) in the Glittre-ADL test, while the cardiovascular and ventilatory responses were similar between tests. During the Glittre-ADL test COPD, patients spend 50 to 65% of the test duration on squatting, bending down, standing, and moving objects on and off a shelf, which is often reported as the most exhausting activity of the test 9 .…”

Section: Introductionmentioning

confidence: 99%

“…Recently, Karloh et al 9 compared the physiological response induced by the Glittre-ADL test with the six-minute walk test in COPD patients and observed that the peak oxygen consumption was approximately 7% higher (p<0.05) in the Glittre-ADL test, while the cardiovascular and ventilatory responses were similar between tests. During the Glittre-ADL test COPD, patients spend 50 to 65% of the test duration on squatting, bending down, standing, and moving objects on and off a shelf, which is often reported as the most exhausting activity of the test 9 . Based on this, it is hypothesized that these activities may have a significant influence on the increase in oxygen uptake and ventilatory demand (minute ventilation to maximum voluntary ventilation ratio - VE/MVV) during the Glittre-ADL test in these patients.…”

Section: Introductionmentioning

confidence: 99%

“…Based on this, it is hypothesized that these activities may have a significant influence on the increase in oxygen uptake and ventilatory demand (minute ventilation to maximum voluntary ventilation ratio - VE/MVV) during the Glittre-ADL test in these patients. Even though the physiological responses of the Glittre-ADL test have already been described 9 , the analysis of ventilatory variables has yet to be explored in detail in these patients and compared to healthy individuals. Furthermore, it is unknown how the activities performed with the shelf contribute to the ventilatory adjustments in COPD patients during the Glittre-ADL test.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ventilatory demand and dynamic hyperinflation induced during ADL-based tests in Chronic Obstructive Pulmonary Disease patients

Santos¹,

Gulart²,

Munari³

et al. 2016

Braz. J. Phys. Ther.

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BackgroundAirflow limitation frequently leads to the interruption of activities of daily living (ADL) in patients with Chronic Obstructive Pulmonary Disease (COPD). These patients commonly show absence of ventilatory reserve, reduced inspiratory reserve volume, and dynamic hyperinflation (DH).ObjectiveTo investigate ventilatory response and DH induced by three ADL-based protocols in COPD patients and compare them to healthy subjects.MethodCross-sectional study. COPD group: 23 patients (65±6 years, FEV1 37.2±15.4%pred); control group: 14 healthy subjects (64±4 years) matched for age, sex, and body mass index. Both groups performed all three tests: Glittre-ADL test; an activity test that involved moving objects on a shelf (TSHELF); and a modified shelf protocol isolating activity with upper limbs (TSHELF-M). Ventilatory response and inspiratory capacity were evaluated.ResultsBaseline ventilatory variables were similar between groups (p>0.05). The ventilatory demand increased and the inspiratory capacity decreased significantly at the end of the tests in the COPD group. Ventilatory demand and DH were higher (p<0.05) in the TSHELF than in the TSHELF–M in the COPD group (p<0.05). There were no differences in DH between the three tests in the control group (p>0.05) and ventilatory demand increased at the end of the tests (p<0.05) but to a lower extent than the COPD group.ConclusionThe TSHELF induces similar ventilatory responses to the Glittre-ADL test in COPD patients with higher ventilatory demand and DH. In contrast, the ventilatory response was attenuated in the TSHELF-M, suggesting that squatting and bending down during the Glittre-ADL test could trigger significant ventilatory overload.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Ventilatory demand and dynamic hyperinflation induced during ADL-based tests in Chronic Obstructive Pulmonary Disease patients

Santos¹,

Gulart²,

Munari³

et al. 2016

Braz. J. Phys. Ther.

View full text Add to dashboard Cite

show abstract

“…Just in the activities in front of the shelf, patients spend about 50% of the total test time (21). The lack of reproducibility of RR and DH might be associated with the fact that, in the first test, patients identify the activities that are more difficult and develop ventilation strategies to be able to perform the second test with less dyspnea and fatigue.…”

Section: Discussionmentioning

confidence: 92%

Reproducibility of Ventilatory Parameters, Dynamic Hyperinflation, and Performance in the Glittre-ADL Test in COPD Patients

Santos

Gulart

Munari

et al. 2016

COPD: Journal of Chronic Obstructive Pulmonary Disease

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“…Notably, the Glitter test appears to lead to significantly higher oxygen uptake than the 6MWT in COPD, perhaps as a consequence of involving a greater number of muscle groups [98]. The test was also responsive to PR in COPD [96].…”

Section: Glittre Testmentioning

confidence: 95%

Alternative field exercise tests for people with respiratory conditions

Lee

Harrison

Beauchamp

et al. 2015

Curr Phys Med Rehabil Rep

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Assessment of exercise capacity and physical function is critical in individuals with respiratory conditions. While field walking tests are well-established measures of exercise capacity, alternative options involving walking of a shorter duration, stair or step climbing, and functional activities are also available. This review outlines these alternative tests and their relevant measurement properties, including comparisons with established field walking tests and their clinical applications. The 4-m gait speed and 30-m walking test are walking tests of shorter duration than traditional tests and may be a surrogate marker for exercise capacity. Stair climbing tests require greater body movement against gravity, often imposing a greater workload compared to field walking tests. Functional tests such as sit-to-stand tests provide information related to strength and general functioning. The current measurement properties established, together with the emerging evidence for responsiveness to interventions suggest potential for broader clinical use of these alternative field tests.

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Physiological responses to the Glittre-ADL test in patients with chronic obstructive pulmonary disease

Cited by 56 publications

References 29 publications

Ventilatory demand and dynamic hyperinflation induced during ADL-based tests in Chronic Obstructive Pulmonary Disease patients

Ventilatory demand and dynamic hyperinflation induced during ADL-based tests in Chronic Obstructive Pulmonary Disease patients

Reproducibility of Ventilatory Parameters, Dynamic Hyperinflation, and Performance in the Glittre-ADL Test in COPD Patients

Alternative field exercise tests for people with respiratory conditions

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