Putting fitness to the test: clinical application of the Fitkids Treadmill Test in youth with chronic pain

Intensive interdisciplinary pain treatment for children and adolescents with chronic noncancer pain: a preregistered systematic review and individual patient data meta-analysis

“…Disagreements between these 2 raters (10.2%) were resolved by an expert (J.W.). This procedure led to the addition of 35 articles 6,10,11,19,21,24,27,29,39,40,44,52,55,65,[67][68][69]73,81,90,92,99,101,102,104,106,109,112,113,115,119,120,122,141,144 to the 16 previously identified articles to the description of published treatments. In sum, 51 individual articles were included in the description of treatment programs.…”

The effect domains, measures, and methods reported in pediatric‐specialized multidisciplinary outpatient rehabilitation programs: An integrated review

“…As many adolescents who experience chronic pain have a global sense of impairment, 57,79 a comprehensive conceptual model of physical functioning, which includes input from youth with a pain‐related disability should be developed 80 . Adequate evaluation of physical functioning should consider youth perceived disability, using specific patient‐reported instruments (eg, PROMIS pain interference), while also incorporating observational measures to evaluate their capacity in a standard setting (eg, actigraphy, 6‐minute walk test) and their physiological functioning (eg, symptom‐limited Bruce protocol or FitKids Treadmill Test) 57,71,81‐83 . Recently, an inclusive battery of measures to track various aspects of physical function involving the lower extremity in youth with chronic pain was proposed 82 .…”

“…80 Adequate evaluation of physical functioning should consider youth perceived disability, using specific patient-reported instruments (eg, PROMIS pain interference), while also incorporating observational measures to evaluate their capacity in a standard setting (eg, actigraphy, 6-minute walk test) and their physiological functioning (eg, symptom-limited Bruce protocol or FitKids Treadmill Test). 57,71,[81][82][83] Recently, an inclusive battery of measures to track various aspects of physical function involving the lower extremity in youth with chronic pain was proposed. 82 This multifaceted assessment approach may assist clinicians in delineating the various aspects of the disabling process in chronic pain conditions, leading to more targeted interventions to address these specific factors.…”