The Glittre Activities of Daily Living Test in women with scleroderma and its relation to hand function and physical capacity

Nonato, Carolina Pontes; Azevedo, Beatriz Luiza Pinheiro Alves; Oliveira, Jéssica Gabriela Messias; Gardel, Damara Guedes; Souza, Dayana Cristina Neiva de; Lopes, Agnaldo José

doi:10.1016/j.clinbiomech.2020.01.008

Cited by 13 publications

(9 citation statements)

References 43 publications

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“…We observed that women with RA required more than twice the time expected to complete it when the data were compared to the values predicted for healthy Brazilian women ( 30 ). The median (interquartile range) GA-T time was also substantially higher than that observed in women with systemic sclerosis (SSc, 360 s vs 253 s) recently published in a study by Nonato et al ( 29 ), suggesting that RA may have a more negative impact on the organ systems required to complete the GA-T activities than SSc. In fact, in addition to affecting the joints of the hands and wrists, arthritis in the feet is common in RA, and approximately 80% of individuals with RA report foot problems ( 16 ).…”

Section: Discussionmentioning

confidence: 49%

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Predictors of functional capacity as measured by the Glittre activities of daily living test in women with rheumatoid arthritis

Palugan

Assis

Bessa

et al. 2021

Braz J Med Biol Res

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Although pulmonary involvement is the most common extra-articular manifestation of rheumatoid arthritis (RA), traditional pulmonary function tests (PFTs) do not show a good correlation with the field tests usually performed in these patients. In recent decades, measurement of ventilation distribution heterogeneity through the nitrogen single-breath washout (N 2 SBW) test and evaluation of functional capacity during exercise using the Glittre activities of daily living test (GA-T) have been increasingly used. Therefore, the objective of this study was to evaluate predictors of GA-T outcomes in women with RA considering demographic, anthropometric, clinical, functional variables, and chest computed tomography (CT) findings. Forty-three women with RA underwent the GA-T, the N 2 SBW test, spirometry, measurement of the diffusing capacity for carbon monoxide (DLco), measurement of respiratory muscle strength, and evaluation of physical function of the lower and upper limbs through the Health Assessment Questionnaire Disability Index (HAQ-DI). Chest CT scans were analyzed retrospectively. The GA-T time showed significant correlations with the DLco (r s =-0.397, P=0.008), forced vital capacity/DLco (r s =0.307, P=0.044), phase III slope of the N 2 SBW test (SIIIN 2 , r s =0.644, P<0.0001), and the HAQ-DI (r s =0.482, P=0.001). Disease extent as assessed by chest CT was associated with the GA-T time. On multiple regression analysis, the SIIIN 2 and HAQ-DI were the only predictors of the GA-T time, explaining 40% of its variability. Thus, ventilation distribution heterogeneity and worse physical function substantially explain the variability in GA-T time in women with RA and varying extents of disease on chest CT.

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Section: Discussionmentioning

confidence: 49%

“…The participant then walked back the route that she came; immediately after, another lap was started, with the exact same circuit. The protocol was performed twice, at an interval of 30 min, and the shortest GA-T time was used for analysis ( 29 , 30 ).…”

Section: Methodsmentioning

confidence: 99%

Predictors of functional capacity as measured by the Glittre activities of daily living test in women with rheumatoid arthritis

Palugan

Assis

Bessa

et al. 2021

Braz J Med Biol Res

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“…Handgrip strength (HGS) was expressed in kilograms and measured using a handheld digital dynamometer (SH5001, Saehan Corporation, Korea). HGS was assessed with participants seated in an armless chair, elbows flexed at 90°, forearms in a neutral position, and wrist extension between 0° and 30° ( Nonato et al, 2020 ). Maximum strength was assessed after a 3-s sustained contraction with the dominant hand; the highest value of three attempts (with a 1-min interval between them) was considered for analysis.…”

Section: Methodsmentioning

confidence: 99%

The Glittre-ADL test in non-hospitalized patients with post-COVID-19 syndrome and its relationship with muscle strength and lung function

Oliveira

Gardel²,

Ghetti³

et al. 2022

Clinical Biomechanics

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“…Before the beginning of the test, a metabolic gas analyser was coupled to the patient to measure the ventilatory variables through telemetry (VO2000, ErgoMET 13 software, MedGraphics, Brazil). Immediately before and after the test, the Borg Rating of Perceived Exertion (RPE) scale (fatigue and dyspnoea) was used, and pulse oximetry, blood pressure, and peripheral oxygen saturation were measured [9,10]. The VO 2peak value considered for analysis was the value at the end of the test, while the VE/ VCO 2 slope value was the mean of all values obtained during GA-T.…”

Section: Methodsmentioning

confidence: 99%

Association between ventilatory efficiency, oxygen uptake, and Glittre-ADL test results in patients with chronic heart failure: a preliminary study

et al. 2021

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Objective The Glittre-ADL test (GA-T) is a functional capacity test that stands out for encompassing multiple tasks similar to activities of daily living. As ventilatory efficiency is one of the variables valued in the prognosis of chronic heart failure (CHF), this study aimed to evaluate associations between functional capacity and ventilatory variables in patients with CHF during the GA-T. Results Eight patients with CHF and New York Heart Association (NYHA) functional classification II–III underwent the GA-T coupled with metabolic gas analysis to obtain data by means of telemetry. The median total GA-T time was 00:04:39 (00:03:29–00:05:53). Borg dyspnoea scale scores before and after the GA-T were 2 (0–9) and 3 (1–10), respectively (P = 0.011). The relationship between the regression slope relating minute ventilation to carbon dioxide output (VE/VCO2 slope) was correlated with the total GA-T time (rs = 0.714, P = 0.047) and Borg dyspnoea score (rs = 0.761, P = 0.028). The other ventilatory variables showed no significant correlations. Our results suggest that the total GA-T time can be applied to estimate the ventilatory efficiency of patients with CHF. Future studies may use the GA-T in conjunction with other functional capacity tests to guide the treatment plan and evaluate the prognosis.

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The Glittre Activities of Daily Living Test in women with scleroderma and its relation to hand function and physical capacity

Cited by 13 publications

References 43 publications

Predictors of functional capacity as measured by the Glittre activities of daily living test in women with rheumatoid arthritis

Predictors of functional capacity as measured by the Glittre activities of daily living test in women with rheumatoid arthritis

The Glittre-ADL test in non-hospitalized patients with post-COVID-19 syndrome and its relationship with muscle strength and lung function

Association between ventilatory efficiency, oxygen uptake, and Glittre-ADL test results in patients with chronic heart failure: a preliminary study

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