Un test d’escalier dans l’évaluation des patients atteints de BPCO

Villiot-Danger, Estelle

doi:10.1016/s0761-8425(09)74672-8

Cited by 17 publications

(1 citation statement)

References 23 publications

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“…Other clinical tests have been proposed in the literature, such as the stair climbing test, 36 , 37 the sit-to-stand test, 38 and the step test (walking up and down a 20 cm platform for a determined duration). 39 In a population of COPD patients, the performance on the step test is correlated with the performance on CPET, and the distance covered on the 12MWT 40 and the 6MWT.…”

Section: Discussionmentioning

confidence: 99%

Six-minute stepper test: a valid clinical exercise tolerance test for COPD patients

Grosbois¹,

Riquier²,

Chéhère³

et al. 2016

COPD

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IntroductionExercise tolerance testing is an integral part of the pulmonary rehabilitation (PR) management of patients with chronic obstructive pulmonary disease (COPD). The 6-minute stepper test (6MST) is a new, well-tolerated, reproducible exercise test, which can be performed without any spatial constraints.ObjectiveThe aim of this study was to compare the results of the 6MST to those obtained during a 6-minute walk test (6MWT) and cardiopulmonary exercise testing (CPET) in a cohort of COPD patients.MethodsNinety-one COPD patients managed by outpatient PR and assessed by 6MST, 6MWT, and CPET were retrospectively included in this study. Correlations between the number of steps on the 6MST, the distance covered on the 6MWT, oxygen consumption, and power at the ventilatory threshold and at maximum effort during CPET were analyzed before starting PR, and the improvement on the 6MST and 6MWT was compared after PR.ResultsThe number of steps on the 6MST was significantly correlated with the distance covered on the 6MWT (r=0.56; P<0.0001), the power at maximum effort (r=0.46; P<0.0001), and oxygen consumption at maximum effort (r=0.39; P<0.005). Performances on the 6MST and 6MWT were significantly improved after PR (570 vs 488 steps, P=0.001 and 448 vs 406 m, respectively; P<0.0001). Improvements of the 6MST and 6MWT after PR were significantly correlated (r=0.34; P=0.03).ConclusionThe results of this study show that the 6MST is a valid test to evaluate exercise tolerance in COPD patients. The use of this test in clinical practice appears to be particularly relevant for the assessment of patients managed by home PR.

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