An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease

被引:1753
作者
Holland, Anne E. [1 ,2 ,3 ]
Spruit, Martijn A. [4 ,5 ]
Troosters, Thierry [6 ]
Puhan, Milo A. [7 ]
Pepin, Veronique [8 ,9 ]
Saey, Didier [10 ,11 ]
McCormack, Meredith C. [12 ]
Carlin, Brian W. [13 ,14 ]
Sciurba, Frank C. [15 ]
Pitta, Fabio [16 ]
Wanger, Jack [17 ]
MacIntyre, Neil [18 ]
Kaminsky, David A. [19 ]
Culver, Bruce H. [20 ]
Revill, Susan M. [21 ]
Hernandes, Nidia A. [16 ]
Andrianopoulos, Vasileios [4 ]
Camillo, Carlos Augusto [6 ]
Mitchell, Katy E. [22 ]
Lee, Annemarie L. [2 ]
Hill, Catherine J. [3 ,23 ]
Singh, Sally J. [22 ]
机构
[1] La Trobe Univ, Dept Physiotherapy, Melbourne, Vic, Australia
[2] Alfred Hlth, Dept Physiotherapy, Melbourne, Vic, Australia
[3] Austin Hlth, Inst Breathing & Sleep, Melbourne, Vic, Australia
[4] CIRO Ctr Expertise Chron Organ Failure, Dept Res & Educ, Horn, Netherlands
[5] Hasselt Univ, Fac Med & Life Sci, BIOMED Biomed Res Inst, REVAL Rehabil Res Ctr, Diepenbeek, Belgium
[6] Katholieke Univ Leuven, Dept Rehabil Sci, Fac Kinesiol & Rehabil Sci, Leuven, Belgium
[7] Univ Zurich, Inst Social & Prevent Med, CH-8006 Zurich, Switzerland
[8] Hop Sacre Coeur, Ctr Rech, Montreal, PQ H4J 1C5, Canada
[9] Concordia Univ, Fac Arts & Sci, Dept Exercise Sci, Montreal, PQ, Canada
[10] Inst Univ Cardiol & Pneumol Quebec, Ctr Rech, Quebec City, PQ, Canada
[11] Univ Laval, Fac Med, Quebec City, PQ, Canada
[12] Johns Hopkins Univ, Baltimore, MD USA
[13] Drexel Univ, Sch Med, Pittsburgh, PA USA
[14] Sleep Med & Lung Hlth Consultants, Pittsburgh, PA USA
[15] Univ Pittsburgh, Sch Med, Pittsburgh, PA USA
[16] Univ Estadual Londrina, Lab Res Resp Physiotherapy, Dept Physiotherapy, Londrina, Brazil
[17] ATS Proficiency Stand Pulm Funct Labs Comm, Rochester, MN USA
[18] Duke Univ, Durham, NC USA
[19] Univ Vermont, Coll Med, Burlington, VT USA
[20] Univ Washington, Seattle, WA 98195 USA
[21] Clin Diagnostix Ltd, Derby, England
[22] Univ Hosp Leicester NHS Trust, Ctr Exercise & Rehabil Sci, Leicester, Leics, England
[23] Austin Hlth, Dept Physiotherapy, Melbourne, Vic, Australia
关键词
OBSTRUCTIVE PULMONARY-DISEASE; DISTANCE-SATURATION PRODUCT; ENDURANCE SHUTTLE WALK; HEART-RATE RECOVERY; DETECTING OXYGEN DESATURATION; FUNCTIONAL EXERCISE CAPACITY; MINIMAL IMPORTANT DIFFERENCE; INCREMENTAL CYCLE ERGOMETRY; SUPPLEMENTAL OXYGEN; OXYHEMOGLOBIN SATURATION;
D O I
10.1183/09031936.00150314
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Field walking tests are commonly employed to evaluate exercise capacity, assess prognosis and evaluate treatment response in chronic respiratory diseases. In recent years, there has been a wealth of new literature pertinent to the conduct of the 6-min walk test (6MWT), and a growing evidence base describing the incremental and endurance shuttle walk tests (ISWT and ESWT, respectively). The aim of this document is to describe the standard operating procedures for the 6MWT, ISWT and ESWT, which can be consistently employed by clinicians and researchers. The Technical Standard was developed by a multidisciplinary and international group of clinicians and researchers with expertise in the application of field walking tests. The procedures are underpinned by a concurrent systematic review of literature relevant to measurement properties and test conduct in adults with chronic respiratory disease. Current data confirm that the 6MWT, ISWT and ESWT are valid, reliable and responsive to change with some interventions. However, results are sensitive to small changes in methodology. It is important that two tests are conducted for the 6MWT and ISWT. This Technical Standard for field walking tests reflects current evidence regarding procedures that should be used to achieve robust results.
引用
收藏
页码:1428 / 1446
页数:19
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