The Glittre ADL-Test Differentiates COPD Patients with and without Self-Reported Functional Limitation.

Autor: Souza GF; Department of Physiotherapy, Universidade Federal Do Rio Grande Do Norte (UFRN), Natal, Brazil., Sarmento A; Department of Physiotherapy, Universidade Federal Do Rio Grande Do Norte (UFRN), Natal, Brazil., Moreira GL; Pulmonary Rehabilitation Center, Universidade Federal de São Paulo, São Paulo, Brazil., Gazzotti MR; Pulmonary Rehabilitation Center, Universidade Federal de São Paulo, São Paulo, Brazil., Jardim JR; Pulmonary Rehabilitation Center, Universidade Federal de São Paulo, São Paulo, Brazil., Nascimento OA; Pulmonary Rehabilitation Center, Universidade Federal de São Paulo, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: COPD [COPD] 2020 Apr; Vol. 17 (2), pp. 143-149. Date of Electronic Publication: 2020 Jan 31.
DOI: 10.1080/15412555.2020.1716707
Abstrakt: The Glittre ADL-test is based on important and common activities of daily living (ADLs), and it is an useful test to objectively distinguish patients with and without self-reported functional limitations. This study aims to analyze if difficulty to perform ADLs, as self-reported by patients with COPD, would reflect a worse Glittre ADL-test performance. In the first visit, patients were evaluated for clinical and nutritional status, spirometry, maximal cardiopulmonary exercise test on a treadmill. One week later, the patients performed two Glittre ADL-tests. Maximal voluntary ventilation (MVV) and the VE Glittre /MVV, VO 2Glittre /VO 2peak , and HR Glittre /HR peak ratios were calculated to analyze the ventilatory, metabolic, and cardiac reserves. The London Chest Activity of Daily Living (LCADL) scale was only answered after the two Glittre ADL-test were performed. Patients were splited into two subgroups based on the anchor question of the LCADL: those with and those without self-reported ADL limitation. Sixty-two COPD patients were included (65.3 ± 8.6 years, FEV 1 62 ± 22%pred). Those with ADL limitation (39 patients) completed the Glittre ADL-test with a significantly longer time ( p  = 0.002), as well as higher VE Glittre /MVV ( p   =  0.005) and lower oxygen pulse ( p  = 0.021) than those without ADL limitation. The time spent to perform the Glittre ADL-test was significantly associated with total LCADL score ( ρ  = 0.327, p  < 0.05). A cutoff of 253 s was able to distinguish those patients without and with ADL limitation. COPD patients who self-reported ADL limitation according to the LCADL scale took a longer time to perform the Glittre ADL-test with higher VE Glittre /MVV and lower oxygen pulse than those without ADL limitation.
Databáze: MEDLINE
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