Home-based or remote exercise testing in chronic respiratory disease, during the COVID-19 pandemic and beyond: A rapid review
| Autor: | Leona M. Dowman, Gabriella Tikellis, Narelle S Cox, Mariana Hoffman, Aroub Lahham, Angela T Burge, Anne E Holland, Anthony K. May, Marnie Graco, Joanna Y T Lee, Carla Malaguti, Janet Bondarenko |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Lung Diseases 2019-20 coronavirus outbreak medicine.medical_specialty Telemedicine Coronavirus disease 2019 (COVID-19) Exercise test Pneumonia Viral Review Article rehabilitation 03 medical and health sciences Betacoronavirus 0302 clinical medicine Pandemic Medicine Humans 030212 general & internal medicine Intensive care medicine Pandemics biology business.industry SARS-CoV-2 Respiratory disease COVID-19 Reproducibility of Results medicine.disease biology.organism_classification Home based Home Care Services 030228 respiratory system business Coronavirus Infections |
| Zdroj: | Chronic Respiratory Disease |
| ISSN: | 1479-9731 1479-9723 |
| Popis: | Objectives: To identify exercise tests that are suitable for home-based or remote administration in people with chronic lung disease. Methods: Rapid review of studies that reported home-based or remote administration of an exercise test in people with chronic lung disease, and studies reporting their clinimetric (measurement) properties. Results: 84 studies were included. Tests used at home were the 6-minute walk test (6MWT, two studies), sit-to-stand tests (STS, five studies), Timed Up and Go (TUG, 4 studies) and step tests (two studies). Exercise tests administered remotely were the 6MWT (two studies) and step test (one study). Compared to centre-based testing the 6MWT distance was similar when performed outdoors but shorter when performed at home (two studies). The STS, TUG and step tests were feasible, reliable (intra-class correlation coefficients >0.80), valid (concurrent and known groups validity) and moderately responsive to pulmonary rehabilitation (medium effect sizes). These tests elicited less desaturation than the 6MWT, and validated methods to prescribe exercise were not reported. Discussion: The STS, step and TUG tests can be performed at home, but do not accurately document desaturation with walking or allow exercise prescription. Patients at risk of desaturation should be prioritised for centre-based exercise testing when this is available. |
| Databáze: | OpenAIRE |
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