Short Physical Performance Battery: Response to Pulmonary Rehabilitation and Minimal Important Difference Estimates in Patients With Chronic Obstructive Pulmonary Disease
| Autor: | Peter Klijn, Anouk A.F. Stoffels, Maurice J.H. Sillen, Frits M.E. Franssen, Chris Burtin, Martijn A. Spruit, Jana De Brandt, Anouk W. Vaes, Hieronymus W. H. van Hees, Daisy J.A. Janssen, Roy Meys, Bram van den Borst |
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| Přispěvatelé: | Pulmonologie, RS: NUTRIM - R3 - Respiratory & Age-related Health, RS: CAPHRI - R1 - Ageing and Long-Term Care, Health Services Research |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Respiratory Therapy Intraclass correlation medicine.medical_treatment Short Physical Performance Battery Minimal Clinically Important Difference Pulmonary disease Physical Therapy Sports Therapy and Rehabilitation Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] RESPONSIVENESS Pulmonary Disease Chronic Obstructive All institutes and research themes of the Radboud University Medical Center Interquartile range Physical functional performance Outcome Assessment Health Care medicine Humans COPD Pulmonary rehabilitation Balance (ability) Aged Netherlands Retrospective Studies CLINICALLY IMPORTANT DIFFERENCE Rehabilitation chronic obstructive business.industry DISABILITY Middle Aged medicine.disease Disorders of movement Donders Center for Medical Neuroscience [Radboudumc 3] LOWER-EXTREMITY FUNCTION Minimal important difference TESTS Physical therapy Exercise Test Female business human activities |
| Zdroj: | Archives of Physical Medicine and Rehabilitation, 102(12), 2377-2384.e5. W B Saunders Co-Elsevier Inc Archives of Physical Medicine and Rehabilitation, 102, 12, pp. 2377-2384 Archives of Physical Medicine and Rehabilitation, 102, 2377-2384 |
| ISSN: | 0003-9993 |
| Popis: | Objective To determine the response to a pulmonary rehabilitation (PR) program and minimal important differences (MIDs) for the Short Physical Performance Battery (SPPB) subtests and SPPB summary score in patients with chronic obstructive pulmonary disease (COPD). Design Retrospective analysis using distribution- and anchor-based methods. Setting PR center in the Netherlands including a comprehensive 40-session 8-week inpatient or 14-week outpatient program. Participants A total of 632 patients with COPD (age, 65±8y; 50% male; forced expiratory volume in the first second=43% [interquartile range, 30%-60%] predicted). Interventions Not applicable. Main Outcome Measure Baseline and post-PR results of the SPPB, consisting of 3 balance standing tests, 4-meter gait speed (4MGS), and 5-repetition sit-to-stand (5STS). The chosen anchors were the 6-Minute Walk Test and COPD Assessment Test. Patients were stratified according to their SPPB summary scores into low-performance, moderate-performance, and high-performance groups. Results 5STS (∆=−1.14 [−4.20 to −0.93]s) and SPPB summary score (∆=1 [0-2] points) improved after PR in patients with COPD. In patients with a low performance at baseline, balance tandem and 4MGS significantly increased as well. Based on distribution-based calculations, the MID estimates ranged between 2.19 and 6.33 seconds for 5STS and 0.83 to 0.96 points for SPPB summary score. Conclusions The 5STS and SPPB summary score are both responsive to PR in patients with COPD. The balance tandem test and 4MGS are only responsive to PR in patients with COPD with a low performance at baseline. Based on distribution-based calculations, an MID estimate of 1 point for the SPPB summary score is recommended in patients with COPD. Future research is needed to confirm MID estimates for SPPB in different centers. |
| Databáze: | OpenAIRE |
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