Reproducibility of Cadence-Free 6-Minute Step Test in Subjects with COPD.

BACKGROUND: Six-minute step test (6MST) has been used to assess functional capacity in chronic conditions; however, its reproducibility in the COPD population has not been evaluated. Our study objective was to evaluate 6MST reproducibility. METHODS: The test was performed in a single 20-cm height st...

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Publicado en:Respiratory Care Vol. 59; no. 4; pp. 538 - 543
Autores principales: da Costa, Joyce N. F., Arcuri, Juliano F., Gonçalves, Ivana L., Davi, Simone F., Pessoa, Bruna V., Jamami, Mauricio, Di Lorenzo, Valéria A. P.
Formato: research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Apr2014
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Reproducibility of Cadence-Free 6-Minute Step Test in Subjects with COPD.
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        au:
          da Costa, Joyce N. F.
          Arcuri, Juliano F.
          Gonçalves, Ivana L.
          Davi, Simone F.
          Pessoa, Bruna V.
          Jamami, Mauricio
          Di Lorenzo, Valéria A. P.
        affil: Universidade Federal de São Carlos, São Carlos, São Paulo, Brazil
      sug:
        subj:
          Pulmonary Disease, Chronic Obstructive
          Functional Assessment Methods
          Step Evaluation
          Reproducibility of Results
          Exercise Test, Cardiopulmonary
          Human
          Funding Source
          Aged
          Middle Age
          Clinical Assessment Tools
          Intrarater Reliability
          Interrater Reliability
          Intraclass Correlation Coefficient
          Descriptive Statistics
          Analysis of Variance
          Female
          Male
          Null Hypothesis
          Confidence Intervals
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: BACKGROUND: Six-minute step test (6MST) has been used to assess functional capacity in chronic conditions; however, its reproducibility in the COPD population has not been evaluated. Our study objective was to evaluate 6MST reproducibility. METHODS: The test was performed in a single 20-cm height step, and subjects were instructed to step up and down (cadence-free) for 6 min. Subjects underwent three tests. The first and second were controlled by the same assessor with a 30-min interval. The third test was controlled by a different assessor one week later. For intra-rater comparison, the first and second performances of the test were used, and for inter-assessor comparison, the better performance of the first two tests was compared with the third test. RESULTS: Excellent intra-rater and inter-rater relative reproducibility was observed (intraclass correlation coefficient > 0.8), and there was no statistical difference (repeated measures of analysis of variance) among the performances of the three tests. Intra-rater error values were acceptable (mean error of 5.7 steps and limits of agreement between -7 and 18 steps). Inter-rater error values were not acceptable (mean error of 4.4 steps and limits of agreement between -20 and 29 steps. CONCLUSIONS: 6MST proved to be reproducible in the COPD population when performed by the same assessor.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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