Functional Capacity Incorporating Dynamic Ventilation in Systemic Sclerosis: Agreement Analysis Between Performance on the 6-Minute Walk Test and Glittre–ADL Test.

Background: Functional capacity at submaximal exercise levels has become more popular as an outcome measure in systemic sclerosis (SSc). However, it is necessary to know the ventilatory requirements of the different field tests. Objectives: To verify the agreement of the ventilatory dynamics measure...

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Publicado en:Journal of Back & Musculoskeletal Rehabilitation Vol. 38; no. 2; pp. 294 - 304
Autores principales: Reis, Filipe da Silva, Reis, Luis Felipe da Fonseca, Ferreira, Isabelle da Nobrega, Farias, Iasmim de Oliveira, Pessoa, Laura Franco, Costa, Lohana Resende da, Olímpio Júnior, Hebert, Ferreira, Arthur de Sá, Lopes, Agnaldo José
Formato: pictorial research tables/charts Journal Article
Publicado: Sage Publications Inc. Mar2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2025
      vid: 38
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Functional Capacity Incorporating Dynamic Ventilation in Systemic Sclerosis: Agreement Analysis Between Performance on the 6-Minute Walk Test and Glittre–ADL Test.
      aug:
        au:
          Reis, Filipe da Silva
          Reis, Luis Felipe da Fonseca
          Ferreira, Isabelle da Nobrega
          Farias, Iasmim de Oliveira
          Pessoa, Laura Franco
          Costa, Lohana Resende da
          Olímpio Júnior, Hebert
          Ferreira, Arthur de Sá
          Lopes, Agnaldo José
        affil: Rehabilitation Sciences Post-Graduation Programme, Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil
      sug:
        subj:
          Functional Status
          Scleroderma, Systemic Rehabilitation
          Exercise Intensity
          Exercise Test, Cardiopulmonary
          Activities of Daily Living Evaluation
          Physical Performance Evaluation
          Functional Assessment Methods
          Human
          Funding Source
          Brazil
          Male
          Female
          Adult
          Middle Age
          Retrospective Design
          Record Review
          Cross Sectional Studies
          Respiration, Artificial
          Questionnaires
          Clinical Assessment Tools
          Descriptive Statistics
          Oxygen Saturation
          Aerobic Capacity
          Heart Rate
          Vital Capacity
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Functional capacity at submaximal exercise levels has become more popular as an outcome measure in systemic sclerosis (SSc). However, it is necessary to know the ventilatory requirements of the different field tests. Objectives: To verify the agreement of the ventilatory dynamics measured at submaximal exercise between the the Glittre-ADL test (TGlittre) and the 6-min walk test (6MWT) and, secondarily, to evaluate the correlations of these measurements with clinical and functional variables in women with SSc (wwSSc). Methods: This was a cross-sectional study in which 30 wwSSc underwent the 6MWT and TGlittre while hooked to a device reading their ventilatory demand. Physical function was assessed on the Health Assessment Questionnaire Disability Index (HAQ-DI), and lung function was assessed by spirometry. Results: The median 6-min walking distance (6MWD) was 344 (282–410) metres, and 25 (83.3%) participants did not reach 80% of the predicted distance. The median TGlittre time was 147 (107–188) seconds, and 18 (60%) participants exceeded 120% of the predicted time. There was agreement between the two tests on the following variables: heart rate (ICC = 0.883, P < 0.0001), breathing reserve (ICC = 0.816, P < 0.0001), peripheral oxygen saturation (ICC = 0.752, P = 0.0009), inspiratory capacity (ICC = 0.690, P < 0.0001), and peak minute ventilation (ICC = 0.433, P = 0.007). There was a weak correlation between 6MWD and TGlittre time (rs=–0.353, P = 0.05). 6MWD correlated significantly with the HAQ-DI score (rs=–0.606, P = 0.0004) and forced vital capacity (FVC, rs = 0.427, P = 0.018). TGlittre time correlated significantly with HAQ-DI (rs = 0.440, P = 0.015) and FVC (rs=–0.404, P = 0.026). Conclusion: In wwSSc, the 6MWT and TGlittre have almost the same ventilatory requirements, although these patients perform worse in the 6MWT. 6MWD and TGlittre time are weakly correlated. Both 6MWD and TGlittre time are associated with physical function and lung function. Therefore, both tests should be used in clinical practice for the monitoring of these patients as they are complementary.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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