Construct Validity and Test–Retest Reliability of a Free Mobile Application to Evaluate Aerobic Capacity and Endurance in Post-COVID-19 Syndrome Patients—A Pilot Study

Introduction: Disability associated with the symptoms of post-COVID-19 syndrome is one of its main features and can have a considerable impact on care and rehabilitation units. This, linked to a decreased aerobic capacity and endurance in post-COVID-19 syndrome patients, increases interest in studyi...

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Main Authors: Roberto Cano-de-la-Cuerda, Carmen Jiménez-Antona, Alberto Melián-Ortiz, Alberto Molero-Sánchez, Ángel Gil-de Miguel, Ángel Lizcano-Álvarez, Valentín Hernández-Barrera, David Varillas-Delgado, Sofía Laguarta-Val
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/1/131
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author Roberto Cano-de-la-Cuerda
Carmen Jiménez-Antona
Alberto Melián-Ortiz
Alberto Molero-Sánchez
Ángel Gil-de Miguel
Ángel Lizcano-Álvarez
Valentín Hernández-Barrera
David Varillas-Delgado
Sofía Laguarta-Val
author_facet Roberto Cano-de-la-Cuerda
Carmen Jiménez-Antona
Alberto Melián-Ortiz
Alberto Molero-Sánchez
Ángel Gil-de Miguel
Ángel Lizcano-Álvarez
Valentín Hernández-Barrera
David Varillas-Delgado
Sofía Laguarta-Val
author_sort Roberto Cano-de-la-Cuerda
collection DOAJ
description Introduction: Disability associated with the symptoms of post-COVID-19 syndrome is one of its main features and can have a considerable impact on care and rehabilitation units. This, linked to a decreased aerobic capacity and endurance in post-COVID-19 syndrome patients, increases interest in studying the potential of mobile applications to assess performance capacity. The purpose of this research was to study how a free mobile application assesses aerobic capacity and endurance and its relationship with aerobic capacity, test-retest reliability, and endurance evaluated by a conventional test, along with fatigue and health-related quality of life. Methods: An observational study was conducted. RUNZI<sup>®</sup>, a free mobile application, was used by mounting a Samsung Galaxy S8 smartphone using a strap on the right forearm while all participants simultaneously performed a 6-Minute Walking Test (6MWT). Construct validity between the 6MWT and the total distance performed evaluated by RUNZI<sup>®</sup> was explored. Additionally, evaluation scales to assess fatigue (MFIS) and health-related quality of life (SF-36) were used to analyze the construct validity of RUNZI<sup>®</sup>. For test–retest reliability of the app, the same instructions about the 6MWT and procedure with the app were given to all participants at two different time periods. Results: A total of 16 post-COVID-19 syndrome patients (15 females and 1 male) completed the procedure. Distance measured with the RUNZI<sup>®</sup> showed an excellent correlation with the 6MWT assessed conventionally (<i>p</i> < 0.0001; r = 0.851). No statistical correlations were found between the distance assessed by the RUNZI<sup>®</sup> app with MFIS and the SF-36. Test–retest reliability was found to be close to statistical significance (<i>p</i> = 0.058) for distance (m) measured by RUNZI<sup>®</sup> with an ICC of 0.482. Conclusions: Instrumental 6MWT assessed by the RUNZI<sup>®</sup> app for the Android<sup>®</sup> operating system showed an excellent correlation with conventional 6MWT, indicating its construct validity in post-COVID-19 syndrome patients. Further, values for the test–retest reliability for the free mobile application were close to statistical significance with a reliability considered poor in an indoor setting.
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spelling doaj.art-20de70c303424acfb8b879ced60ed3752023-11-16T15:41:51ZengMDPI AGJournal of Clinical Medicine2077-03832022-12-0112113110.3390/jcm12010131Construct Validity and Test–Retest Reliability of a Free Mobile Application to Evaluate Aerobic Capacity and Endurance in Post-COVID-19 Syndrome Patients—A Pilot StudyRoberto Cano-de-la-Cuerda0Carmen Jiménez-Antona1Alberto Melián-Ortiz2Alberto Molero-Sánchez3Ángel Gil-de Miguel4Ángel Lizcano-Álvarez5Valentín Hernández-Barrera6David Varillas-Delgado7Sofía Laguarta-Val8Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Universidad Rey Juan Carlos (URJC), Alcorcón, 28922 Madrid, SpainDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Universidad Rey Juan Carlos (URJC), Alcorcón, 28922 Madrid, SpainFaculty of Nursing and Physiotherapy, Universidad Pontificia de Salamanca, 28040 Madrid, SpainDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Universidad Rey Juan Carlos (URJC), Alcorcón, 28922 Madrid, SpainMedical Specialties and Public Health, Faculty of Health Sciences, Universidad Rey Juan Carlos (URJC), Alcorcón, 28922 Madrid, SpainDepartment of Nursing and Stomatology, Faculty of Health Sciences, Universidad Rey Juan Carlos (URJC), Alcorcón, 28922 Madrid, SpainMedical Specialties and Public Health, Faculty of Health Sciences, Universidad Rey Juan Carlos (URJC), Alcorcón, 28922 Madrid, SpainFaculty of Health Sciences, Universidad Francisco de Vitoria (UFV), Pozuelo de Alarcón, 28223 Madrid, SpainDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Universidad Rey Juan Carlos (URJC), Alcorcón, 28922 Madrid, SpainIntroduction: Disability associated with the symptoms of post-COVID-19 syndrome is one of its main features and can have a considerable impact on care and rehabilitation units. This, linked to a decreased aerobic capacity and endurance in post-COVID-19 syndrome patients, increases interest in studying the potential of mobile applications to assess performance capacity. The purpose of this research was to study how a free mobile application assesses aerobic capacity and endurance and its relationship with aerobic capacity, test-retest reliability, and endurance evaluated by a conventional test, along with fatigue and health-related quality of life. Methods: An observational study was conducted. RUNZI<sup>®</sup>, a free mobile application, was used by mounting a Samsung Galaxy S8 smartphone using a strap on the right forearm while all participants simultaneously performed a 6-Minute Walking Test (6MWT). Construct validity between the 6MWT and the total distance performed evaluated by RUNZI<sup>®</sup> was explored. Additionally, evaluation scales to assess fatigue (MFIS) and health-related quality of life (SF-36) were used to analyze the construct validity of RUNZI<sup>®</sup>. For test–retest reliability of the app, the same instructions about the 6MWT and procedure with the app were given to all participants at two different time periods. Results: A total of 16 post-COVID-19 syndrome patients (15 females and 1 male) completed the procedure. Distance measured with the RUNZI<sup>®</sup> showed an excellent correlation with the 6MWT assessed conventionally (<i>p</i> < 0.0001; r = 0.851). No statistical correlations were found between the distance assessed by the RUNZI<sup>®</sup> app with MFIS and the SF-36. Test–retest reliability was found to be close to statistical significance (<i>p</i> = 0.058) for distance (m) measured by RUNZI<sup>®</sup> with an ICC of 0.482. Conclusions: Instrumental 6MWT assessed by the RUNZI<sup>®</sup> app for the Android<sup>®</sup> operating system showed an excellent correlation with conventional 6MWT, indicating its construct validity in post-COVID-19 syndrome patients. Further, values for the test–retest reliability for the free mobile application were close to statistical significance with a reliability considered poor in an indoor setting.https://www.mdpi.com/2077-0383/12/1/131post-COVID-19 syndromemobile applicationsperformance capacityaerobic capacityendurancefatigue
spellingShingle Roberto Cano-de-la-Cuerda
Carmen Jiménez-Antona
Alberto Melián-Ortiz
Alberto Molero-Sánchez
Ángel Gil-de Miguel
Ángel Lizcano-Álvarez
Valentín Hernández-Barrera
David Varillas-Delgado
Sofía Laguarta-Val
Construct Validity and Test–Retest Reliability of a Free Mobile Application to Evaluate Aerobic Capacity and Endurance in Post-COVID-19 Syndrome Patients—A Pilot Study
Journal of Clinical Medicine
post-COVID-19 syndrome
mobile applications
performance capacity
aerobic capacity
endurance
fatigue
title Construct Validity and Test–Retest Reliability of a Free Mobile Application to Evaluate Aerobic Capacity and Endurance in Post-COVID-19 Syndrome Patients—A Pilot Study
title_full Construct Validity and Test–Retest Reliability of a Free Mobile Application to Evaluate Aerobic Capacity and Endurance in Post-COVID-19 Syndrome Patients—A Pilot Study
title_fullStr Construct Validity and Test–Retest Reliability of a Free Mobile Application to Evaluate Aerobic Capacity and Endurance in Post-COVID-19 Syndrome Patients—A Pilot Study
title_full_unstemmed Construct Validity and Test–Retest Reliability of a Free Mobile Application to Evaluate Aerobic Capacity and Endurance in Post-COVID-19 Syndrome Patients—A Pilot Study
title_short Construct Validity and Test–Retest Reliability of a Free Mobile Application to Evaluate Aerobic Capacity and Endurance in Post-COVID-19 Syndrome Patients—A Pilot Study
title_sort construct validity and test retest reliability of a free mobile application to evaluate aerobic capacity and endurance in post covid 19 syndrome patients a pilot study
topic post-COVID-19 syndrome
mobile applications
performance capacity
aerobic capacity
endurance
fatigue
url https://www.mdpi.com/2077-0383/12/1/131
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