Correlation Comparison and Personalized Utility of Field Walking Tests in Assessing the Exercise Capacity of Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial
Background: Incremental shuttle walking tests (ISWT) are regarded as valuable alternatives to 6-min walking tests (6MWT) and cardiopulmonary exercise tests (CPET) owing to the maximal and externally paced loading. This study investigated the validity and reliability of ISWT by analyzing the correlat...
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| Format: | Article |
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MDPI AG
2022-05-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/12/6/901 |
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| author | Eun Jae Ko Jang Ho Lee Hyang Yi Lee Seong Ho Lee Hack-Jae Lee Ganghee Chae Sei Won Lee Seung Won Ra |
| author_facet | Eun Jae Ko Jang Ho Lee Hyang Yi Lee Seong Ho Lee Hack-Jae Lee Ganghee Chae Sei Won Lee Seung Won Ra |
| author_sort | Eun Jae Ko |
| collection | DOAJ |
| description | Background: Incremental shuttle walking tests (ISWT) are regarded as valuable alternatives to 6-min walking tests (6MWT) and cardiopulmonary exercise tests (CPET) owing to the maximal and externally paced loading. This study investigated the validity and reliability of ISWT by analyzing the correlation of the distances of two field tests with peak oxygen consumption (VO<sub>2</sub>) of CPET in patients with COPD. Methods: In this randomized controlled trial, patients with COPD were enrolled from two hospitals. Three assessments were performed for all patients. The ISWT and 6MWT were repeated twice in Hospital 1 to assess reliability. Results: A total of 29 patients were enrolled. The distances of ISWT (0.782, <i>p</i> < 0.001) and 6MWT (0.512, <i>p</i> = 0.005) correlated with peak VO<sub>2</sub>. The intraclass correlation coefficients of both ISWT (0.988, <i>p</i> < 0.001) and 6MWT (0.959, <i>p</i> < 0.001) was high. Patients with higher peak VO<sub>2</sub> walked a longer distance in ISWT than 6MWT (<i>r</i> = 0.590, <i>p</i> < 0.001). Conclusions: The ISWT more highly correlates with peak VO<sub>2</sub> than the 6MWT and has excellent reliability in patients with COPD. According to peak VO<sub>2</sub>, the walking distances of each field test varied, suggesting that the application should be personalized for the exercise capacity. |
| first_indexed | 2024-03-09T23:20:53Z |
| format | Article |
| id | doaj.art-cb5aafc3640144fd804b1bad477ab380 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-09T23:20:53Z |
| publishDate | 2022-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-cb5aafc3640144fd804b1bad477ab3802023-11-23T17:27:19ZengMDPI AGJournal of Personalized Medicine2075-44262022-05-0112690110.3390/jpm12060901Correlation Comparison and Personalized Utility of Field Walking Tests in Assessing the Exercise Capacity of Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled TrialEun Jae Ko0Jang Ho Lee1Hyang Yi Lee2Seong Ho Lee3Hack-Jae Lee4Ganghee Chae5Sei Won Lee6Seung Won Ra7Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, KoreaDepartment of Pulmonology and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, KoreaDepartment of Pulmonary Physical Therapy, Asan Medical Center, Seoul 05505, KoreaDepartment of Pulmonary Physical Therapy, Asan Medical Center, Seoul 05505, KoreaDepartment of Pulmonary Rehabilitation, Ulsan University Hospital, Ulsan 44033, KoreaDivision of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 44033, KoreaDepartment of Pulmonology and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, KoreaDivision of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 44033, KoreaBackground: Incremental shuttle walking tests (ISWT) are regarded as valuable alternatives to 6-min walking tests (6MWT) and cardiopulmonary exercise tests (CPET) owing to the maximal and externally paced loading. This study investigated the validity and reliability of ISWT by analyzing the correlation of the distances of two field tests with peak oxygen consumption (VO<sub>2</sub>) of CPET in patients with COPD. Methods: In this randomized controlled trial, patients with COPD were enrolled from two hospitals. Three assessments were performed for all patients. The ISWT and 6MWT were repeated twice in Hospital 1 to assess reliability. Results: A total of 29 patients were enrolled. The distances of ISWT (0.782, <i>p</i> < 0.001) and 6MWT (0.512, <i>p</i> = 0.005) correlated with peak VO<sub>2</sub>. The intraclass correlation coefficients of both ISWT (0.988, <i>p</i> < 0.001) and 6MWT (0.959, <i>p</i> < 0.001) was high. Patients with higher peak VO<sub>2</sub> walked a longer distance in ISWT than 6MWT (<i>r</i> = 0.590, <i>p</i> < 0.001). Conclusions: The ISWT more highly correlates with peak VO<sub>2</sub> than the 6MWT and has excellent reliability in patients with COPD. According to peak VO<sub>2</sub>, the walking distances of each field test varied, suggesting that the application should be personalized for the exercise capacity.https://www.mdpi.com/2075-4426/12/6/9016 min walking testchronic obstructive pulmonary diseaseincremental shuttle walking testvalidity |
| spellingShingle | Eun Jae Ko Jang Ho Lee Hyang Yi Lee Seong Ho Lee Hack-Jae Lee Ganghee Chae Sei Won Lee Seung Won Ra Correlation Comparison and Personalized Utility of Field Walking Tests in Assessing the Exercise Capacity of Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial Journal of Personalized Medicine 6 min walking test chronic obstructive pulmonary disease incremental shuttle walking test validity |
| title | Correlation Comparison and Personalized Utility of Field Walking Tests in Assessing the Exercise Capacity of Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial |
| title_full | Correlation Comparison and Personalized Utility of Field Walking Tests in Assessing the Exercise Capacity of Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial |
| title_fullStr | Correlation Comparison and Personalized Utility of Field Walking Tests in Assessing the Exercise Capacity of Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial |
| title_full_unstemmed | Correlation Comparison and Personalized Utility of Field Walking Tests in Assessing the Exercise Capacity of Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial |
| title_short | Correlation Comparison and Personalized Utility of Field Walking Tests in Assessing the Exercise Capacity of Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial |
| title_sort | correlation comparison and personalized utility of field walking tests in assessing the exercise capacity of patients with chronic obstructive pulmonary disease a randomized controlled trial |
| topic | 6 min walking test chronic obstructive pulmonary disease incremental shuttle walking test validity |
| url | https://www.mdpi.com/2075-4426/12/6/901 |
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