Reliability and Responsiveness of Endurance Shuttle Walk Test to Estimate Functional Exercise Capacity in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-analysis

The endurance shuttle walk test (ESWT) is a simple, acceptable, field-based test first established in 1999 to measure endurance exercise capacity in patients with chronic obstructive pulmonary disease (COPD). The aim of this systematic review was to examine the reliability and responsiveness of ESWT...

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Main Authors: Shagufa Amber, Aqsa Mujaddadi, Jamal Ali Moiz
Format: Article
Language:English
Published: Oman Medical Specialty Board 2023-01-01
Series:Oman Medical Journal
Subjects:
Online Access:https://omjournal.org/articleDetails.aspx?coType=1&aId=3320
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author Shagufa Amber
Aqsa Mujaddadi
Jamal Ali Moiz
author_facet Shagufa Amber
Aqsa Mujaddadi
Jamal Ali Moiz
author_sort Shagufa Amber
collection DOAJ
description The endurance shuttle walk test (ESWT) is a simple, acceptable, field-based test first established in 1999 to measure endurance exercise capacity in patients with chronic obstructive pulmonary disease (COPD). The aim of this systematic review was to examine the reliability and responsiveness of ESWT in COPD. Of the 791 articles identified through electronic databases, 17 were included in this review. Qualitative and quantitative analyses were conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses, and as per Consensus-Based Standards for the Selection of Health Status Measurements Instruments, the quality of the studies was graded as low for reliability and moderate for responsiveness. Qualitative analysis indicated inadequate evidence for the reliability of the ESWT in patients with COPD. The meta-analysis found strong evidence that ESWT was responsive to change following pulmonary rehabilitation with an estimated mean difference (ESWT time, seconds) 303.19 s (95% CI: 175.63–430.75; p< 0.001), ambulatory oxygen with a mean difference (ESWT time, seconds) 129.04 s (95% CI: 47.98–210.09; p=0.002), and (ESWT mean distance, meters) 80.71 m (95% CI: 38.66–122.76; p< 0.001). The ESWT was also responsive to bronchodilation with a mean difference of 168.62 m (95% CI: 117.03–220.21; p< 0.001). Our findings suggest the strong potential of ESWT as a responsive test in COPD, but to draw a definitive conclusion regarding the reliability of the ESWT, further research is needed in this population.
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spelling doaj.art-df40d4cafb4a40158ef22f8d19174aa32023-02-15T09:54:01ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042023-01-01381e455e45510.5001/omj.2023.21Reliability and Responsiveness of Endurance Shuttle Walk Test to Estimate Functional Exercise Capacity in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-analysisShagufa Amber0Aqsa Mujaddadi 1Jamal Ali Moiz2Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia (A Central University), New Delhi, IndiaCentre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia (A Central University), New Delhi, IndiaCentre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia (A Central University), New Delhi, IndiaThe endurance shuttle walk test (ESWT) is a simple, acceptable, field-based test first established in 1999 to measure endurance exercise capacity in patients with chronic obstructive pulmonary disease (COPD). The aim of this systematic review was to examine the reliability and responsiveness of ESWT in COPD. Of the 791 articles identified through electronic databases, 17 were included in this review. Qualitative and quantitative analyses were conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses, and as per Consensus-Based Standards for the Selection of Health Status Measurements Instruments, the quality of the studies was graded as low for reliability and moderate for responsiveness. Qualitative analysis indicated inadequate evidence for the reliability of the ESWT in patients with COPD. The meta-analysis found strong evidence that ESWT was responsive to change following pulmonary rehabilitation with an estimated mean difference (ESWT time, seconds) 303.19 s (95% CI: 175.63–430.75; p< 0.001), ambulatory oxygen with a mean difference (ESWT time, seconds) 129.04 s (95% CI: 47.98–210.09; p=0.002), and (ESWT mean distance, meters) 80.71 m (95% CI: 38.66–122.76; p< 0.001). The ESWT was also responsive to bronchodilation with a mean difference of 168.62 m (95% CI: 117.03–220.21; p< 0.001). Our findings suggest the strong potential of ESWT as a responsive test in COPD, but to draw a definitive conclusion regarding the reliability of the ESWT, further research is needed in this population.https://omjournal.org/articleDetails.aspx?coType=1&aId=3320exercise tolerancewalk testpulmonary diseasechronic obstructive
spellingShingle Shagufa Amber
Aqsa Mujaddadi
Jamal Ali Moiz
Reliability and Responsiveness of Endurance Shuttle Walk Test to Estimate Functional Exercise Capacity in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-analysis
Oman Medical Journal
exercise tolerance
walk test
pulmonary disease
chronic obstructive
title Reliability and Responsiveness of Endurance Shuttle Walk Test to Estimate Functional Exercise Capacity in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-analysis
title_full Reliability and Responsiveness of Endurance Shuttle Walk Test to Estimate Functional Exercise Capacity in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-analysis
title_fullStr Reliability and Responsiveness of Endurance Shuttle Walk Test to Estimate Functional Exercise Capacity in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-analysis
title_full_unstemmed Reliability and Responsiveness of Endurance Shuttle Walk Test to Estimate Functional Exercise Capacity in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-analysis
title_short Reliability and Responsiveness of Endurance Shuttle Walk Test to Estimate Functional Exercise Capacity in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-analysis
title_sort reliability and responsiveness of endurance shuttle walk test to estimate functional exercise capacity in patients with chronic obstructive pulmonary disease a systematic review and meta analysis
topic exercise tolerance
walk test
pulmonary disease
chronic obstructive
url https://omjournal.org/articleDetails.aspx?coType=1&aId=3320
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AT aqsamujaddadi reliabilityandresponsivenessofenduranceshuttlewalktesttoestimatefunctionalexercisecapacityinpatientswithchronicobstructivepulmonarydiseaseasystematicreviewandmetaanalysis
AT jamalalimoiz reliabilityandresponsivenessofenduranceshuttlewalktesttoestimatefunctionalexercisecapacityinpatientswithchronicobstructivepulmonarydiseaseasystematicreviewandmetaanalysis