4.5 Review

Measurement properties of step tests for exercise capacity in COPD: A systematic review

期刊

CLINICAL REHABILITATION
卷 35, 期 4, 页码 578-588

出版社

SAGE PUBLICATIONS LTD
DOI: 10.1177/0269215520968054

关键词

Step testing; validity; reliability; responsiveness; pulmonary rehabilitation

向作者/读者索取更多资源

The level of evidence for the measurement properties of step tests for assessing exercise capacity in patients with chronic obstructive pulmonary disease is generally low to very low. However, the six-minute stepper test was found to have the highest level of evidence, making it the most appropriate test currently available.
Objective: To determine the level of evidence of the measurement properties (validity, reliability, and responsiveness) and interpretability of the step tests available for assessing the exercise capacity in patients with chronic obstructive pulmonary disease. Data sources: The data sources Web of Science, MEDLINE, PubMed, PEDro, CENTRAL of Cochrane Library, and Scopus were searched up to June 26, 2020. Review methods: Studies of any design that reported results for any measurement property of the step tests for assessing the exercise capacity in COPD patients were selected. One reviewer extracted the data, and two reviewers independently rated the level of evidence by using the Consensus-Based Standards for the Selection of Health Measurements Instruments recommendations. Results: Thirty-one studies were included in the data synthesis. Chester Step Test, Modified Incremental Step Test, two-, three-, four-, and six-Minute Step Test, Paced Step Test, and six-Minute Stepper Test were identified. A step test protocol was also found. The level of evidence of their results for the measurement properties was mostly determined as low to very low. The best level of evidence found was for the six-minute stepper test: high on construct validity (r = 0.56-0.71); and moderate on criterion validity (r = 0.36-0.69), and responsiveness (r = 0.26-0.34). Conclusion: The general level of evidence of the measurement properties of the step tests is low to very low for assessing exercise capacity in patients with chronic obstructive pulmonary disease, which can limit their application in clinical practice. The six-minute Stepper Test is currently the most appropriate step test available.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.5
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据