Physiological Responses During Field Walking Tests in Adults with Bronchiectasis.


Journal

Respiratory care
ISSN: 1943-3654
Titre abrégé: Respir Care
Pays: United States
ID NLM: 7510357

Informations de publication

Date de publication:
May 2020
Historique:
pubmed: 30 1 2020
medline: 29 1 2021
entrez: 30 1 2020
Statut: ppublish

Résumé

Field walking tests are commonly used in patients with chronic pulmonary diseases for assessment of functional capacity. However, the physiological demands and magnitude of desaturation on 6-min walk test (6MWT), incremental shuttle walk test (ISWT), and endurance shuttle walk test (ESWT) have not been investigated in patients with bronchiectasis. The objective of this study was to compare the physiological responses and the magnitude of desaturation of subjects with bronchiectasis when performing the 6MWT, ISWT, and ESWT. Thirty-two subjects underwent the 6MWT, ISWT, and ESWT on 3 different days. Pulmonary gas exchange, heart rate, and [Formula: see text] were measured in all tests. There were no differences in the peak rate of oxygen uptake, ventilation, dyspnea, and leg fatigue between the tests. Equivalent cardiac demand (ie, heart rate at peak) was observed with the 6MWT (137 ± 21 beats/min) and the ESWT (142 ± 21 beats/min), but this was lower in the ISWT (135 ± 19 beats/min) compared to ESWT ( The 6MWT, ISWT, and ESWT induced similar physiological responses at the peak of exercise, eliciting a vigorous exercise intensity. The magnitude of desaturation was similar across tests. This means these tests can be used interchangeably for evaluation of exercise-induced desaturation.

Sections du résumé

BACKGROUND BACKGROUND
Field walking tests are commonly used in patients with chronic pulmonary diseases for assessment of functional capacity. However, the physiological demands and magnitude of desaturation on 6-min walk test (6MWT), incremental shuttle walk test (ISWT), and endurance shuttle walk test (ESWT) have not been investigated in patients with bronchiectasis. The objective of this study was to compare the physiological responses and the magnitude of desaturation of subjects with bronchiectasis when performing the 6MWT, ISWT, and ESWT.
METHODS METHODS
Thirty-two subjects underwent the 6MWT, ISWT, and ESWT on 3 different days. Pulmonary gas exchange, heart rate, and [Formula: see text] were measured in all tests.
RESULTS RESULTS
There were no differences in the peak rate of oxygen uptake, ventilation, dyspnea, and leg fatigue between the tests. Equivalent cardiac demand (ie, heart rate at peak) was observed with the 6MWT (137 ± 21 beats/min) and the ESWT (142 ± 21 beats/min), but this was lower in the ISWT (135 ± 19 beats/min) compared to ESWT (
CONCLUSIONS CONCLUSIONS
The 6MWT, ISWT, and ESWT induced similar physiological responses at the peak of exercise, eliciting a vigorous exercise intensity. The magnitude of desaturation was similar across tests. This means these tests can be used interchangeably for evaluation of exercise-induced desaturation.

Identifiants

pubmed: 31992670
pii: respcare.07171
doi: 10.4187/respcare.07171
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

618-624

Informations de copyright

Copyright © 2020 by Daedalus Enterprises.

Auteurs

Simone Dal Corso (SD)

Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho, São Paulo, Brazil. si.dal.corso@gmail.com.

Jacqueline C Boldorini (JC)

Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho, São Paulo, Brazil.

Anderson A de Camargo (AA)

Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho, São Paulo, Brazil.

Anderson José (A)

Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho, São Paulo, Brazil.

Samia Z Rached (SZ)

Pulmonary Division, Heart Institute, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.

Rodrigo A Athanazio (RA)

Pulmonary Division, Heart Institute, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.

Rafael Stelmach (R)

Pulmonary Division, Heart Institute, Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.

Anne E Holland (AE)

Department of Physiotherapy, Alfred Health, Melbourne, Australia.
Discipline of Physiotherapy, La Trobe University, Melbourne, Australia.
Institute for Breathing and Sleep, Melbourne, Australia.

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Classifications MeSH