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Home-based or remote exercise testing in chronic respiratory disease, during the COVID-19 pandemic and beyond: A rapid review.
Chronic Respiratory Disease ( IF 4.1 ) Pub Date : 2020-08-25 , DOI: 10.1177/1479973120952418
Anne E Holland 1, 2, 3 , Carla Malaguti 4 , Mariana Hoffman 1 , Aroub Lahham 1 , Angela T Burge 1, 2, 3 , Leona Dowman 1, 2, 3 , Anthony K May 1, 5 , Janet Bondarenko 1 , Marnie Graco 3, 6 , Gabriella Tikellis 1 , Joanna Yt Lee 1 , Narelle S Cox 1, 3
Affiliation  

Objectives:

To identify exercise tests that are suitable for home-based or remote administration in people with chronic lung disease.

Methods:

Rapid review of studies that reported home-based or remote administration of an exercise test in people with chronic lung disease, and studies reporting their clinimetric (measurement) properties.

Results:

84 studies were included. Tests used at home were the 6-minute walk test (6MWT, two studies), sit-to-stand tests (STS, five studies), Timed Up and Go (TUG, 4 studies) and step tests (two studies). Exercise tests administered remotely were the 6MWT (two studies) and step test (one study). Compared to centre-based testing the 6MWT distance was similar when performed outdoors but shorter when performed at home (two studies). The STS, TUG and step tests were feasible, reliable (intra-class correlation coefficients >0.80), valid (concurrent and known groups validity) and moderately responsive to pulmonary rehabilitation (medium effect sizes). These tests elicited less desaturation than the 6MWT, and validated methods to prescribe exercise were not reported.

Discussion:

The STS, step and TUG tests can be performed at home, but do not accurately document desaturation with walking or allow exercise prescription. Patients at risk of desaturation should be prioritised for centre-based exercise testing when this is available.



中文翻译:

在COVID-19大流行期间及以后进行的慢性呼吸道疾病的家庭或远程锻炼测试:快速回顾。

目标:

确定适合慢性或肺部疾病患者进行家庭或远程管理的运动测试。

方法:

快速回顾研究报告,该研究报告了慢性或肺部疾病患者的家庭测试或远程管理运动测试,并报告了其斜度(测量)特性。

结果:

包括84项研究。在家中使用的测试是6分钟步行测试(6MWT,两项研究),坐着站立测试(STS,五项研究),定时出门(TUG,四项研究)和台阶测试(两项研究)。远程进行的运动测试为6MWT(两项研究)和台阶测试(一项研究)。与基于中心的测试相比,在户外进行的6MWT距离相似,而在家里进行的则更短(两项研究)。STS,TUG和阶跃测试可行,可靠(组内相关系数> 0.80),有效(并发组和已知组有效性)且对肺部康复有中等反应(中等效应大小)。与6MWT相比,这些测试引起的去饱和更少,并且未报告有效的处方运动方法。

讨论:

STS,阶跃和TUG测试可在家中执行,但不能准确记录行走时的去饱和或允许运动处方。有这种情况时,应优先考虑有降低饱和度风险的患者进行基于中心的运动测试。

更新日期:2020-08-25
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