■哮喘的症状是呼吸困难,慢性咳嗽,喘息,胸闷,或胸部不适,这可以直接限制日常生活活动(ADL),成人经常报告哮喘。用可靠的协议以通常的速度评估ADL是必要的。
■为了调查有效性,可靠性,最小可检测变化(MDC),以及LondrinaADL协议(LAP)对成人哮喘的标准误差(SEM)。
■使用LAP测试评估患有哮喘的成年人。Spearman相关系数用于验证6分钟步行测试(6MWT)的有效性,Glittre-ADL测试,和伦敦日常生活胸部活动(LCADL)。为了测试可靠性,在至少30分钟内重新应用测试;Wilcoxon检验和组内相关系数(ICC),SEM,MDC,并进行了学习效果。
■包括53个人(26%的男性,43±15年,BMI28±8kg/m2,FEV1预测70±24%)。对于收敛有效性,LAP测试与6MWT相关,Glittre-ADL,和LCADL量表(r分别为-0.49、0.71和0.30;p<0.03)。测试-重测有差异(p<0.0001),可靠性分析显示ICC3为0.94,SEM为14.88秒(22%),和MDC为41.23秒(15%)。此外,个体以-23±19(7.9%)秒进行第二次测试。
■LAP测试对于评估成人哮喘患者ADL期间的局限性是有效且可靠的。观察到相当大的学习效果,因此,最好的两个措施可以避免低估。
UNASSIGNED: Asthma symptoms are dyspnea, chronic cough, wheezing, chest tightness, or chest discomfort, which can directly limit the activities of daily living (ADL), which is frequently reported by adults with asthma. Evaluating ADL with a reliable protocol with usual speed is necessary.
UNASSIGNED: To investigate the validity, reliability, minimal detectable change (MDC), and standard error of measurement (SEM) of the Londrina ADL Protocol (LAP) for adults with asthma.
UNASSIGNED: Adults with asthma were evaluated with the LAP test. Spearman\'s correlation coefficient was used to verify validity with the 6-minute walk test (6MWT), Glittre-ADL test, and London Chest Activity of Daily Living (LCADL). To test the reliability, the test was reapplied in at least 30 minutes; the Wilcoxon test and Intraclass Correlation Coefficient (ICC), SEM, MDC, and learning effect were performed.
UNASSIGNED: Fifty-three individuals were included (26% men, 43 ± 15 years, BMI 28 ± 8kg/m2, FEV1 70 ± 24%predicted). For convergent validity, the LAP test was correlated with the 6MWT, Glittre-ADL, and LCADL scale (r=-0.49, 0.71, and 0.30, respectively; p < 0.03). There was a difference in test-retest (p < 0.0001) and reliability analysis shows ICC3 of 0.94, SEM of 14.88 seconds (22%), and MDC of 41.23 seconds (15%). Furthermore, the individuals performed the second test with -23 ± 19 (7.9%) seconds.
UNASSIGNED: The LAP test is valid and reliable for assessing limitations during ADL in adults with asthma. Considerable learning effect was observed, therefore, the best of two measures may avoid underestimation.