scholarly journals Comparison of Londrina activities of daily living protocol and Glittre ADL test on cardio-pulmonary response in patients with COPD: a cross-sectional study

2020 ◽  
Vol 15 ◽  
Author(s):  
Chaitali Deshpande ◽  
Gopala Krishna Alaparthi ◽  
Shyam Krishnan ◽  
Kalyan Chakravarthy Bairapareddy ◽  
Anand Ramakrishna ◽  
...  

Background: In COPD patients it is very important to assess the activities of daily living (ADL) due to an impairment of independence and quality of life. There is a lack of retrievable data regarding the cardio-pulmonary response to Londrina ADL protocol in patients with COPD. The aim of the present study was to assess the cardio-pulmonary response to Londrina ADL protocol in patients with COPD and to compare this with responses to the Glittre ADL test. Methods: This cross-sectional study was done on 30 COPD subjects. Each subject was made to perform the Londrina ADL protocol, Glittre ADL test, twice each, on subsequent days. The Londrina ADL protocol comprises 5 activities representing ADL, involving upper limbs, lower limbs, and trunk movements. The Glittre ADL test consists of completing a circuit while carrying a weighted backpack (2.5 kg for women, 5.0 kg for men). The better value of the two was taken into consideration. For the Londrina ADL protocol and Glittre ADL test the outcome of primary interest was time and for the six-minute walk test was the distance walked. The secondary outcomes for all the tests were heart rate, systolic blood pressure, diastolic blood pressure, respiratory rate, saturation of oxygen in blood and dyspnea.Results: The COPD subjects of age group 63.27±11.07 years took 5.94±0.36 min to complete trial 2 of the Londrina ADL protocol. A significant physiological increase in heart rate (p≤0.01), respiratory rate (p≤0.01), blood pressure (p≤0.01) and severity of dyspnea (p≤0.01) were observed whereas saturation of oxygen in blood (p≤0.01) was reduced at the end of the Londrina ADL protocol and Glittre ADL test. There was a positive, non-significant correlation between the six-minute walk test distance and the Londrina ADL protocol time (r=0.236) (p=0.209). A positive, not significant correlation was observed between the Glittre ADL test (time) and the Londrina ADL protocol (time) (r=0.194) (p=0.304) and a negative but not significant correlation between the six-minute walk test (distance) and the Glittre ADL test (time) (r= -0.184) (p=0.330).Conclusion: The Londrina ADL protocol can be used as an assessment tool to the evaluation of functional performance and activities of daily living in COPD along with other test protocols in pulmonary rehabilitation.

2021 ◽  
Vol 28 (3) ◽  
pp. 267-275
Author(s):  
Mariana Kalazich-Rosales ◽  
Camila Mautner-Molina ◽  
Cecilia König-Araya ◽  
Francisca Fuentes-Leal ◽  
Carlos Cárcamo-Ibaceta ◽  
...  

ABSTRACT The six-minute walk test (6MWT) is widely used to measure functional capacity in special populations. However, the factors associated with its performance in candidates for bariatric surgery are unclear. Therefore, this study aimed to investigate the influence of anthropometric and physiological factors in the 6MWT performance in bariatric surgery candidates. This cross-sectional study included 107 candidates for bariatric surgery. Anthropometric factors considered: gender, weight, height, body mass index (BMI), waist-to-hip, and waist-to-height ratios. Along with distance covered during 6MWT, physiological factors such as ratings of perceived exertion (RPE) and heart rate reserve percentage used (%HRR) were recorded. Among the 107 patients (mean age: 39.6 years), 83 volunteers were accepted to perform the 6MWT. No gender differences were observed in terms of distance covered, %HRR, and RPE during the 6MWT. Moreover, BMI and %HRR explained 21% of the 6MWT distance covered. Furthermore, participants with BMI ≤41.5 kg/m2 walked ~50 meters more than their peers above this level (p=0.05). Interestingly, heart rate increase during the 6MWT was lower than described for healthy populations. BMI and %HRR partially explain the variability of the 6MWT performance in bariatric surgery candidates.


2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Ravoori Hena ◽  
Gopala Krishna Alaparthi ◽  
K. Shyam Krishnan ◽  
R. Anand ◽  
Vishak Acharya ◽  
...  

Background. Bronchiectasis is a chronic respiratory condition characterised by chronic sputum production, fatigue, and dyspnoea. These symptoms will lead to reduced exercise capacity and a reduced ability to carry out activities of daily living. Glittre ADL test is a valid and reliable test which evaluates the activities of daily living. Aim. To investigate whether the Glittre ADL test can differentiate the functional capacity and cardiorespiratory responses of patients with bronchiectasis from those healthy individuals using the six-minute test as a functional performance standard. Methods. This study included 30 subjects: 15 bronchiectasis and 15 age- and gender-matched healthy subjects. The patients and healthy subjects were made to perform the Glittre ADL and six-minute test on two consecutive days. Parameters such as time taken, distance walked, HR, RR, SpO2, and dyspnoea were recorded before and after the tests. Results. The performance of bronchiectasis was worse than the healthy group on the Glittre ADL test (4.78 ± 1.33 min, 3.94 ± 0.82 min, p=0.04). Distance walked in the six-minute walk test by the bronchiectasis was 42 meters lesser than the healthy (400.33 ± 77.99, 442 ± 89.21, p=0.18). The Glittre ADL test was correlated with 6MWT when the total sample was analysed (r=−0.41,p=0.05). There was moderate positive correlation between heart rate variation, dyspnoea, respiratory rate, and peripheral saturation (SpO2) between the tests (Glittre heart rate versus six-minute walk test heart rate (r=0.55,p=0.001); Glittre (Borg) versus six-minute walk test (Borg) (r=0.72,p=0.00); Glittre respiratory rate versus six-minute walk test RR (r=0.62,p=0.00); Glittre SpO2 versus six-minute walk test SpO2 (r=0.40,p=0.02)). The bronchiectasis group had a statistically significant higher (p=0.08,p=0.46) increase in dyspnoea and RR than the controls in both the Glittre ADL test and six-minute walk test (p=0.009,p=0.03), with the similar HR variation in both the groups (p>0.05). There was statistical difference in peripheral oxygen saturation in bronchiectasis in the six-minute walk test (p=0.03). Conclusion. The Glittre ADL test induced similar cardiorespiratory responses when compared to the six-minute walk test. So, the Glittre ADL test can be used as an assessment tool besides the six-minute walk test for the more complete evaluation of functional capacity and activities of daily living.


2019 ◽  
Vol 9 (2) ◽  
pp. 65
Author(s):  
Ni Made Elva Mayasari ◽  
Raden Ayu Tanzila ◽  
Woro Nurul sandra Anindhita

Pasien diabetes melitus sangat rentan terkena komplikasi akibat hiperglikemia yang dialami. Semakin lama pasien diabetes melitus mengalami hiperglikemia maka dapat menyebabkan berbagai macam komplikasi baik komplikasi mikrovaskular dan juga komplikasi makrovaskular seperti cardiovascular disease, coronary heart disease, heart failure dan lain-lain, meskipun komplikasi tersebut juga dipengaruhi faktor lain seperti diet dan juga pengobatan. Komplikasi makrovaskular pada diabetes melitus dapat menyebabkan penurunan kapasitas fungsional. Penurunan kapasitas fungsional tersebut salah satunya dapat diukur dengan menggunakan six minute walk test. Penelitian ini bertujuan untuk mengetahui hubungan antara lamanya menderita diabetes melitus terhadap jarak yang ditempuh selama six minute walk test. Penelitian ini bersifat analitik observasional dengan desain cross sectional study dengan besar sampel sebanyak 40 orang yang dipilih menggunakan nonprobability sampling dengan metode consecutive sampling. Hasil uji Chi-square didapatkan tidak terdapat hubungan antara lama menderita DM terhadap jarak yang ditempuh selama six minute walk test dengan nilai signifikannya adalah 0,69 (p>0,05).


2020 ◽  
pp. 1-2
Author(s):  
Manish Meena ◽  
Aashish Kumar Singh* ◽  
Shashi Prakash Agnihotri

Background: Six minute walk test (6MWT), represent a useful marker for exercise capacity and dynamic hyperination of COPD patients.Highresolution computed tomography (HRCT) has allowed in detection of airway wall abnormalities and emphysema, whose extent may correlate with the clinical severity of the disease in COPD patients. Material & methods: A cross sectional study was carried in 100 COPD patients attending Department of Respiratory Medicine, Institute of respiratory diseases, SMS Medical College, Jaipur, during June 2018 to May 2019.All patients underwent clinically (Modied Medical Research Council), radiologically (HRCT) &6MWT. Results:The 6MWTshowed that a negative correlation to dyspnea (mMRC grading), emphysema score & post FEV1% predicted (p<0.0001). Conclusion:The HRCTemphysema score can be used as an initial parameter for identify patients with high risk for COPD.


2021 ◽  
Vol 2 (1) ◽  
pp. 10
Author(s):  
Ahmad Zaid Alhamid ◽  
Herlina Yulidia ◽  
Intan Iriani Supriatna

Background: Accurate risk stratification for untoward outcomes after acute coronary syndrome patients may help clinicians guide the type and intensity of therapy. Unfortunately, most of the Papuanese people face difficulties in accessing sophisticated medical treatment. Aims: The aim of this study was to determine the simplest but most accurate risk stratification for ACS patients treated in rural hospital. Methods: This was a cross-sectional study conducted in Sele Be Solu Regional Hospital at Sorong Regency in West Papua Province. Fifteen unselected patients from September 2019 to March 2020 period with ACS were prospectively studied. All the data were collected from medical records. Results: Subject characteristics mostly were male (80%) and mean age was 54 years, (13,3%) subjects were age less than 45 years. The most diagnosed ACS type was STEMI (73,3%). Conclusion:In Papuanese patients with ACS in rural hospital, those at highest risk can be identified using Killip classification and The Six-minute Walk Test Borg Scale as short term predictor for ACS patients’ outcome. 


2017 ◽  
Vol 21 (3) ◽  
pp. 167-174 ◽  
Author(s):  
Lívia S. Diniz ◽  
Victor R. Neves ◽  
Ana C. Starke ◽  
Marco P.T. Barbosa ◽  
Raquel R. Britto ◽  
...  

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