Diferença mínima detectável, diferença mínima clinicamente importante e responsividade do teste do degrau endurance em pacientes com doença pulmonar obstrutiva crônica
Ano de defesa: | 2020 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Nove de Julho
|
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Ciências da Reabilitação
|
Departamento: |
Saúde
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bibliotecatede.uninove.br/handle/tede/2544 |
Resumo: | Introduction: constant load tests have been shown to be more responsive to demonstrate the results after an intervention. However, laboratory tests and physical space for walking tests are not always available. Therefore, a endurance step test (EST) responsive to pulmonary rehabilitation will be of great clinical use. Objectives: to analyze responsiveness, determine the minimum clinically important difference and the minimum detectable change in the endurance step test after pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD). Method: 24 patients diagnosed with COPD underwent spirometry, incremental and constant load tests on a cycle ergometer, incremental step test (MIST), responded to the modified Medical Research Council dyspnea scale, and to the Saint George's Respiratory Questionnaire. The EST was performed with 70%, 80% or 90% of the number of steps obtained in the MIST. Soon after, patients underwent pulmonary rehabilitation for 12 weeks. At the end, they were reevaluated with the tests previously described. Results: There was an increase in the TDE time and in the constant load test on a cycle ergometer after pulmonary rehabilitation (178 ± 201 seconds and 140 ± 253, respectively). EST proved to be responsive to pulmonary rehabilitation with an effect size of 0.75. The minimum detectable change was 159 seconds. The minimum clinically important difference (MCID) for the distribution-based method was 101 seconds and for the anchor-based method, 161 seconds. Conclusion: EST is responsive to pulmonary rehabilitation in patients with COPD. The test has the minimum detectable difference of 159 seconds and the MCID of 161 seconds. |
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Dal Corso, SimoneDal Corso, SimoneJorge, Luciana Maria Malosá SampaioOliveira, Cristino Carneirohttp://lattes.cnpq.br/2810512596667695Rodrigues Junior, José Carlos2021-06-21T14:52:41Z2020-12-14Rodrigues Junior, José Carlos. Diferença mínima detectável, diferença mínima clinicamente importante e responsividade do teste do degrau endurance em pacientes com doença pulmonar obstrutiva crônica. 2020. 67 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/2544Introduction: constant load tests have been shown to be more responsive to demonstrate the results after an intervention. However, laboratory tests and physical space for walking tests are not always available. Therefore, a endurance step test (EST) responsive to pulmonary rehabilitation will be of great clinical use. Objectives: to analyze responsiveness, determine the minimum clinically important difference and the minimum detectable change in the endurance step test after pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD). Method: 24 patients diagnosed with COPD underwent spirometry, incremental and constant load tests on a cycle ergometer, incremental step test (MIST), responded to the modified Medical Research Council dyspnea scale, and to the Saint George's Respiratory Questionnaire. The EST was performed with 70%, 80% or 90% of the number of steps obtained in the MIST. Soon after, patients underwent pulmonary rehabilitation for 12 weeks. At the end, they were reevaluated with the tests previously described. Results: There was an increase in the TDE time and in the constant load test on a cycle ergometer after pulmonary rehabilitation (178 ± 201 seconds and 140 ± 253, respectively). EST proved to be responsive to pulmonary rehabilitation with an effect size of 0.75. The minimum detectable change was 159 seconds. The minimum clinically important difference (MCID) for the distribution-based method was 101 seconds and for the anchor-based method, 161 seconds. Conclusion: EST is responsive to pulmonary rehabilitation in patients with COPD. The test has the minimum detectable difference of 159 seconds and the MCID of 161 seconds.Introdução: Os testes de carga constante têm se mostrado mais responsivos para demonstrar os resultados após uma intervenção. Entretanto, os testes de laboratório e o espaço físico para a realização de testes de caminhada nem sempre estão disponíveis. Dessa forma, um teste de degrau endurance (TDE) responsivo à reabilitação pulmonar seria de grande utilidade clínica. Objetivos: Investigar a responsividade, determinar a diferença mínima clinicamente importante e a diferença mínima detectável do teste do degrau endurance após a reabilitação pulmonar em pacientes com doença pulmonar obstrutiva crônica (DPOC). Método: Vinte e quatro pacientes com diagnóstico de DPOC realizaram espirometria, teste incremental e de carga constante em cicloergômetro, teste do degrau incremental modificado (TDIM), responderam à escala de dispneia Medical Research Council modificada, e ao Saint George’s Respiratory Questionnaire. O TDE foi realizado com 70%, 80% ou 90% do número de degraus obtido no TDIM. Logo após, os pacientes foram submetidos à reabilitação pulmonar por 12 semanas. Ao final, foram reavaliados com os testes descritos anteriormente. Resultados: Houve aumento no tempo do TDE e no teste de carga constante em cicloergômetro após a reabilitação pulmonar (178 ± 201 segundos e 140 ± 253, respectivamente). O TDE se mostrou responsivo à reabilitação pulmonar com tamanho de efeito de 0,75. A diferença mínima detectável foi de 159 segundos. A diferença mínima clinicamente importante (DMCI) pelo método baseados na distribuição foi de 101 segundos e no método baseado em âncora de 161 segundos. Conclusão: o TDE é responsivo à reabilitação pulmonar em pacientes com DPOC. O teste apresenta a diferença mínima detectável de 159 segundos e a DMCI de 161 segundos.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2021-06-21T14:52:41Z No. of bitstreams: 1 José Carlos Rodrigues Junior.pdf: 1765252 bytes, checksum: c5df4b8e493b3433fa3ab446e6c8883a (MD5)Made available in DSpace on 2021-06-21T14:52:41Z (GMT). No. of bitstreams: 1 José Carlos Rodrigues Junior.pdf: 1765252 bytes, checksum: c5df4b8e493b3433fa3ab446e6c8883a (MD5) Previous issue date: 2020-12-14application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Ciências da ReabilitaçãoUNINOVEBrasilSaúdeteste de degraudiferença mínima clinicamente importantereabilitaçãodoença pulmonar obstrutiva crônicastep testminimum clinically important differencerehabilitationchronic obstructive pulmonary diseaseCIENCIAS DA SAUDEDiferença mínima detectável, diferença mínima clinicamente importante e responsividade do teste do degrau endurance em pacientes com doença pulmonar obstrutiva crônicaMinimal detectable change, minimal clinically important difference, and responsiveness of the endurance step test in patients with chronic obstructive pulmonary diseaseinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALJosé Carlos Rodrigues Junior.pdfJosé Carlos Rodrigues Junior.pdfapplication/pdf1765252http://localhost:8080/tede/bitstream/tede/2544/2/Jos%C3%A9+Carlos+Rodrigues+Junior.pdfc5df4b8e493b3433fa3ab446e6c8883aMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2544/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/25442022-06-28 17:54:15.007oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2022-06-28T20:54:15Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Diferença mínima detectável, diferença mínima clinicamente importante e responsividade do teste do degrau endurance em pacientes com doença pulmonar obstrutiva crônica |
dc.title.alternative.eng.fl_str_mv |
Minimal detectable change, minimal clinically important difference, and responsiveness of the endurance step test in patients with chronic obstructive pulmonary disease |
title |
Diferença mínima detectável, diferença mínima clinicamente importante e responsividade do teste do degrau endurance em pacientes com doença pulmonar obstrutiva crônica |
spellingShingle |
Diferença mínima detectável, diferença mínima clinicamente importante e responsividade do teste do degrau endurance em pacientes com doença pulmonar obstrutiva crônica Rodrigues Junior, José Carlos teste de degrau diferença mínima clinicamente importante reabilitação doença pulmonar obstrutiva crônica step test minimum clinically important difference rehabilitation chronic obstructive pulmonary disease CIENCIAS DA SAUDE |
title_short |
Diferença mínima detectável, diferença mínima clinicamente importante e responsividade do teste do degrau endurance em pacientes com doença pulmonar obstrutiva crônica |
title_full |
Diferença mínima detectável, diferença mínima clinicamente importante e responsividade do teste do degrau endurance em pacientes com doença pulmonar obstrutiva crônica |
title_fullStr |
Diferença mínima detectável, diferença mínima clinicamente importante e responsividade do teste do degrau endurance em pacientes com doença pulmonar obstrutiva crônica |
title_full_unstemmed |
Diferença mínima detectável, diferença mínima clinicamente importante e responsividade do teste do degrau endurance em pacientes com doença pulmonar obstrutiva crônica |
title_sort |
Diferença mínima detectável, diferença mínima clinicamente importante e responsividade do teste do degrau endurance em pacientes com doença pulmonar obstrutiva crônica |
author |
Rodrigues Junior, José Carlos |
author_facet |
Rodrigues Junior, José Carlos |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Dal Corso, Simone |
dc.contributor.referee1.fl_str_mv |
Dal Corso, Simone |
dc.contributor.referee2.fl_str_mv |
Jorge, Luciana Maria Malosá Sampaio |
dc.contributor.referee3.fl_str_mv |
Oliveira, Cristino Carneiro |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/2810512596667695 |
dc.contributor.author.fl_str_mv |
Rodrigues Junior, José Carlos |
contributor_str_mv |
Dal Corso, Simone Dal Corso, Simone Jorge, Luciana Maria Malosá Sampaio Oliveira, Cristino Carneiro |
dc.subject.por.fl_str_mv |
teste de degrau diferença mínima clinicamente importante reabilitação doença pulmonar obstrutiva crônica |
topic |
teste de degrau diferença mínima clinicamente importante reabilitação doença pulmonar obstrutiva crônica step test minimum clinically important difference rehabilitation chronic obstructive pulmonary disease CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
step test minimum clinically important difference rehabilitation chronic obstructive pulmonary disease |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Introduction: constant load tests have been shown to be more responsive to demonstrate the results after an intervention. However, laboratory tests and physical space for walking tests are not always available. Therefore, a endurance step test (EST) responsive to pulmonary rehabilitation will be of great clinical use. Objectives: to analyze responsiveness, determine the minimum clinically important difference and the minimum detectable change in the endurance step test after pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD). Method: 24 patients diagnosed with COPD underwent spirometry, incremental and constant load tests on a cycle ergometer, incremental step test (MIST), responded to the modified Medical Research Council dyspnea scale, and to the Saint George's Respiratory Questionnaire. The EST was performed with 70%, 80% or 90% of the number of steps obtained in the MIST. Soon after, patients underwent pulmonary rehabilitation for 12 weeks. At the end, they were reevaluated with the tests previously described. Results: There was an increase in the TDE time and in the constant load test on a cycle ergometer after pulmonary rehabilitation (178 ± 201 seconds and 140 ± 253, respectively). EST proved to be responsive to pulmonary rehabilitation with an effect size of 0.75. The minimum detectable change was 159 seconds. The minimum clinically important difference (MCID) for the distribution-based method was 101 seconds and for the anchor-based method, 161 seconds. Conclusion: EST is responsive to pulmonary rehabilitation in patients with COPD. The test has the minimum detectable difference of 159 seconds and the MCID of 161 seconds. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020-12-14 |
dc.date.accessioned.fl_str_mv |
2021-06-21T14:52:41Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
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doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Rodrigues Junior, José Carlos. Diferença mínima detectável, diferença mínima clinicamente importante e responsividade do teste do degrau endurance em pacientes com doença pulmonar obstrutiva crônica. 2020. 67 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/2544 |
identifier_str_mv |
Rodrigues Junior, José Carlos. Diferença mínima detectável, diferença mínima clinicamente importante e responsividade do teste do degrau endurance em pacientes com doença pulmonar obstrutiva crônica. 2020. 67 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo. |
url |
http://bibliotecatede.uninove.br/handle/tede/2544 |
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por |
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por |
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8765449414823306929 |
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600 |
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