Validade e reprodutibilidade do teste de marcha estacionária de dois minutos em pacientes com doença arterial periférica
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da Uninove |
Texto Completo: | http://bibliotecatede.uninove.br/handle/tede/2310 |
Resumo: | Introduction: Patients with peripheral arterial disease (PAD) who present with intermittent claudication (IC) evolve with functional decline and limitations to perform activities of daily living. Although there are specific functional tests for these patients, few are applicable in practical situations, making it necessary to identify tests that can be used in these conditions. Objective: To analyze the validity and reproducibility of the two-minute step test (2MST) in patients with PAD. Methods: Twenty-four patients with PAD and IC symptoms who were recruited at the Nove de Julho University Intermittent Claudication clinic participated in the study. Patients underwent 2MST and the six-minute walk test (6MWT) twice. Before and after the tests, heart rate and blood pressure were obtained. The heart rate response, number of steps until the patient started to feel the pain and the total number of steps in the test were measured. Immediately after, the perception of effort (Borg) was obtained; perception of pleasure and displeasure (Hardly and Rejeski scale), perception of pain (visual analogue scale of pain - Eva). Results: The intraclass correlation coefficients observed between the two 2MST were higher than 0.9 for the performance variables and for the average heart rate. Bias of 0.7 and limits of agreement between 11.24 and -9.60 were observed and the presence of an outlier was observed. The performance of the 2MST test was correlated with the 6MWT (r = 0.25, p = 0.22). Conclusion: 2MST has good reproducibility in patients with symptomatic PAD. However, performance on 2MST is not correlated with the 6MWT. Thus, the use of 2MST is not an accurate test to assess the functional capacity of patients with PAD and symptoms of intermittent claudication, and cannot replace the 6MWT. |
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Dias, Raphael Mendes RittiCorreia, Marilia de AlmeidaDias, Raphael Mendes RittiCorso, Simone DalCucato, Gabriel Grizzohttp://lattes.cnpq.br/4629351334523961Braghieri, Heloisa Amaral2020-10-28T19:20:08Z2019-12-19Braghieri, Heloisa Amaral. Validade e reprodutibilidade do teste de marcha estacionária de dois minutos em pacientes com doença arterial periférica. 2019. 66 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/2310Introduction: Patients with peripheral arterial disease (PAD) who present with intermittent claudication (IC) evolve with functional decline and limitations to perform activities of daily living. Although there are specific functional tests for these patients, few are applicable in practical situations, making it necessary to identify tests that can be used in these conditions. Objective: To analyze the validity and reproducibility of the two-minute step test (2MST) in patients with PAD. Methods: Twenty-four patients with PAD and IC symptoms who were recruited at the Nove de Julho University Intermittent Claudication clinic participated in the study. Patients underwent 2MST and the six-minute walk test (6MWT) twice. Before and after the tests, heart rate and blood pressure were obtained. The heart rate response, number of steps until the patient started to feel the pain and the total number of steps in the test were measured. Immediately after, the perception of effort (Borg) was obtained; perception of pleasure and displeasure (Hardly and Rejeski scale), perception of pain (visual analogue scale of pain - Eva). Results: The intraclass correlation coefficients observed between the two 2MST were higher than 0.9 for the performance variables and for the average heart rate. Bias of 0.7 and limits of agreement between 11.24 and -9.60 were observed and the presence of an outlier was observed. The performance of the 2MST test was correlated with the 6MWT (r = 0.25, p = 0.22). Conclusion: 2MST has good reproducibility in patients with symptomatic PAD. However, performance on 2MST is not correlated with the 6MWT. Thus, the use of 2MST is not an accurate test to assess the functional capacity of patients with PAD and symptoms of intermittent claudication, and cannot replace the 6MWT.Introdução: Pacientes com doença arterial periférica (DAP) que apresentam claudicação intermitente (CI) evoluem com declínio funcional e limitações para realizar atividades de vida diária. Apesar de existirem testes funcionais específicos para esses pacientes, poucos são aplicáveis em situações práticas, fazendo-se necessário a identificação de testes que possam ser utilizados nessas condições. Objetivo: Analisar a validade e reprodutibilidade do teste de marcha estacionária de dois minutos (TME2) em pacientes com DAP. Métodos: Participaram do estudo 24 pacientes com DAP e sintomas de CI que foram recrutados no ambulatório de Claudicação Intermitente da Universidade Nove de Julho. Os pacientes realizaram o TME2 e o teste de caminhada de seis minutos (TC6M) duas vezes. Antes e após os testes foram obtidas a frequência cardíaca e a pressão arterial. Foi medida a resposta da frequência cardíaca, número de passos até o paciente começar a sentir a dor e o número de passos total do teste. Imediatamente após, foram obtidas a percepção de esforço (Borg); percepção de prazer e desprazer (escala de Hardly e Rejeski), percepção de dor (escala visual analógica de dor - Eva). Resultados: Os coeficientes de correlação intraclasse observados entre os dois TME2 foram superiores a 0,9 para as variáveis de desempenho e para a frequência cardíaca média. Foi observado viés de 0,7 e limites de concordância entre 11,24 e -9,60 e foi observada a presença de um outlier. O desempenho do teste de TME2 foram correlacionados com o TC6M (r= 0,25, p= 0,22). Conclusão: O TME2 apresenta boa reprodutibilidade em pacientes com DAP sintomática. No entanto, o desempenho no TME2 não está correlacionado com o TC6M. Assim, a utilização do TME2 não é um teste acurado para avaliar a capacidade funcional de paciente com DAP e sintomas de claudicação intermitente, não podendo substituir o TC6M.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2020-10-28T19:20:08Z No. of bitstreams: 1 HELOISA AMARAL BRAGHIERI.pdf: 1062530 bytes, checksum: 9d5f308bf331f8998bfd3e75b291948f (MD5)Made available in DSpace on 2020-10-28T19:20:08Z (GMT). No. of bitstreams: 1 HELOISA AMARAL BRAGHIERI.pdf: 1062530 bytes, checksum: 9d5f308bf331f8998bfd3e75b291948f (MD5) Previous issue date: 2019-12-19application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Ciências da ReabilitaçãoUNINOVEBrasilSaúdedoença arterial periféricacapacidade funcionalteste de marcha estacionária de dois minutosperipheral arterial diseasefunctional capacitytwo-minute step testCIENCIAS DA SAUDEValidade e reprodutibilidade do teste de marcha estacionária de dois minutos em pacientes com doença arterial periféricaValidity and reproducibility of the two-minute step in patients with peripheral arterial diseaseinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALHELOISA AMARAL BRAGHIERI.pdfHELOISA AMARAL BRAGHIERI.pdfapplication/pdf1062530http://localhost:8080/tede/bitstream/tede/2310/2/HELOISA+AMARAL+BRAGHIERI.pdf9d5f308bf331f8998bfd3e75b291948fMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/2310/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/23102020-10-28 17:20:08.334oai: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:2020-10-28T19:20:08Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Validade e reprodutibilidade do teste de marcha estacionária de dois minutos em pacientes com doença arterial periférica |
dc.title.alternative.eng.fl_str_mv |
Validity and reproducibility of the two-minute step in patients with peripheral arterial disease |
title |
Validade e reprodutibilidade do teste de marcha estacionária de dois minutos em pacientes com doença arterial periférica |
spellingShingle |
Validade e reprodutibilidade do teste de marcha estacionária de dois minutos em pacientes com doença arterial periférica Braghieri, Heloisa Amaral doença arterial periférica capacidade funcional teste de marcha estacionária de dois minutos peripheral arterial disease functional capacity two-minute step test CIENCIAS DA SAUDE |
title_short |
Validade e reprodutibilidade do teste de marcha estacionária de dois minutos em pacientes com doença arterial periférica |
title_full |
Validade e reprodutibilidade do teste de marcha estacionária de dois minutos em pacientes com doença arterial periférica |
title_fullStr |
Validade e reprodutibilidade do teste de marcha estacionária de dois minutos em pacientes com doença arterial periférica |
title_full_unstemmed |
Validade e reprodutibilidade do teste de marcha estacionária de dois minutos em pacientes com doença arterial periférica |
title_sort |
Validade e reprodutibilidade do teste de marcha estacionária de dois minutos em pacientes com doença arterial periférica |
author |
Braghieri, Heloisa Amaral |
author_facet |
Braghieri, Heloisa Amaral |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Dias, Raphael Mendes Ritti |
dc.contributor.advisor-co1.fl_str_mv |
Correia, Marilia de Almeida |
dc.contributor.referee1.fl_str_mv |
Dias, Raphael Mendes Ritti |
dc.contributor.referee2.fl_str_mv |
Corso, Simone Dal |
dc.contributor.referee3.fl_str_mv |
Cucato, Gabriel Grizzo |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/4629351334523961 |
dc.contributor.author.fl_str_mv |
Braghieri, Heloisa Amaral |
contributor_str_mv |
Dias, Raphael Mendes Ritti Correia, Marilia de Almeida Dias, Raphael Mendes Ritti Corso, Simone Dal Cucato, Gabriel Grizzo |
dc.subject.por.fl_str_mv |
doença arterial periférica capacidade funcional teste de marcha estacionária de dois minutos |
topic |
doença arterial periférica capacidade funcional teste de marcha estacionária de dois minutos peripheral arterial disease functional capacity two-minute step test CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
peripheral arterial disease functional capacity two-minute step test |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
Introduction: Patients with peripheral arterial disease (PAD) who present with intermittent claudication (IC) evolve with functional decline and limitations to perform activities of daily living. Although there are specific functional tests for these patients, few are applicable in practical situations, making it necessary to identify tests that can be used in these conditions. Objective: To analyze the validity and reproducibility of the two-minute step test (2MST) in patients with PAD. Methods: Twenty-four patients with PAD and IC symptoms who were recruited at the Nove de Julho University Intermittent Claudication clinic participated in the study. Patients underwent 2MST and the six-minute walk test (6MWT) twice. Before and after the tests, heart rate and blood pressure were obtained. The heart rate response, number of steps until the patient started to feel the pain and the total number of steps in the test were measured. Immediately after, the perception of effort (Borg) was obtained; perception of pleasure and displeasure (Hardly and Rejeski scale), perception of pain (visual analogue scale of pain - Eva). Results: The intraclass correlation coefficients observed between the two 2MST were higher than 0.9 for the performance variables and for the average heart rate. Bias of 0.7 and limits of agreement between 11.24 and -9.60 were observed and the presence of an outlier was observed. The performance of the 2MST test was correlated with the 6MWT (r = 0.25, p = 0.22). Conclusion: 2MST has good reproducibility in patients with symptomatic PAD. However, performance on 2MST is not correlated with the 6MWT. Thus, the use of 2MST is not an accurate test to assess the functional capacity of patients with PAD and symptoms of intermittent claudication, and cannot replace the 6MWT. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019-12-19 |
dc.date.accessioned.fl_str_mv |
2020-10-28T19:20:08Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Braghieri, Heloisa Amaral. Validade e reprodutibilidade do teste de marcha estacionária de dois minutos em pacientes com doença arterial periférica. 2019. 66 f. Dissertação( 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/2310 |
identifier_str_mv |
Braghieri, Heloisa Amaral. Validade e reprodutibilidade do teste de marcha estacionária de dois minutos em pacientes com doença arterial periférica. 2019. 66 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo. |
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http://bibliotecatede.uninove.br/handle/tede/2310 |
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por |
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por |
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8765449414823306929 |
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600 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Universidade Nove de Julho |
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Programa de Pós-Graduação em Ciências da Reabilitação |
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UNINOVE |
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Brasil |
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Saúde |
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Universidade Nove de Julho |
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