Minimal Clinically Important Difference for Quadriceps Muscle Strength in People with COPD Following Pulmonary Rehabilitation

Bibliographic Details
Main Author: Oliveira, Ana
Publication Date: 2021
Other Authors: Rebelo, Patrícia, Paixão, Cátia, Jácome, Cristina, Cruz, Joana, Martins, Vitória, Simão, Paula, Brooks, Dina, Marques, Alda
Format: Article
Language: eng
Source: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Download full: http://hdl.handle.net/10400.8/5310
Summary: Acknowledgements: This work, was funded by Fundo Europeu de Desenvolvimento Regional (FEDER) - Comissão Diretiva do Programa Operacional Regional do Centro and by Fundação para a Ciência e Tecnologia - FCT (SAICT-POL/23926/2016 and PTDC/SAUSER/28806/2017), and partially funded by Programa Operacional Competitividade e Internacionalização (COMPETE), through COMPETE 2020 (POCI-01-0145FEDER-016701, POCI-01-0145-FEDER-007628 and POCI-01-0145-FEDER-028806) and FCT (UIDB/04501/2020).
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spelling Minimal Clinically Important Difference for Quadriceps Muscle Strength in People with COPD Following Pulmonary RehabilitationMinimal important differenceHand held dynamometry1 repetition maximumCOPDQuadriceps muscle strengthAcknowledgements: This work, was funded by Fundo Europeu de Desenvolvimento Regional (FEDER) - Comissão Diretiva do Programa Operacional Regional do Centro and by Fundação para a Ciência e Tecnologia - FCT (SAICT-POL/23926/2016 and PTDC/SAUSER/28806/2017), and partially funded by Programa Operacional Competitividade e Internacionalização (COMPETE), through COMPETE 2020 (POCI-01-0145FEDER-016701, POCI-01-0145-FEDER-007628 and POCI-01-0145-FEDER-028806) and FCT (UIDB/04501/2020).Quadriceps strength training is a key component of pulmonary rehabilitation (PR). Clinical interpretability of changes in muscle strength following PR is however limited due to the lack of cut-off values to define clinical improvement. This study estimated the minimal clinically important difference (MCID) for the isotonic and isometric quadriceps muscle strength assessed with the one-repetition maximum (1RM) and hand-held dynamometry (HHD) in people with chronic obstructive pulmonary disease (COPD) following PR. A secondary analysis of a real life non-randomised controlled study was conducted in people with COPD enrolled in a 12-week community-based PR programme. Anchor and distribution-based methods were used to compute the MCIDs. The anchors explored were the St. George's respiratory questionnaire (SGRQ) and the six-minute walk test (6MWT) using Pearson's correlations. Pooled MCIDs were computed using the arithmetic weighted mean (2/3 anchor, 1/3 distribution-based methods) and reported as absolute and/or percentage of change values. Eighty-nine people with COPD (84% male, 69.9 ± 7.9 years, FEV1 49.9 ± 18.9% predicted) were included. No correlations were found between changes in 1RM and the SGRQ neither between changes in HHD and the SGRQ and 6MWT (p > 0.05). Thus, anchor-based methods were used only in the MCID of the 1RM with the 6MWT as the anchor. The pooled MCIDs were 5.7Kg and 26.9% of change for the isotonic quadriceps muscle strength with 1RM and 5.2KgF for isometric quadriceps muscle strength assessed with HHD. The MCIDs found are estimates to improve interpretability of community-based PR effects on quadriceps muscle strength and may contribute to guide interventions.IC-OnlineOliveira, AnaRebelo, PatríciaPaixão, CátiaJácome, CristinaCruz, JoanaMartins, VitóriaSimão, PaulaBrooks, DinaMarques, Alda2022-02-03T01:30:08Z2021-02-032021-02-03T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.8/5310engOliveira A., Rebelo P., Paixão C., Jácome C., Cruz J., Martins V., Simão P., Brooks D., Marques A. Minimal Clinically Important Difference for Quadriceps Muscle Strength in People with COPD following Pulmonary Rehabilitation. COPD. 2021 Feb 3:1-16. doi: 10.1080/15412555.2021.1874897. Epub ahead of print. PMID: 33533285. (cf. pubmed.ncbi.)1541-256310.1080/15412555.2021.1874897info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-01-17T15:51:03Zoai:iconline.ipleiria.pt:10400.8/5310Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:48:55.702850Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Minimal Clinically Important Difference for Quadriceps Muscle Strength in People with COPD Following Pulmonary Rehabilitation
title Minimal Clinically Important Difference for Quadriceps Muscle Strength in People with COPD Following Pulmonary Rehabilitation
spellingShingle Minimal Clinically Important Difference for Quadriceps Muscle Strength in People with COPD Following Pulmonary Rehabilitation
Oliveira, Ana
Minimal important difference
Hand held dynamometry
1 repetition maximum
COPD
Quadriceps muscle strength
title_short Minimal Clinically Important Difference for Quadriceps Muscle Strength in People with COPD Following Pulmonary Rehabilitation
title_full Minimal Clinically Important Difference for Quadriceps Muscle Strength in People with COPD Following Pulmonary Rehabilitation
title_fullStr Minimal Clinically Important Difference for Quadriceps Muscle Strength in People with COPD Following Pulmonary Rehabilitation
title_full_unstemmed Minimal Clinically Important Difference for Quadriceps Muscle Strength in People with COPD Following Pulmonary Rehabilitation
title_sort Minimal Clinically Important Difference for Quadriceps Muscle Strength in People with COPD Following Pulmonary Rehabilitation
author Oliveira, Ana
author_facet Oliveira, Ana
Rebelo, Patrícia
Paixão, Cátia
Jácome, Cristina
Cruz, Joana
Martins, Vitória
Simão, Paula
Brooks, Dina
Marques, Alda
author_role author
author2 Rebelo, Patrícia
Paixão, Cátia
Jácome, Cristina
Cruz, Joana
Martins, Vitória
Simão, Paula
Brooks, Dina
Marques, Alda
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv IC-Online
dc.contributor.author.fl_str_mv Oliveira, Ana
Rebelo, Patrícia
Paixão, Cátia
Jácome, Cristina
Cruz, Joana
Martins, Vitória
Simão, Paula
Brooks, Dina
Marques, Alda
dc.subject.por.fl_str_mv Minimal important difference
Hand held dynamometry
1 repetition maximum
COPD
Quadriceps muscle strength
topic Minimal important difference
Hand held dynamometry
1 repetition maximum
COPD
Quadriceps muscle strength
description Acknowledgements: This work, was funded by Fundo Europeu de Desenvolvimento Regional (FEDER) - Comissão Diretiva do Programa Operacional Regional do Centro and by Fundação para a Ciência e Tecnologia - FCT (SAICT-POL/23926/2016 and PTDC/SAUSER/28806/2017), and partially funded by Programa Operacional Competitividade e Internacionalização (COMPETE), through COMPETE 2020 (POCI-01-0145FEDER-016701, POCI-01-0145-FEDER-007628 and POCI-01-0145-FEDER-028806) and FCT (UIDB/04501/2020).
publishDate 2021
dc.date.none.fl_str_mv 2021-02-03
2021-02-03T00:00:00Z
2022-02-03T01:30:08Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.8/5310
url http://hdl.handle.net/10400.8/5310
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Oliveira A., Rebelo P., Paixão C., Jácome C., Cruz J., Martins V., Simão P., Brooks D., Marques A. Minimal Clinically Important Difference for Quadriceps Muscle Strength in People with COPD following Pulmonary Rehabilitation. COPD. 2021 Feb 3:1-16. doi: 10.1080/15412555.2021.1874897. Epub ahead of print. PMID: 33533285. (cf. pubmed.ncbi.)
1541-2563
10.1080/15412555.2021.1874897
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eu_rights_str_mv openAccess
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instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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