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Updated: Jun 10, 2026

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
[Shuttle test in severe COPD patients].
1Laboratorio Pulmonar, Unidad de Neumotisiología, Hospital Dr. J. M. Ramos Mejía, Buenos Aires. sivorimartin@yahoo.com
The shuttle test (ST) is a simple, maximal exercise test that correlates well with cardiopulmonary exercise testing (VO2max) in severe COPD patients. This makes the ST a valuable tool for pulmonary evaluations where advanced equipment is unavailable.
Area of Science:
- Pulmonary Medicine
- Exercise Physiology
- Respiratory Rehabilitation
Background:
- The shuttle test (ST) is an underutilized maximal exercise field test.
- Severe COPD patients (GOLD III-IV) require reliable exercise assessment.
Purpose of the Study:
- Compare exercise response variables between the ST, 6-minute walking test (SMWT), and maximal oxygen consumption (VO2max) test.
- Evaluate the utility of the ST in severe COPD patients.
Main Methods:
- 21 stable severe COPD patients underwent SMWT, ST, and VO2max testing.
- Spirometry, arterial blood gas, and quality of life questionnaires were administered.
- Cardiac frequency, oxygen saturation, and Borg dyspnea scale were monitored during tests.
Main Results:
- ST distance (318.8m) showed moderate correlation with SMWT (297.85m; r=0.52).
- ST demonstrated high correlation with VO2max (l/min; r=0.78) and VO2max (ml/kg/min; r=0.81).
- Moderate correlations were found between ST and heart rate, Borg dyspnea, and high correlation with oxygen saturation compared to VO2max.
Conclusions:
- The ST is a maximal, simple, and low-cost exercise test.
- It shows high correlation with VO2max testing, indicating its validity for assessing exercise response.
- The ST is a practical alternative for pulmonary evaluations lacking advanced equipment.
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