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Traditional Trail Making Test Modified into Brand-new Assessment Tools: Digital and Walking Trail Making Test
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Diagnostic exercise challenge testing.

Christopher Randolph1

  • 1Department of Pediatrics/Medicine, Division of Allergy/Immunology Center for Allergy, Asthma, and Immunology, Yale University, Waterbury, CT 06708, USA. ccrandolphmd@gmail.com

Current Allergy and Asthma Reports
|September 15, 2011
PubMed
Summary
This summary is machine-generated.

Diagnosing exercise-induced bronchoconstriction (EIB) requires objective testing. Indirect challenges are recommended over direct ones for accurate EIB diagnosis in athletes.

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Area of Science:

  • Sports Medicine
  • Pulmonology
  • Diagnostic Challenges

Background:

  • Exercise-induced bronchoconstriction (EIB) affects athletes, impacting performance and health.
  • Accurate diagnosis of EIB, with or without asthma, is crucial for management.
  • Current diagnostic methods for EIB vary in specificity and effectiveness.

Purpose of the Study:

  • To review and compare diagnostic challenge methods for EIB.
  • To emphasize the importance of objective pulmonary function testing for EIB diagnosis.
  • To guide optimal management strategies for athletes with EIB.

Main Methods:

  • Review of exercise and surrogate challenge methods for EIB diagnosis.
  • Comparison of indirect challenges (mediator release) versus direct challenges (e.g., methacholine).
  • Evaluation of self-reported history and empiric trials for diagnostic adequacy.

Main Results:

  • Indirect challenges are more specific for diagnosing EIB and asthma-related EIB.
  • Direct challenges like methacholine are sensitive but lack specificity.
  • Self-reported history and empiric trials are insufficient for definitive EIB diagnosis.

Conclusions:

  • Objective pulmonary function documentation is optimal for diagnosing EIB.
  • Indirect challenges are recommended over direct challenges for EIB diagnosis.
  • Accurate EIB diagnosis supports athlete management and a healthy lifestyle.