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Exercise tests as outcome measures

C S Burckhardt, C Moncur, M A Minor

    Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association
    |December 1, 1994
    PubMed
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    Physical fitness, including endurance and strength, is crucial for daily functioning in rheumatic diseases but isn't routinely measured. This paper examines using exercise tests to assess physical functioning in these patients.

    Area of Science:

    • Rheumatology
    • Clinical Trials
    • Exercise Physiology

    Background:

    • Physical fitness (endurance, strength, flexibility) is underassessed in clinical settings for individuals with rheumatic diseases.
    • Physical fitness impacts functional capacity and health behaviors despite chronic rheumatic conditions.
    • Current assessments lack routine measurement of physical fitness in pediatric and adult rheumatic diseases.

    Purpose of the Study:

    • To explore conceptual, methodologic, and analytic challenges in using exercise tests.
    • To evaluate exercise tests as outcome measures for physical functioning in rheumatic diseases.
    • To advocate for the integration of physical fitness assessments in rheumatic disease care.

    Main Methods:

    • Literature review on exercise testing and outcome measurement in rheumatic diseases.

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  • Conceptual analysis of physical fitness attributes and their relevance.
  • Exploration of methodologic and analytic considerations for clinical application.

    • Main Results:

    • Significant gaps exist in routine physical fitness outcome assessments for rheumatic diseases.
    • Exercise tests offer a viable, yet complex, method for measuring physical functioning.
    • Conceptual clarity and standardized methods are needed for effective implementation.

    Conclusions:

    • Standardized exercise testing is essential for evaluating physical functioning in rheumatic diseases.
    • Addressing conceptual and methodologic issues will improve the utility of exercise tests.
    • Routine assessment of physical fitness can enhance patient management and outcomes in rheumatology.