最大呼吸压力的可靠性和有效性
Bruna M F Silveira1, Hugo L A Pereira1, Gabriela Chaves2
1The Rehabilitation Sciences Program at Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
对吸气和呼吸肌肉强度的最大呼吸压力测量显示了中度的测试重复可靠性,但低的测试间可靠性. 同时有效性很高,但需要更多的质量研究.
科学领域:
- 呼吸系统生理学 呼吸系统生理学
- 临床测量验证 临床测量验证
背景情况:
- 最大呼吸压力 (最大吸入压力[PImax]和最大呼气压力[PEmax]) 是呼吸肌肉强度的关键指标.
- 评估这些测量的可靠性和有效性对于准确的临床评估至关重要.
研究的目的:
- 系统地审查和评估最大呼吸压力测量的可靠性和有效性.
- 评估PImax和PEmax测量属性的证据质量.
主要方法:
- 根据COSMIN建议和PRISMA检查清单进行系统审查.
- 在PubMed和EMBASE数据库中搜索了2023年3月之前发表的研究.
- 包括来自642项已确定研究的初始池中的23项研究.
主要成果:
- 对于PImax和PEmax,测试复试可靠性中等 (ICC>0.70).
- 对于PImax来说,评价者之间的可靠性很低,对于PEmax来说,可靠性非常低 (ICC>0.70).
- 对于PImax和PEmax,测量误差非常低,同时有效性很高 (r > 0.80).
结论:
- 使用气压计测量最大呼吸压力的同时有效性有很高的证据.
- 建议提高临床研究的测量特性质量,遵守COSMIN等指南.
- 需要进一步的研究,以提高临床实践中最大呼吸压力测量的整体质量.
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