评估最大吸入压力的新协议:同时有效性和测试-复试可靠性
Ibai López-de-Uralde-Villanueva1, Raúl Fabero-Garrido1, Elena Alonso Rodríguez de Rivera2
1Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Complutense University of Madrid, Madrid, Spain.
Physical therapy
|September 3, 2024
概括
一个新的最大吸入压力 (MIP) 测试协议,基于1次重复最大 (1RM) 原则,为患有慢性阻塞性肺病 (COPD) 的个人进行验证. 这种可靠的测试有助于处方启发性肌肉训练 (IMT),以更好地照顾患者.
科学领域:
- 肺部康复 肺部康复
- 呼吸道肌肉强度测试 呼吸道肌肉强度测试
背景情况:
- 慢性阻塞性肺病 (COPD) 需要有效的方法来评估呼吸肌肉的强度.
- 目前的最大吸气压 (MIP) 测试方案可能缺乏简单性和可行性,无法广泛临床应用.
- 一次重复最大 (1RM) 测试原则为更强大的MIP评估提供了一个潜在的框架.
研究的目的:
- 为了验证一个根据1RM原则改编的新型MIP测试协议.
- 为了评估这个新的MIP协议的测试-重新测试可靠性.
- 确定COPD患者中MIP的最小可检测变化 (MDC).
主要方法:
- 基于1RM的增量协议被开发用于使用值装置进行MIP测试.
- 49名COPD患者参与了这项研究,其中44人完成了两次测试,间隔7-10天.
- 与数字压力计 (参考测试) 相比,评估了并发有效性.
主要成果:
- 基于1RM的MIP协议与参考测试相比显示出良好的并发有效性 (ICC=0.81-0.85).
- 观察到非常好的测试重复测试可靠性 (ICC=0.92).
- 测量的标准误差为6.3厘米H2O,MDC为17.5厘米H2O.
结论:
- 一个新的基于1RM的MIP测试协议被验证用于COPD患者,显示出良好的并发有效性和出色的可靠性.
- 建立的MDC为检测MIP变化提供了临床上有意义的值.
- 这项经过验证的协议支持适当的启发性肌肉训练 (IMT) 处方,可能改善COPD的物理治疗师护理.
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