在患有慢性呼吸道疾病的个体中比较远程监督,自我管理和基于中心的坐立测试
Lee Verweel1,2, Matisse LeBouedec2, Adam Benoit2
1Mr. Verweel, Dr. Newman, Packham, Dr. Goldstein, and Dr. Brooks are affiliated with School of Rehabilitation Sciences, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Respiratory care
|January 24, 2026
概括
慢性呼吸道疾病 (CRD) 的坐立测试 (STS) 在中心,远程和家庭设置之间没有表现差异. 远程监督和自我管理的STS测试是安全和可接受的替代方案.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 临床运动生理学 临床运动生理学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 有限的证据存在,比较慢性呼吸道疾病 (CRD) 患者的中心和家庭坐立 (STS) 测试.
- 这项研究解决了评估CRD患者中基于中心,远程监督和自我管理的STS测试之间的协议和性能差异的需要.
研究的目的:
- 估计基于中心,远程监督和自我管理的STS测试之间的一致程度.
- 为了确定CRD患者在这三种情况中的STS测试中的性能差异.
- 评估远程监督和自我管理的STS测试的安全性和可接受性.
主要方法:
- 一个重复测量设计比较了30秒和1分钟的STS测试在三个条件:中心,远程监督和自我管理.
- 布兰德-阿尔特曼分析用于评估一致性,报告平均差异和95%的一致性极限 (LoA).
- 差异分析 (ANOVA) 评估了性能差异,对测试顺序进行控制. 安全性和可接受性是次要的结果.
主要成果:
- 27名患有CRD的参与者完成了所有测试条件.
- 布兰德-阿尔特曼分析显示偏差有限 (平均差异<1次重复),但个体差异相当大 (30秒STS的LoA: -3.4至4.1;1分钟STS: -7.4至8.6).
- ANOVA显示测试条件对STS性能没有显著的影响 (P = .12为30秒,P = .33为1分钟),尽管观察到顺序效应 (P = .005为两者). 没有发生严重的不良事件,大多数参与者发现远程/自我管理的测试清晰,安全,并鼓舞人们的信心.
结论:
- 坐立测试的性能在CRD患者的中心,远程监督和自我管理条件之间没有显著差异.
- 远程监督和自我管理的STS测试显示出潜在的安全和可接受的替代品来评估CRD患者的身体功能.
相关概念视频
01:22Chronic Obstructive Pulmonary Disease
2.4K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
2.4K
01:25Chronic Kidney Disease I: Introduction
612
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
612
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
3.6K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
3.6K
01:29Chronic Obstructive Pulmonary Disease-V: Management
3.1K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
3.1K
01:24Chronic Kidney Disease II: Clinical Manifestations
598
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
598
01:20Chronic Obstructive Pulmonary Disease-II: Pathophysiology
4.3K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
4.3K