Abstract:
BACKGROUND:There are no recommendations on how to measure arm exercise capacity in individuals with COPD. The objectives of this study were (1) to synthesize the literature on measures of arm exercise capacity in individuals with COPD, (2) to describe the psychometric properties and the target construct of each measure, and (3) to make recommendations for clinical practice and research. METHODS:Studies conducted in patients with COPD that included a measure of arm exercise capacity were identified after searches of five electronic databases (PubMed, CINAHL, EMBASE, PEDro, and Cochrane Library) and reference lists of pertinent articles. One reviewer performed data extraction, and two assessed the quality of the studies that described measurement properties, using the Consensus-based Standards for the Selection of Health Status Measurement Instruments (COSMIN) checklist. RESULTS:Of 654 reports, 41 met the study criteria. Five types of arm exercise tests were identified: arm ergometry, ring shifts, dowel lifts, proprioceptive neuromuscular facilitation, and activities of daily living. Four studies assessed the measurement properties of the unsupported upper-limb exercise test (UULEX), the 6-min pegboard and ring test (6PBRT), a test involving weight shifts, and the grocery-shelving task (GST). Validity studies were of fair to good quality, whereas reliability studies were of poor quality. CONCLUSIONS:Arm ergometry may be the best method for measuring peak supported arm exercise capacity and endurance. The UULEX, 6PBRT, and GST may better reflect activities of daily living and should be the tests of choice to measure peak unsupported arm exercise capacity (UULEX) and arm function (6PBRT and GST).
journal_name
Chestjournal_title
Chestauthors
Janaudis-Ferreira T,Beauchamp MK,Goldstein RS,Brooks Ddoi
10.1378/chest.11-0475subject
Has Abstractpub_date
2012-01-01 00:00:00pages
111-120issue
1eissn
0012-3692issn
1931-3543pii
S0012-3692(12)60021-Xjournal_volume
141pub_type
杂志文章,评审相关文献
CHEST文献大全abstract::A prospective study of 129 consecutive thoracocentesis in 86 patients at a university medical center evaluated the clinical value, complications, and patient experience with thoracocentesis. Pleural fluid analysis in conjunction with the clinical presentation placed 78 pleural fluids into diagnostic categories: defini...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.91.6.817
更新日期:1987-06-01 00:00:00
abstract:BACKGROUND:COPD is often associated with changes of the structure and the function of the heart. Although functional abnormalities of the right ventricle (RV) have been well described in COPD patients with severe hypoxemia, little is known about these changes in patients with normoxia and mild hypoxemia. STUDY OBJECTI...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.127.6.1898
更新日期:2005-06-01 00:00:00
abstract::Clinical audits and practice profiling have become popular tools in the attempt to change physician behavior to improve quality of care. Unfortunately, the growing need for information on quality of care has often outpaced the development of standard, valid, and reliable approaches to using these tools. The studies of...
journal_title:Chest
pub_type: 杂志文章,评审
doi:10.1378/chest.118.2_suppl.53s
更新日期:2000-08-01 00:00:00
abstract:BACKGROUND:Spontaneous pneumothorax is a complication that is commonly reported in patients with cystic fibrosis (CF). An understanding of the pathophysiology of this complication and its consequences is important for the management of patients with CF. OBJECTIVE:To identify risk factors associated with pneumothorax a...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.2.720
更新日期:2005-08-01 00:00:00
abstract:BACKGROUND:The objective of this study was to systematically review and quantitatively synthesize all randomized controlled trials (RCTs), comparing important outcomes in ventilated critically ill patients who received an early or late tracheotomy. METHODS:A systematic literature search of PubMed, Cumulative Index to ...
journal_title:Chest
pub_type: 杂志文章,meta分析,评审
doi:10.1378/chest.11-2024
更新日期:2011-12-01 00:00:00
abstract::A 32-year-old man who presented with symptoms suggesting empyema was found at thoracotomy to have infarction of an extralobar pulmonary sequestration. He was completely relieved by excision of the sequestration after securing the systemic vascular pedicle which had undergone torsion. Recognition of the anomalous blood...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.68.1.98
更新日期:1975-07-01 00:00:00
abstract::One hundred one subjects living in northwest Hunan Province, People's Republic of China (PRC) were tested with histolyn, (Berkeley Biological Laboratories), spherulin (Berkeley Biological Laboratories), and tubersol (PPD 5 tuberculin units, Connaught Laboratories). Age of the tested subjects ranged from 16 to 58 years...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.97.6.1356
更新日期:1990-06-01 00:00:00
abstract::Seventy-two consecutive adult asthmatic patients seen in the Pulmonary Clinic at Rhode Island Hospital were tested for atopy by prick test with 14 standard aeroallergens and by in vitro total and specific IgE determinations (FAST). A total of 58.3 percent of patients were found to be atopic by these tests. There was a...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.96.6.1336
更新日期:1989-12-01 00:00:00
abstract:STUDY OBJECTIVE:Our objective was to compare the efficacy of ultrahigh frequency ventilation (UHFV) (frequencies > 3 Hz) with respect to oxygenation, airway pressures, and hemodynamic parameters in patients with adult respiratory distress syndrome (ARDS) who were not responding to conventional ventilation. DESIGN:We u...
journal_title:Chest
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1378/chest.103.5.1413
更新日期:1993-05-01 00:00:00
abstract::Echocardiographic examination in a patient with primary pulmonary hypertension demonstrated midsystolic closure of the aortic valve, which has often been described in hypertrophic cardiomyopathy with or without obstruction, in discrete subaortic stenosis, and in ruptured aneurysm of the right coronary sinus of Valsalv...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.79.6.710
更新日期:1981-06-01 00:00:00
abstract::An asymptomatic cremator was found incidentally to have lymphocytic alveolitis by bronchoalveolar lavage, and the basis for this finding was investigated. No known causes of lymphocyte alveolitis including sarcoidosis, hypersensitivity pneumonitis, berylliosis, tuberculosis, or fungal diseases of the lung were found. ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.105.2.617
更新日期:1994-02-01 00:00:00
abstract::To evaluate the morbidity associated with obstructve sleep apnea syndrome (OSAS), we undertook a seven-year follow-up study of 198 OSAS patients seen between 1972 and 1980. The patients had been submitted to tracheostomy (71 patients) or had received a weight-loss recommendation (127 patients). Despite a lower mean ap...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.97.1.27
更新日期:1990-01-01 00:00:00
abstract::The adult respiratory distress syndrome (ARDS) is a devastating clinical illness characterized by refractory hypoxemia and high-permeability pulmonary edema. Reactive oxygen species such as hydrogen peroxide and hypochlorous acid may play a key role in the pathogenesis of the acute lung injury. Glutathione (GSH) is a ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.100.5.1397
更新日期:1991-11-01 00:00:00
abstract:BACKGROUND:Knowledge of the relationship between respiratory disorders and gastroesophageal reflux disease (GERD) is increasing. However, the association between GERD and pulmonary disease caused by nontuberculous mycobacteria (NTM) has not been studied in detail. We investigated the prevalence of GERD in patients with...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.06-2280
更新日期:2007-06-01 00:00:00
abstract::Studies using epicardial mapping on patients with Wolff-Parkinson-White syndrome have demonstrated that the delta vector of the electrocardiogram is a detector of the location of at least one bypass tract. In order to relate the electrical activities (preexcitation) with the mechanical activity (septal and ventricular...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.71.4.463
更新日期:1977-04-01 00:00:00
abstract::The literature contains many reports of the echocardiographic findings in left atrial myxoma and clot; however, descriptions of left ventricular thrombus or tumor are rare. We discuss here the echocardiographic findings in a patient with a large apical left ventricular thrombus which was confirmed both angiographicall...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.71.3.417
更新日期:1977-03-01 00:00:00
abstract::Thoracic splenosis (post-traumatic autotransplantation of splenic tissue) is rare and generally asymptomatic. We report a patient with thoracic splenosis presenting with repeated hemoptysis. The blood supply of the hypervascular splenic transplants originated from a bronchial and an intercostal artery. Hemoptysis impr...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.102.2.626
更新日期:1992-08-01 00:00:00
abstract:BACKGROUND:During noninvasive ventilation, nonintentional leaks have a detrimental effect on the efficacy of ventilation. A wide range of industrial masks are available, with intentional leaks of different importance. The potential impact of this variability in intentional leaks on performances of bilevel ventilators h...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.08-1340
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:In COPD, a decreased inspiratory capacity to total lung capacity ratio (IC/TLC) is associated with dynamic hyperinflation and poor exercise capacity. The association with upper-extremity force measured by handgrip strength (HGS) and 6-min walk distance (6MWD) has not been previously described. We hypothesize...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.14-2878
更新日期:2015-10-01 00:00:00
abstract::Spontaneous echo contrast is uncommon in pericardial effusion. We report the case of a patient with massive malignant pericardial effusion causing cardiac tamponade in which the intense spontaneous echo contrast was found in the effusion by echocardiography. It was suggested that both the heavy blood content and a lar...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.103.5.1600
更新日期:1993-05-01 00:00:00
abstract:STUDY OBJECTIVES:Biochemical and inflammatory markers in pleural inflammation were evaluated in pediatric cases of parapneumonic effusions, and interleukin (IL)-8 and tumor necrosis factor (TNF)-alpha concentrations were tested for possible differentiation of the complicated nature of effusions. PATIENTS:Twenty-eight ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.3.1436
更新日期:2005-09-01 00:00:00
abstract::A post-right pneumonectomy syndrome is described which manifests symptoms of exertional dyspnea and inspiratory stridor on rapid inspiration. These symptoms were associated with marked rightward and posterior deviation of the trachea, over-distention of the left lung with its herniation into the right side of the ches...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.75.1.78
更新日期:1979-01-01 00:00:00
abstract:STUDY OBJECTIVE:To determine the extent to which a mixture of human gastric juice and enteral formula stained with two concentrations of FD&C Blue No. 1 food dye (0.8 and 1.5 mL/L) is visible in suctioned tracheobronchial secretions following three forced small-volume pulmonary aspirations over a 6-h period in an anima...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.122.1.276
更新日期:2002-07-01 00:00:00
abstract::To elucidate the effect of oxitropium bromide (OTB), an anticholinergic drug, on dyspnea and gas exchange during exercise in patients with chronic obstructive pulmonary disease (COPD), we performed the cycle exercise test on 19 patients with COPD (mean age, 72.0 +/- 1.9 years; mean FEV1, 1.28 +/- 0.07 L) before and af...
journal_title:Chest
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1378/chest.103.6.1774
更新日期:1993-06-01 00:00:00
abstract:BACKGROUND:Among patients awaiting cadaveric lung transplantation, patients with idiopathic interstitial pneumonia (IIP) have been demonstrated to have the highest mortality rate. Contraindications to cadaveric lung transplantation include current high-dose systemic corticosteroid therapy because it may increase airway...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.128.3.1364
更新日期:2005-09-01 00:00:00
abstract:KEY POINTS:1. Historically, medical ethics focused on the proper conduct of physicians as members of a profession. 2. Bioethics has emerged as a distinct field over the past several decades and has a broader scope than traditional medical ethics. The field of bioethics includes research ethics, public health ethics, or...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.130.6.1864
更新日期:2006-12-01 00:00:00
abstract::The presence of a null gene for alpha1-antitrypsin was detected in a family study by the inheritance of intermediate antitrypsin deficiency in association with a normal (PiM) phenotypic pattern. The proband, a 42-year-old man (M-phenotype), was a cigarette smoker and had physiologic evidence of pulmonary emphysema. Th...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.70.4.532
更新日期:1976-10-01 00:00:00
abstract:OBJECTIVE:To formulate recommendations for the development of early intensive care unit (ICU) discharge criteria for low-risk monitor patients. DESIGN:Literature review of published reports over the period 1966 to 1991 pertaining to ICU discharge criteria. PATIENTS:Studies identifying patients admitted to ICUs who co...
journal_title:Chest
pub_type: 指南,杂志文章
doi:10.1378/chest.104.6.1812
更新日期:1993-12-01 00:00:00
abstract:STUDY OBJECTIVE:Determine reintubation rate, identify its cause, and detail adverse outcomes from reintubation. DESIGN:Retrospective review of extubation failures in the trauma ICU. SETTING:University hospital and regional trauma center. PATIENTS:Four hundred five patients arriving intubated or requiring intubation ...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.110.6.1577
更新日期:1996-12-01 00:00:00
abstract::Although amebiasis is prevalent in tropical and subtropical areas, it occurs sporadically in the United States. Pleuropulmonary involvement is seen in about 20 percent of the patients with amebic liver abscesses. We describe a patient with pleuropulmonary amebiasis who complained of hemoptysis but had no gastrointesti...
journal_title:Chest
pub_type: 杂志文章
doi:10.1378/chest.98.5.1275
更新日期:1990-11-01 00:00:00