Intertester reliability of the talk test in a cardiac rehabilitation population.

Abstract:

PURPOSE:The validity of the Talk Test (TT) is well documented, but the reliability of the test is not clear. The aim of this study was to assess the absolute and relative intertester reliability of the TT in cardiac patients. METHODS:Cardiac patients (n = 64) who had completed an exercise rehabilitation program were consecutively included in the study. Patients performed a submaximal ramp cycle ergometer test with the TT as intensity indicator. Every patient was tested twice on the same day by 2 different physiotherapists with a break of maximum 45 minutes between tests. Physiotherapists were randomized to tests. Workload in watts at the first negative stage of the TT was registered as the test result. Patients and physiotherapists were blinded to test results of the first test. Absolute reliability of the TT was assessed with Bland-Altman plot, standard error of measurement, and minimal detectable change. Relative reliability was assessed using the intraclass correlation coefficient (ICC). RESULTS:Mean difference in peak workload between test and retest was 0.8 W (95% CI: -4.8 to 3.3). Limit of agreement was estimated to be +31/-32 W. Standard error of measurement was 11 W (95% CI: 10-14), and minimal detectable change was 32 W. The ICC was 0.85 (95% CI: 0.78 to 0.91). CONCLUSIONS:Although the ICC was acceptable, we found a weak absolute intertester reliability of the TT and that the test is an insufficient measure to monitor exercise intensity and safety of cardiac patients when 2 or more physiotherapists may be administering the TT.

authors

Petersen AK,Maribo T,Hjortdal VE,Laustsen S

doi

10.1097/HCR.0000000000000029

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

49-53

issue

1

eissn

1932-7501

issn

1932-751X

pii

01273116-201401000-00007

journal_volume

34

pub_type

杂志文章,随机对照试验
  • Reliability of the Shuttle Walk Test With Controlled Incremental Velocity in Patients With Difficult-to-Control Asthma.

    abstract:PURPOSE:Asthma is a chronic inflammatory condition characterized by bronchial hypersensitivity to endogenous or exogenous agents and variable airflow limitation, which is reversible either spontaneously or with the use of medication. The evaluation of functional capacity in these patients is commonly performed using fi...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000286

    authors: Costa IP,Dal Corso S,Borghi-Silva A,Peixoto F,Stirbulov R,Arena R,Cahalin LP,Malosá Sampaio LM

    更新日期:2018-01-01 00:00:00

  • Spontaneous Coronary Artery Dissection (SCAD): FEMALE SURVIVORS' EXPERIENCES OF STRESS AND SUPPORT.

    abstract:PURPOSE:Spontaneous coronary artery dissection (SCAD) is a nonatherosclerotic type of acute myocardial infarction that primarily affects young, healthy women without typical risk factors for heart disease. Few investigations have examined psychosocial variables in this population and none have looked at patient percept...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000330

    authors: Wagers TP,Stevens CJ,Ross KV,Leon KK,Masters KS

    更新日期:2018-11-01 00:00:00

  • Improvement in Physical Function After Coronary Artery Bypass Graft Surgery Using a Novel Rehabilitation Intervention: A RANDOMIZED CONTROLLED TRIAL.

    abstract:PURPOSE:Cardiorespiratory and skeletal muscle deconditioning occurs following coronary artery bypass graft surgery and hospitalization. Outpatient, phase 2 cardiac rehabilitation (CR) is designed to remediate this deconditioning but typically does not begin until several weeks following hospital discharge. Although an ...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000576

    authors: Rengo JL,Savage PD,Hirashima F,Leavitt BJ,Ades PA,Toth MJ

    更新日期:2021-01-25 00:00:00

  • . . . But watch out for the weather: factors affecting adherence to progressive resistance exercise for persons with COPD.

    abstract:PURPOSE:Exercise is an important treatment modality for persons with chronic obstructive pulmonary disease (COPD), but factors influencing adherence have been examined infrequently. The purpose of this investigation was to explore adherence factors to a progressive resistance exercise program for persons with COPD. ME...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.HCR.0000270686.78763.c8

    authors: O'Shea SD,Taylor NF,Paratz JD

    更新日期:2007-05-01 00:00:00

  • Early 4-week cardiac rehabilitation exercise training in elderly patients after heart surgery.

    abstract:PURPOSE:The aim of this study was to assess the effects on exercise performance of supplementing a standard cardiac rehabilitation program with additional exercise programming compared to the standard cardiac rehabilitation program alone in elderly patients after heart surgery. METHODS:In this prospective, randomized ...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/HCR.0b013e3181be7e32

    authors: Eder B,Hofmann P,von Duvillard SP,Brandt D,Schmid JP,Pokan R,Wonisch M

    更新日期:2010-03-01 00:00:00

  • Effect of a computerized referral at hospital discharge on cardiac rehabilitation participation rates.

    abstract:PURPOSE:We evaluated the effectiveness of a computerized cardiac rehabilitation (CR) recruiting strategy instituted during the hospital discharge process after acute myocardial infarction (MI) or coronary artery bypass graft (CABG) surgery. The computerized referral was designed to enhance an already-established nurse-...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0b013e3181b4ca75

    authors: Mueller E,Savage PD,Schneider DJ,Howland LL,Ades PA

    更新日期:2009-11-01 00:00:00

  • Evolving Role of Exercise Testing in Contemporary Cardiac Rehabilitation.

    abstract::Symptom-limited (maximal) exercise testing before cardiac rehabilitation (CR) was once an unambiguous standard of care. In particular, it served as an important screen for residual ischemia and instability before initiating a progressive exercise training regimen. However, improved revascularization and therapy for co...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章,评审

    doi:10.1097/HCR.0000000000000176

    authors: Reeves GR,Gupta S,Forman DE

    更新日期:2016-09-01 00:00:00

  • Endothelial progenitor cell mobilization and increased intravascular nitric oxide in patients undergoing cardiac rehabilitation.

    abstract:PURPOSE:We investigated whether cardiac rehabilitation participation increases circulating endothelial progenitor cells (EPCs) and benefits vasculature in patients already on stable therapy previously shown to augment EPCs and improve endothelial function. METHODS:Forty-six of 50 patients with coronary artery disease ...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.HCR.0000265031.10145.50

    authors: Paul JD,Powell TM,Thompson M,Benjamin M,Rodrigo M,Carlow A,Annavajjhala V,Shiva S,Dejam A,Gladwin MT,McCoy JP,Zalos G,Press B,Murphy M,Hill JM,Csako G,Waclawiw MA,Cannon RO 3rd

    更新日期:2007-03-01 00:00:00

  • Impact of Exercise Training on Cardiac Function Among Patients With Type 2 Diabetes: A SYSTEMATIC REVIEW AND META-ANALYSIS.

    abstract:PURPOSE:Type 2 diabetes (T2D) is associated with subclinical abnormalities in left ventricular function and an increased downstream risk for heart failure. Exercise training has been associated with significant improvement in cardiorespiratory fitness among these patients. However, its impact on cardiac function is not...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章,meta分析

    doi:10.1097/HCR.0000000000000353

    authors: Anand V,Garg S,Garg J,Bano S,Pritzker M

    更新日期:2018-11-01 00:00:00

  • Effect of Psychosocial and Vocational Interventions on Return-to-Work Rates Post-Acute Myocardial Infarction: A SYSTEMATIC REVIEW.

    abstract:PURPOSE:To examine whether the effects of psychosocial and vocational interventions delivered in the first 3 mo post-acute myocardial infarction (AMI) are effective for improving work outcomes compared with other interventions. METHODS:A search was completed for English language publications up to March 2016 across 4 ...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000261

    authors: OʼBrien L,Wallace S,Romero L

    更新日期:2018-07-01 00:00:00

  • Influence of Disease Severity and Exercise Limitation on Exercise Training Intensity and Load and Health Benefits From Pulmonary Rehabilitation in Patients With COPD: AN EXPLORATORY STUDY.

    abstract:PURPOSE:Some patients with chronic obstructive pulmonary disease (COPD) fail to achieve health benefits with pulmonary rehabilitation (PR). Exercise intensity and load represent stimulus for adaptation but it is unclear whether inappropriate exercise intensity and/or load are affected by severity of COPD, which may aff...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000321

    authors: Huynh VC,Fuhr DP,Byers BW,Selzler AM,Moore LE,Stickland MK

    更新日期:2018-09-01 00:00:00

  • Resistance Training With Ankle Weight Cuffs Is Feasible in Patients With Acute Exacerbation of COPD.

    abstract:PURPOSE:Quadriceps muscle weakness is a serious complication of physical inactivity following hospitalization due to acute exacerbations of chronic obstructive pulmonary disease (AECOPD). Preventing strength loss during AECOPD is therefore a high priority. We aimed to evaluate the feasibility of progressive knee-extens...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000230

    authors: Kofod LM,Døssing M,Steentoft J,Kristensen MT

    更新日期:2017-01-01 00:00:00

  • Relationship between acceptance of illness and functional outcomes following cardiac rehabilitation.

    abstract:PURPOSE:Acceptance, a cognitive-behavioral concept successfully applied to chronic pain and chronic illness in an HIV/AIDS population, was examined for applicability in patients in a cardiac rehabilitation program. The study examined the internal reliability of the Activities Engagement (AE) and Illness Willingness (IW...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0b013e31825859c1

    authors: Guck TP,Kinney M,Anazia G,Williams MA

    更新日期:2012-07-01 00:00:00

  • Hospital-based versus hybrid cardiac rehabilitation program in coronary bypass surgery patients in western Iran: effects on exercise capacity, risk factors, psychological factors, and quality of life.

    abstract:PURPOSE:The efficacy of alternative delivery models for a cardiac rehabilitation program (CRP) in low- and middle-income countries is not well documented. This study compared the traditional hospital-based CRP with a hybrid CRP in western Iran. METHODS:This observational study was conducted with postcoronary surgery p...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000087

    authors: Najafi F,Nalini M

    更新日期:2015-01-01 00:00:00

  • Health Locus of Control Is Associated With Physical Activity and Other Health Behaviors in Cardiac Patients.

    abstract:PURPOSE:Physical inactivity, smoking, and excessive alcohol use are well-recognized modifiable risk factors for cardiovascular disease (CVD), yet uptake of strategies to mitigate these poor health behaviors varies widely among patients with cardiovascular disease. Part of this variation may be explained by health locus...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000350

    authors: Mercer DA,Ditto B,Lavoie KL,Campbell T,Arsenault A,Bacon SL

    更新日期:2018-11-01 00:00:00

  • Effect of Cardiac Rehabilitation on Sexual Satisfaction Among Patients After Coronary Artery Bypass Graft Surgery.

    abstract:PURPOSE:After coronary artery bypass graft (CABG) surgery, many patients experience diminished sexual function and satisfaction. The present study aimed to investigate the effect of outpatient cardiac rehabilitation (OCR) on the level of sexual satisfaction among post-CABG patients. METHODS:A clinical trial was perfor...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/HCR.0000000000000434

    authors: Rakhshan M,Toufigh A,Dehghani A,Yaktatalab S

    更新日期:2019-11-01 00:00:00

  • A model for integrating a mind/body approach to cardiac rehabilitation: outcomes and correlators.

    abstract:PURPOSE:Although cardiac rehabilitation programs have been shown to decrease cardiovascular risk, morbidity, and mortality, few programs have integrated a balanced mind/body approach in which patients are taught the relaxation response and utilize cognitive behavior skills for stress management, along with diet and exe...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0b013e3181a33352

    authors: Casey A,Chang BH,Huddleston J,Virani N,Benson H,Dusek JA

    更新日期:2009-07-01 00:00:00

  • Pulmonary rehabilitation exercise prescription in chronic obstructive lung disease: US survey and review of guidelines and clinical practices.

    abstract::Chronic obstructive pulmonary disease is a common, progressive disorder associated with disabling symptoms, skeletal muscle dysfunction, and substantial morbidity and mortality. Current national guidelines recommend pulmonary rehabilitation (PR) to improve dyspnea, functional capacity, and quality of life. Many PR exe...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章,评审

    doi:10.1097/HCR.0b013e318297fea4

    authors: Garvey C,Fullwood MD,Rigler J

    更新日期:2013-09-01 00:00:00

  • Patient Perspectives on Declining to Participate in Home-Based Cardiac Rehabilitation: A MIXED-METHODS STUDY.

    abstract:PURPOSE:A minority of eligible patients participate in cardiac rehabilitation (CR) programs. Availability of home-based CR programs improves participation in CR, yet many continue to decline to enroll. We sought to explore among patients the rationale for declining to participate in CR even when a home-based CR program...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000493

    authors: Schopfer DW,Nicosia FM,Ottoboni L,Whooley MA

    更新日期:2020-09-01 00:00:00

  • The V˙E/V˙CO2 Slope During Maximal Treadmill Cardiopulmonary Exercise Testing: REFERENCE STANDARDS FROM FRIEND (FITNESS REGISTRY AND THE IMPORTANCE OF EXERCISE: A NATIONAL DATABASE).

    abstract:PURPOSE:Cardiopulmonary exercise testing (CPX) is the gold standard approach for the assessment of cardiorespiratory fitness (CRF). The primary aim of the current study was to determine reference standards for the minute ventilation/carbon dioxide production (V˙E/V˙CO2) slope in a cohort from the "Fitness Registry and ...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000566

    authors: Arena R,Myers J,Harber M,Phillips SA,Severin R,Ozemek C,Peterman JE,Kaminsky LA

    更新日期:2021-01-14 00:00:00

  • Cardiac rehabilitation: beginning at the bedside.

    abstract:PURPOSE:Despite well-documented positive benefits, cardiac rehabilitation (CR) is an underutilized resource for patients following a cardiac event or intervention. Bias in the CR referral process has led to programs designed to ensure that all eligible patients receive a referral. The purpose of the current investigati...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0b013e31827e14da

    authors: Tiller S,Leger-Caldwell L,OʼFarrell P,Pipe AL,Mark AE

    更新日期:2013-05-01 00:00:00

  • Effect of High-Intensity Interval Versus Continuous Exercise Training on Functional Capacity and Quality of Life in Patients With Coronary Artery Disease: A RANDOMIZED CLINICAL TRIAL.

    abstract:PURPOSE:There is strong evidence that exercise training has beneficial health effects in patients with cardiovascular disease. Most studies have focused on moderate continuous training (MCT); however, a body of evidence has begun to emerge demonstrating that high-intensity interval training (HIIT) has significantly bet...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/HCR.0000000000000156

    authors: Jaureguizar KV,Vicente-Campos D,Bautista LR,de la Peña CH,Gómez MJ,Rueda MJ,Fernández Mahillo I

    更新日期:2016-03-01 00:00:00

  • Short- and Long-term Effects of Pulmonary Rehabilitation in Patients With Mild COPD: A COMPARISON WITH PATIENTS WITH MODERATE TO SEVERE COPD.

    abstract:PURPOSE:Pulmonary rehabilitation (PR) is effective in patients with moderate to severe chronic obstructive pulmonary disease (COPD). However, the effects of PR in patients with mild COPD have not yet been established. Thus, this study investigated the short- and long-term effects of PR in patients with mild COPD in com...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000219

    authors: Jácome C,Marques A

    更新日期:2016-11-01 00:00:00

  • Biopsychosocial-Spiritual Factors Impacting Referral to and Participation in Cardiac Rehabilitation for African American Patients: A SYSTEMATIC REVIEW.

    abstract:PURPOSE:The purposes of this systematic review were to (1) review the literature related to the demographic and biopsychosocial-spiritual factors impacting cardiac rehabilitation (CR) referral and participation of African American patients with cardiovascular disease (CVD); (2) identify barriers and facilitators to CR ...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章,评审

    doi:10.1097/HCR.0000000000000183

    authors: Koehler Hildebrandt AN,Hodgson JL,Dodor BA,Knight SM,Rappleyea DL

    更新日期:2016-09-01 00:00:00

  • Psychosocial benefits of cardiac rehabilitation among women compared with men.

    abstract:PURPOSE:Cardiac rehabilitation (CR) has been shown to reduce cardiac risk and improve the psychosocial functioning of participants. This study examines gender differences on several psychosocial indicators across the course of CR. METHODS:Patients (N = 380; 67.9% men and 32.1% women) referred from local inpatient and ...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000034

    authors: Hazelton G,Williams JW,Wakefield J,Perlman A,Kraus WE,Wolever RQ

    更新日期:2014-01-01 00:00:00

  • Daily Step Counts in Participants With and Without Peripheral Artery Disease.

    abstract:PURPOSE:We compared the prevalence of participants with and without symptomatic peripheral artery disease (PAD) who met the goals of attaining >7000 and 10 000 steps/d, and we determined whether PAD status was significantly associated with meeting the daily step count goals before and after adjusting for demographic va...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000554

    authors: Gardner AW,Montgomery PS,Wang M,Shen B,Casanegra AI,Silva-Palacios F,Zhang S,Pomilla WA,Esponda OL,Kuroki M

    更新日期:2020-11-11 00:00:00

  • Effect of Smoking Status on Exercise Perception and Intentions for Cardiac Rehabilitation Enrollment Among Patients Hospitalized With an Acute Cardiac Condition.

    abstract:PURPOSE:Cardiac rehabilitation (CR) attendance has been associated with higher smoking cessation (SC) rates. However, for unclear reasons, smokers are consistently less likely to enroll in CR than nonsmokers, and it is uncertain what might encourage them to attend. METHODS:We surveyed patients eligible for CR who were...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000288

    authors: Riley H,Headley S,Winter C,Mazur S,Gaalema DE,Goff S,Lindenauer PK,Pack QR

    更新日期:2018-09-01 00:00:00

  • Rates of enrollment for men and women referred to outpatient cardiac rehabilitation.

    abstract:OBJECTIVE:Outpatient cardiac rehabilitation (CR) services are underutilized. Fewer women participate in CR than men. It is unclear whether women referred to CR enroll at the same rate as men. The purpose of this study was to compare enrollment rates of men and women who were referred to CR. METHODS:A retrospective med...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0b013e318207d2fa

    authors: Weingarten MN,Salz KA,Thomas RJ,Squires RW

    更新日期:2011-07-01 00:00:00

  • Limitations in exercise and functional capacity in long-term postpneumonectomy patients.

    abstract:INTRODUCTION:Pneumonectomy results in impairments of pulmonary function and exercise intolerance associated with respiratory limitations. However, exercise capacity and functional capacity are less known at long-term followup. The aims of this study were to assess exercise tolerance and functional capacity among long-t...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0000000000000085

    authors: Vainshelboim B,Fox BD,Saute M,Sagie A,Yehoshua L,Fuks L,Schneer S,Kramer MR

    更新日期:2015-01-01 00:00:00

  • Failure to improve cardiopulmonary fitness in cardiac rehabilitation.

    abstract:PURPOSE:A primary goal of cardiac rehabilitation (CR) exercise is to increase cardiopulmonary fitness. The aim of this study was to identify characteristics of CR participants who fail to improve peak oxygen uptake (peakV(O(2))). METHODS:The study cohort included 385 consecutive patients with directly measured peakV(O...

    journal_title:Journal of cardiopulmonary rehabilitation and prevention

    pub_type: 杂志文章

    doi:10.1097/HCR.0b013e3181b4c8bd

    authors: Savage PD,Antkowiak M,Ades PA

    更新日期:2009-09-01 00:00:00