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Exercise testing for children with cystic fibrosis: A systematic review
Author(s) -
Lang Ray Lei,
Stockton Kellie,
Wilson Christine,
Russell Trevor Glen,
Johnston Leanne Marie
Publication year - 2020
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.24794
Subject(s) - medicine , checklist , test (biology) , physical therapy , treadmill , medline , sprint , physical medicine and rehabilitation , timed up and go test , cardiopulmonary exercise test , cochrane library , population , meta analysis , vo2 max , psychology , heart rate , paleontology , balance (ability) , environmental health , radiology , political science , blood pressure , law , cognitive psychology , biology
Abstract Background Exercise testing is routinely used to measure exercise capacity in children with cystic fibrosis (CF). Various tests are available, however the psychometric properties of these measures have not been systematically reviewed for this population. Method A systematic search of electronic databases (PubMed, Web of Science, Medline, CINHAL, Cochrane, and PEDro) was performed to identify papers that: (a) reported original psychometric data, (b) examined a measure of exercise capacity, (c) examined children with CF aged eight to 18 years; and (d) were published in English after 1950. The level of psychometric evidence was evaluated using the COnsensus‐based Standards for the selection of health Measurement INstruments (COSMIN) checklist. Results Searches identified 1025 papers. Forty‐six papers were included, covering 15 tests: incremental cardiopulmonary exercise test using a cycle ergometer (CPET(cycle)) or treadmill (CPET(treadmill)), 6 minute walk test (6MWT), modified shuttle test (MST), 3‐minute step test (3MST), 2 minute walk test (2MWT), Bratteby walk test, intermittent sprint test, speed ramp test, incremental step test, forward‐backwards jump test (FBJT), astride jump test (AJT), motor quotient test, Munich fitness test, and Glittre ADL test. Conclusion There is a plethora of exercise tests available with varying psychometric robustness. The CPET, 6MWT, and MST have fair to good psychometric properties, but each with their clinical advantages and limitations. Thus, a Selection Guide was developed to assist clinicians and researchers in selecting the most appropriate exercise test for various situations.