Włoch T1, Bromboszcz J1, Pilinski R2, Sliwka A2, Barczyk K3, Nizankowska-Mogilnicka E4, Nowobilski R2
1University School of Physical Education, Department of Clinical Rehabilitation, Krakow, Poland, 2Jagiellonian University Medical College, Institute of Physiotherapy, Krakow, Poland, 3Regional Respiratory Hospital, Department of Clinical Rehabilitation, Jaroszowiec, Poland, 4Jagiellonian University Medical College, Division of Pulmonology, Department of Medicine, Krakow, Poland
Background: COPD patients demonstrate a multitude of impairments, which result in functional ability restriction (post -exercise imbalance, i.e. problems with changing position, and direction of walking ambulation, narrowing the range and limitation of daily activities). Low physical activity due to the fear of dyspnea and tiredness contributes to reduction of general physical fitness, functional ability, and leads to the intensification of exercise dyspnea.
Purpose: To evaluate the relationship between functional ability measured with the Expanded Timed Get-Up and Go Test (ETGUG) and the severity of COPD.
Methods: 54 clinically stable COPD out patients (mean age 66.31 ±8.42 years), seen at an outpatient clinic were assessed for: spirometry after bronchodilator, dyspnea intensity (mMRC questionnaire), BODE index (BMI, FEV1, mMRC, 6MWD), disease severity (GOLD A-B-C-D groups - "Combined Assessment of COPD") and functional ability (ETGUG). The Expanded Timed Get-Up and Go Test, (ETGUG), contains an extended walking distance from 6 to 20 m (from 3 to 10 metres one way) as well as the measurements of time for particular tasks i.e. getting up from a chair, starting to walk, walking 6 metres before turning and sitting (stopping, turning and sitting in the chair).
Results: Subjects were characterized by: FEV1 (54,4±15.5), FEV1/FVC (63.3 ±14.1), BMI (28.8±5.2), mMRC (1.74 ±0.91), BODE (2.2 ±1.6), 6MWT (461 ±93.7), There were 29.73%, 21.62%, 13.51% and 35.14% of subjects in the A, B, C and D disease severity groups, respectively. The final result of the ETGUG test depends on the results of its component tasks: total time (16.36 ±3.65), sit to stand and gait initiation (2.08 ±0.63), walk before turn (4.04 ±0,96), turn around (3.30 ±0.66), walk after turn (4.14 ±0.96), slow down, stop, turn around, and sit down (2.81 ±0.67). The ETGUG test result correlate with the disease severity (evaluated with the GOLD A-B-C-D, mMRC questionnaire and the BODE index.
Conclusion(s): On the basis of the research results obtained it may be claimed that the ETGUG test is an easy test to carry out, as well as being useful in the testing of the functional aptitude and tolerance for exertion amongst patients suffering from COPD.
Implications: The ETGUG test can be used as supplementary tool in assessing functional ability and disease severity of COPD patients.
Keywords: ETGUG, functional performance, COPD
Funding acknowledgements: own financing
Purpose: To evaluate the relationship between functional ability measured with the Expanded Timed Get-Up and Go Test (ETGUG) and the severity of COPD.
Methods: 54 clinically stable COPD out patients (mean age 66.31 ±8.42 years), seen at an outpatient clinic were assessed for: spirometry after bronchodilator, dyspnea intensity (mMRC questionnaire), BODE index (BMI, FEV1, mMRC, 6MWD), disease severity (GOLD A-B-C-D groups - "Combined Assessment of COPD") and functional ability (ETGUG). The Expanded Timed Get-Up and Go Test, (ETGUG), contains an extended walking distance from 6 to 20 m (from 3 to 10 metres one way) as well as the measurements of time for particular tasks i.e. getting up from a chair, starting to walk, walking 6 metres before turning and sitting (stopping, turning and sitting in the chair).
Results: Subjects were characterized by: FEV1 (54,4±15.5), FEV1/FVC (63.3 ±14.1), BMI (28.8±5.2), mMRC (1.74 ±0.91), BODE (2.2 ±1.6), 6MWT (461 ±93.7), There were 29.73%, 21.62%, 13.51% and 35.14% of subjects in the A, B, C and D disease severity groups, respectively. The final result of the ETGUG test depends on the results of its component tasks: total time (16.36 ±3.65), sit to stand and gait initiation (2.08 ±0.63), walk before turn (4.04 ±0,96), turn around (3.30 ±0.66), walk after turn (4.14 ±0.96), slow down, stop, turn around, and sit down (2.81 ±0.67). The ETGUG test result correlate with the disease severity (evaluated with the GOLD A-B-C-D, mMRC questionnaire and the BODE index.
Conclusion(s): On the basis of the research results obtained it may be claimed that the ETGUG test is an easy test to carry out, as well as being useful in the testing of the functional aptitude and tolerance for exertion amongst patients suffering from COPD.
Implications: The ETGUG test can be used as supplementary tool in assessing functional ability and disease severity of COPD patients.
Keywords: ETGUG, functional performance, COPD
Funding acknowledgements: own financing
Topic: Disability & rehabilitation
Ethics approval required: Yes
Institution: Jagiellonian University Medical College
Ethics committee: Ethics Committee
Ethics number: KBET/69/B/2005
All authors, affiliations and abstracts have been published as submitted.
