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Home-based or remote exercise testing in chronic respiratory disease, during the COVID-19 pandemic and beyond: A rapid review

Holland, AE, Malaguti, C, Hoffman, M, Lahham, A, Burge, AT, Dowman, L, May, Anthony, Bondarenko, J, Graco, M, Tikellis, G, Lee, JYT and Cox, NS 2020, Home-based or remote exercise testing in chronic respiratory disease, during the COVID-19 pandemic and beyond: A rapid review, Chronic Respiratory Disease, vol. 17, pp. 1-18, doi: 10.1177/1479973120952418.

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Title Home-based or remote exercise testing in chronic respiratory disease, during the COVID-19 pandemic and beyond: A rapid review
Author(s) Holland, AE
Malaguti, C
Hoffman, M
Lahham, A
Burge, AT
Dowman, L
May, AnthonyORCID iD for May, Anthony orcid.org/0000-0002-4028-949X
Bondarenko, J
Graco, M
Tikellis, G
Lee, JYT
Cox, NS
Journal name Chronic Respiratory Disease
Volume number 17
Start page 1
End page 18
Total pages 18
Publisher Sage Publications
Place of publication London, Eng.
Publication date 2020
ISSN 1479-9723
1479-9731
Keyword(s) Exercise test
lung diseases
rehabilitation
home care services
telemedicine
Summary © The Author(s) 2020. Objectives: To identify exercise tests that are suitable for home-based or remote administration in people with chronic lung disease. Methods: Rapid review of studies that reported home-based or remote administration of an exercise test in people with chronic lung disease, and studies reporting their clinimetric (measurement) properties. Results: 84 studies were included. Tests used at home were the 6-minute walk test (6MWT, two studies), sit-to-stand tests (STS, five studies), Timed Up and Go (TUG, 4 studies) and step tests (two studies). Exercise tests administered remotely were the 6MWT (two studies) and step test (one study). Compared to centre-based testing the 6MWT distance was similar when performed outdoors but shorter when performed at home (two studies). The STS, TUG and step tests were feasible, reliable (intra-class correlation coefficients >0.80), valid (concurrent and known groups validity) and moderately responsive to pulmonary rehabilitation (medium effect sizes). These tests elicited less desaturation than the 6MWT, and validated methods to prescribe exercise were not reported. Discussion: The STS, step and TUG tests can be performed at home, but do not accurately document desaturation with walking or allow exercise prescription. Patients at risk of desaturation should be prioritised for centre-based exercise testing when this is available.
Language eng
DOI 10.1177/1479973120952418
Indigenous content off
Field of Research 1102 Cardiorespiratory Medicine and Haematology
1103 Clinical Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30143646

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.