Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/36468
Title: Short Physical Performance Battery: Response to Pulmonary Rehabilitation and Minimal Important Difference Estimates in Patients With Chronic Obstructive Pulmonary Disease
Authors: Stoffels, Anouk A
DE BRANDT, Jana 
Meys, Roy
van Hees, Hieronymus W
Vaes, Anouk W
Klijn, Peter
BURTIN, Chris 
Franssen, Frits M
van den Borst, Bram
Sillen, Maurice J
Janssen, Daisy J
SPRUIT, Martijn A. 
Corporate Authors: BASES Consortium
Issue Date: 2021
Publisher: W B SAUNDERS CO-ELSEVIER INC
Source: Archives of physical medicine and rehabilitation (Print), 102 (12) , p. 2377 -2384
Abstract: To determine the response to a pulmonary rehabilitation (PR) program and minimal important differences (MIDs) for the Short Physical Performance Battery (SPPB) subtests and SPPB summary score in patients with chronic obstructive pulmonary disease (COPD).
Objective: To determine the response to a pulmonary rehabilitation (PR) program and minimal important differences (MIDs) for the Short Physical Performance Battery (SPPB) subtests and SPPB summary score in patients with chronic obstructive pulmonary disease (COPD). Design: Retrospective analysis using distribution-and anchor-based methods. Setting: PR center in the Netherlands including a comprehensive 40-session 8-week inpatient or 14-week outpatient program. Participants: A total of 632 patients with COPD (age, 65</n>8y; 50% male; forced expiratory volume in the first second=43% [interquartile range, 30%-60%] predicted). Interventions: Not applicable. Main Outcome Measure: Baseline and post-PR results of the SPPB, consisting of 3 balance standing tests, 4-meter gait speed (4MGS), and 5 -repetition sit-to-stand (5STS). The chosen anchors were the 6-Minute Walk Test and COPD Assessment Test. Patients were stratified according to their SPPB summary scores into low-performance, moderate-performance, and high-performance groups. Results: 5STS (Delta=-1.14 [-4.20 to-0.93]s) and SPPB summary score (Delta=1 [0-2] points) improved after PR in patients with COPD. In patients with a low performance at baseline, balance tandem and 4MGS significantly increased as well. Based on distribution-based calculations, the MID estimates ranged between 2.19 and 6.33 seconds for 5STS and 0.83 to 0.96 points for SPPB summary score. Conclusions: The 5STS and SPPB summary score are both responsive to PR in patients with COPD. The balance tandem test and 4MGS are only responsive to PR in patients with COPD with a low performance at baseline. Based on distribution-based calculations, an MID estimate of 1 point for the SPPB summary score is recommended in patients with COPD. Future research is needed to confirm MID estimates for SPPB in different centers.
Keywords: Minimal important difference;Physical functional performance;Pulmonary disease, chronic obstructive;Rehabilitation;Aged;Exercise Test;Female;Humans;Male;Middle Aged;Minimal Clinically Important Difference;Netherlands;Outcome Assessment, Health Care;Pulmonary Disease, Chronic Obstructive;Respiratory Therapy;Retrospective Studies;Physical Functional Performance
Document URI: http://hdl.handle.net/1942/36468
ISSN: 0003-9993
e-ISSN: 1532-821X
DOI: 10.1016/j.apmr.2021.05.011
ISI #: WOS:000726577100012
Rights: 2021 The Authors. Published by Elsevier Inc. on behalf of The American Congress of Rehabilitation Medicine. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
Category: A1
Type: Journal Contribution
Validations: ecoom 2022
Appears in Collections:Research publications

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