Validity and reliability of the Glittre-ADL test in individuals with idiopathic pulmonary fibrosis

Physiother Theory Pract. 2024 Jun;40(6):1101-1109. doi: 10.1080/09593985.2022.2032510. Epub 2022 Feb 12.

Abstract

Background: Patients with idiopathic pulmonary fibrosis (IPF) often present with dyspnea, fatigue, and desaturation. These symptoms can be highly limiting, as they lead to a decrease in performing activities of daily living (ADL). Therefore, it is essential to evaluate the degree of functional limitation of these individuals.

Objective: The present study aimed to evaluate the validity and reliability of the Glittre-ADL test (TGlittre) and its association with self-reported limitation in ADL and health-related quality of life (HRQoL) in patients with IPF.

Methods: Twenty-seven individuals with IPF (60.5 ± 10.6 years), with forced vital capacity 2.26 ± 1.03 L (51.09 ± 20.62% of predicted) were assessed for the time spent in TGlittre, 6-minute walking distance (6MWD), limitation in ADL and HRQoL.

Results: TGlittre was reliable (intraclass correlation coefficient3,1 = 0.96; P < .001); however, a learning effect of 10.6% was observed between the first and second execution of TGlittre. The time spent in TGlittre correlated with 6MWD, limitation in ADL, and disease-specific HRQoL (P < .05).

Conclusion: TGlittre is valid and reliable for assessing functional capacity in patients with IPF. Still, it presents a learning effect and should be performed twice when assessing functional capacity in clinical practice.

Keywords: Activities of daily living; dyspnea; exercise test; interstitial lung disease; physical fitness.

Publication types

  • Validation Study

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Female
  • Humans
  • Idiopathic Pulmonary Fibrosis* / diagnosis
  • Idiopathic Pulmonary Fibrosis* / physiopathology
  • Male
  • Middle Aged
  • Quality of Life*
  • Reproducibility of Results
  • Walk Test