Academic Journal

Test-Retest Reliability, Learning Effect and Measurement Error of the Modified Shuttle Test (MST) in Children With Asthma: A Multicenter Study.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Test-Retest Reliability, Learning Effect and Measurement Error of the Modified Shuttle Test (MST) in Children With Asthma: A Multicenter Study.
Συγγραφείς: Radis LB; Associated Graduate Program (MSc and PhD) in Rehabilitation Sciences at State University of Londrina (UEL) and University Pitágoras UNOPAR (UNOPAR), Londrina, Paraná, Brazil., Puzzi VC; Associated Graduate Program (MSc and PhD) in Rehabilitation Sciences at State University of Londrina (UEL) and University Pitágoras UNOPAR (UNOPAR), Londrina, Paraná, Brazil., Dias TC; Associated Graduate Program (MSc and PhD) in Rehabilitation Sciences at State University of Londrina (UEL) and University Pitágoras UNOPAR (UNOPAR), Londrina, Paraná, Brazil., Correia NS; Associated Graduate Program (MSc and PhD) in Rehabilitation Sciences at State University of Londrina (UEL) and University Pitágoras UNOPAR (UNOPAR), Londrina, Paraná, Brazil., Montes JLF; Associated Graduate Program (MSc and PhD) in Rehabilitation Sciences at State University of Londrina (UEL) and University Pitágoras UNOPAR (UNOPAR), Londrina, Paraná, Brazil., Reimberg MM; University Nove de Julho, UNINOVE, São Paulo, São Paulo, Brazil., Lanza FC; Department of Physical Therapy, Graduate Program in Rehabilitation Sciences, University Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil., de Freitas Dantas Gomes EL; Graduate Program Science Rehabilitation, Universidade de São Paulo, São Paulo, São Paulo, Brazil., de Amorim CLCG; Health Science Center, State University of Londrina (UEL), Londrina, Paraná, Brazil., Furlanetto KC; Associated Graduate Program (MSc and PhD) in Rehabilitation Sciences at State University of Londrina (UEL) and University Pitágoras UNOPAR (UNOPAR), Londrina, Paraná, Brazil.; Health Science Center, State University of Londrina (UEL), Londrina, Paraná, Brazil.
Πηγή: Pediatric pulmonology [Pediatr Pulmonol] 2026 Oct; Vol. 61 (10), pp. e71852.
Τύπος έκδοσης: Journal Article; Multicenter Study
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Wiley-Liss Country of Publication: United States NLM ID: 8510590 Publication Model: Print Cited Medium: Internet ISSN: 1099-0496 (Electronic) Linking ISSN: 10990496 NLM ISO Abbreviation: Pediatr Pulmonol Subsets: MEDLINE
Imprint Name(s): Publication: <2005-> : Hoboken, NJ : Wiley-Liss
Original Publication: [Philadelphia, PA] : W.B. Saunders, [c1985-
Ιατρικοί όροι (MeSH): Asthma*/physiopathology , Asthma*/diagnosis , Exercise Test*/methods , Exercise Tolerance*/physiology, Humans ; Child ; Reproducibility of Results ; Cross-Sectional Studies ; Male ; Female
Περίληψη: Objective: To investigate test-retest reliability, measurement error (standard error of measurement [SEM] and minimum detectable difference [MDD]), and the learning effect of the Modified Shuttle Test (MST) in children with asthma.
Methods: Multicenter cross-sectional study including clinically stable children aged 6-12 years with asthma. Lung function and exercise capacity were assessed using MST. Intraclass Correlation Coefficient (ICC) was calculated to assess test-retest reliability. The first and second tests were compared using the paired Student's t-test to assess differences between tests. SEM and MDD were calculated to quantify measurement error.
Results: One hundred and twenty three children were included (71 boys [57%]; median age 9 [7-10] years). The mean distance covered in the best MST was 611 ± 214 meters (confidence interval [95% CI] = 573-649meters). The MST showed an excellent test-retest reliability (ICC = 0.96; 95% CI: 0.95-0.97). Distance was significantly lower in the second test than in the first (574 ± 218 vs. 601 ± 216 m; p = 0.0001). Learning effect was -27 ± 79 (4% ± 14%), the SEM was 56 meters (9.5%), and the MDD was 156 m (26.6%).
Conclusion: The MST demonstrated excellent test-retest reliability and acceptable measurement error for assessing exercise capacity in children with asthma. Although a systematic difference was observed between tests, there was no evidence of a consistent learning effect, with individual variability in repeated performance.
(© 2026 The Author(s). Pediatric Pulmonology published by Wiley Periodicals LLC.)
References: J Pediatr. 2015 Nov;167(5):1057-61. (PMID: 26323195)
Rev Paul Pediatr. 2019 Apr-Jun;37(2):241-251. (PMID: 30892544)
Pediatr Pulmonol. 2003 Feb;35(2):133-8. (PMID: 12526075)
BMC Pediatr. 2017 Mar 9;17(1):68. (PMID: 28279158)
Rev Bras Fisioter. 2010 May-Jun;14(3):252-8. (PMID: 20730371)
Am J Phys Med Rehabil. 2005 Sep;84(9):719-23. (PMID: 16141752)
Pediatr Pulmonol. 2026 Oct;61(10):e71852. (PMID: 42817767)
Int J Nurs Stud. 2015 Nov;52(11):1746-53. (PMID: 26234936)
J Clin Epidemiol. 2007 Jan;60(1):34-42. (PMID: 17161752)
J Strength Cond Res. 2005 Feb;19(1):231-40. (PMID: 15705040)
Rev Paul Pediatr. 2018 Oct-Dec;36(4):500-510. (PMID: 30462776)
J Pediatr (Rio J). 2020 Jan - Feb;96(1):53-59. (PMID: 30240630)
J Cyst Fibros. 2020 May;19(3):442-448. (PMID: 31678012)
Phys Ther. 2013 Jul;93(7):967-74. (PMID: 23580630)
Qual Life Res. 2018 May;27(5):1159-1170. (PMID: 29550964)
J Bras Pneumol. 2007 Jul-Aug;33(4):397-406. (PMID: 17982531)
J Cardiopulm Rehabil Prev. 2018 Jan;38(1):54-57. (PMID: 28885280)
J Pediatr (Rio J). 2020 Jul - Aug;96(4):432-438. (PMID: 31009618)
Dev Med Child Neurol. 2011 May;53(5):470-2. (PMID: 21309762)
Thorax. 1992 Dec;47(12):1019-24. (PMID: 1494764)
Rev Paul Pediatr. 2017 Apr-Jun;35(2):222-233. (PMID: 28977338)
J Bras Pneumol. 2020 Mar 27;46(3):e20190138. (PMID: 32236343)
Front Physiol. 2018 Jul 24;9:919. (PMID: 30087618)
Contributed Indexing: Keywords: asthma; exercise tolerance; pediatrics; reliability
Entry Date(s): Date Created: 20261001 Date Completed: 20261001 Latest Revision: 20261006
Update Code: 20261006
PubMed Central ID: PMC13628282
DOI: 10.1002/ppul.71852
PMID: 42817767
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1099-0496
DOI:10.1002/ppul.71852