Copyright ©The Author(s) 2016.
World J Transplant. Sep 24, 2016; 6(3): 517-531
Published online Sep 24, 2016. doi: 10.5500/wjt.v6.i3.517
Table 1 Physical assessment of lung transplant candidates and recipients
MeasuredconstructClinical testsClinical utility
Exercise capacityLab-based test: Cardiopulmonary exercise test on cycle or treadmill Field-based walk tests: 6MWT, ISWT[19,27] Upper extremity endurance capacity: UULEX[28]Cause of exercise limitation Assess need for oxygen Assess functional capacity Outcome measure pre-post rehab and pre-post transplant Exercise prescription
Muscle function (strength, endurance)Peripheral muscles: Manual muscle testing or hand held dynamometry Handgrip force 1-repetition maximum Respiratory muscles: MIP/MEPAssess muscle strength and/or muscle endurance Outcome measure Exercise prescription (1-RM for peripheral muscles, MIP for IMT)
Physical performance and mobilityGait speed (over 4 m)[110] Sit-stand tests (e.g., 30 s sit to stand; 5 times sit to stand)[111,112] Short Physical Performance Battery[113] Timed Up and Go[114] Balance tests (e.g., Berg balance scale, BESTest)[115,116] FIM[117] Tests specifically for ICU/inpatients: Egress test[118] Various ICU physical function tests[119-121]Assess mobility, balance and physical function Assess need for gait aid Outcome measure Exercise prescription Discharge planning
Physical activityPhysical Activity questionnaires, e.g., PASE[122]; IPAQ[123]; DASI[124] Pedometers or accelerometersAssess physical activity Outcome measure Set activity goals (e.g., target daily step count)