Viabilidade e validação do Play (Pediatric Living Activity in Youth) teste para avaliar a capacidade funcional em crianças e adolescentes

Abstract

Introduction: Children and adolescents with chronic lung disease may have reduced functional capacity. There are assessment instruments that mimic ADL as TGlittreP, but are not covered by daily children's activities, such as earrings that reproduce a race and collective sports activities. Therefore, there is a need for an assessment instrument composed of functional activities of children / adolescents. Objective: To study the feasibility and validate the PLAY (pediatric living activity in youth) test in children and adolescents with asthma. Methods: Cross-sectional study conducted with children and adolescents aged 6 to 17 years. For viability, the following evaluations were performed: spirometry, cardiopulmonary exercise test (CPET), and 10 proposed ADLs. Spirometry, TGlittre-P, MST, CEPT and PLAY test were used for validation. Results: Viability: Among the 10 ADLs Throwing the ball (VE: 16.8 (14.1-20.7L / min), VO2: 14.9 (12.1-16.9mL / kg), HR: 104 (101-126bpm)) and going up the ramp (VE: 14.2 (12.7-15.5L / min), VO2: 0.14 (0.10-0.21mL/kg), HR: 128 (93-136bpm)) lower demands. Validity: When comparing PLAY to other tests, PLAY test presents HR lower (15517bpm) than CEPT (18814) and MST (18718), p <0.001, and higher than TGlittre-P (14718), p = 0.02. The VO2 in the PLAY test was lower (32.87.5 ml / kg) than CEPT (42.08.8 ml / kg) and MST (48.914.2 ml / kg), p <0.001, and greater than in TGlittre-P (27.49.0 ml / kg), p = 0.02. PLAY test and TGlittre-P showed lower VE when compared to CEPT and MST (p <0.001). There was no difference in the execution time of the PLAY test and TGlittre-P p> 0.05. Conclusion: The PLAY test proved to be valid and reproducible to assess the functional capacity of children and adolescents with asthma.