Feasibility and reliability of functional muscle tests in lung transplant recipients
This study investigates the feasibility, reliability, and correlations of recommended functional tests in lung transplant recipients shortly after surgery.Design
50 patients (28 females) performed well standardized maximum isometric back extension in a sitting position, hand grip strength, and Biering-Sørensen endurance tests shortly before discharge from the acute hospital, shortly thereafter, and two months later following subacute rehabilitation.Results
Back extension testing was well feasible but only two thirds of the patients could perform the Biering-Sørensen test at baseline and they experienced a greater number of minor but no major adverse events. Absolute reliability measures and the intraclass-correlation-coefficients were excellent for the strength [0.97 - 0.98 (0.95 - 0.99)] and good for the endurance tests [0.69 (0.26 - 0.87)]. Hand grip revealed high correlation with back strength (≥0.75) but not with Biering-Sørensen scores.Conclusion
Well controlled maximum back strength testing is feasible, reliable, and the scores are highly correlated with grip strength in lung transplant recipients shortly before hospital discharge. The Biering-Sørensen test should be limited to patients without dominant weakness and/or fear. Future research should investigate if grip instead of back extension strength can safely be used for proper exercise prescription.