Evaluation of the Glittre-ADL test as an instrument for classifying functional capacity of individuals with cardiovascular diseases

Abstract

Background: The assessment of functional capacity in individuals with cardiovascular disease is closely related to lower limb function. The Glittre-ADL test is a global test to evaluate this patients.

Objective: We aimed to verify whether the Glittre-ADL test discriminates functional status while evaluating individuals with cardiovascular disease.

Methods: A total of 42 participants were evaluated using the Glittre-ADL test Incremental Shuttle Walking Test (shuttle test), Human Activity Profile, and Duke Activity Status Index. Data from the shuttle test, Human Activity Profile, and DASI were divided into tertiles for statistical analysis. The time required to complete the Glittre-ADL test was compared among tertiles of the shuttle test, Duke Activity Status Index and Human Activity Profile using analysis of variance.

Results: There were significant differences between the tertiles of the shuttle test. Tertile 1 was different from tertiles 2 (mean difference, 47.63; 95% CI, 19.86-75.39) and 3 (mean difference, 67.15; 95% CI, 41.25-93.05). For the Duke Activity Status Index there were significant between-group differences. Tertile 1 was different from tertiles 2 (mean difference, 42.45; 95% CI, 8.82-76.09) and 3 (mean difference, 43.56; 95% CI, 13.68-73.44). For the Human Activity Profile there were significant between-group differences. Tertile 3 was different from tertiles 1 (mean difference, 51.46; 95% CI, 21.27-81.64) and 2 (mean difference, 33.01; 95% CI, 3.52-62.51).

Conclusion: The Glittre-ADL test is able to discriminate the functional status in individuals with cardiovascular disease, most of whom have hypertension. The Glittre-ADL test was sensitive to discriminate more functionally affected individuals.

Keywords: Activities of daily living; Cardiovascular diseases; Evaluation.