Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024;21(1):56-66.
doi: 10.2174/0115733963263592231127042702.

Submaximal Field Walking Tests Applied in the Cardiopulmonary Assessment in Congenital Heart Diseases: A Systematic Review

Amanda da Silva  1 , Alexia Nadine Puel  1 , Priscilla Moretto  2 , Ana Inês Gonzáles  1 , Anelise Sonza  1   2
Affiliations

Submaximal Field Walking Tests Applied in the Cardiopulmonary Assessment in Congenital Heart Diseases: A Systematic Review

Amanda da Silva et al. Curr Pediatr Rev. 2024.

Abstract

Introduction: Submaximal field walking tests are easy to apply and low cost, but it is necessary to standardize their application, especially in the pediatric population. The feasibility and its use in patients with congenital heart disease have been studied. The goal of this study was to verify which are the submaximal field walking tests applied in the cardiopulmonary assessment of children and adolescents with CHD and to verify if they are being performed as recommended by the standardization protocols/guidelines.

Methods: Literature review through a search in six electronic databases, structured in PICO format, without date restrictions. Looking for studies that used submaximal field walking tests in children and adolescents with congenital heart disease aged 5 to 18 years. Methodological quality, effectiveness and safety and risk of bias were assessed.

Results: Five studies met the eligibility criteria with a sample of 160 individuals with congenital heart disease, and all used the six-minute walk test. Note that different methodologies and modifications are used. Only the clinical trial showed good methodological quality.Four studies had low risk of bias and one study had moderate risk.

Conclusion: Although the six-minute walk test is the only test used as a field test found in our research, there is no standardization in the application of the test, making it difficult to compare the results. In this sense, reducing the limitations and heterogeneity in the application of the test will enable more concrete outcomes and facilitate their reproduction in clinical practice.

Keywords: Child; congenital; congenital heart disease; field walking test; heart defects; pediatrics; walk test..

PubMed Disclaimer

References

    1. Bouma B.J.; Mulder B.J.M.; Changing landscape of congenital heart disease. Circ Res 2017,120(6),908-922 - DOI - PubMed
    1. Chlif M.; Ammar M.M.; Said N.B.; Sergey L.; Ahmaidi S.; Alassery F.; Hamam H.; Mechanism of dyspnea during exercise in children with corrected congenital heart disease. Int J Environ Res Public Health 2021,19(1),99 - DOI - PubMed
    1. Abassi H.; Gavotto A.; Picot M.C.; Bertet H.; Matecki S.; Guillaumont S.; Moniotte S.; Auquier P.; Moreau J.; Amedro P.; Impaired pulmonary function and its association with clinical outcomes, exercise capacity and quality of life in children with congenital heart disease. Int J Cardiol 2019,285,86-92 - DOI - PubMed
    1. Ferrer-Sargues F.J.; Peiró-Molina E.; Salvador-Coloma P.; Carrasco Moreno J.I.; Cano-Sánchez A.; Vázquez-Arce M.I.; Insa Albert B.; Sepulveda Sanchis P.; Cebrià i Iranzo M.À.; Cardiopulmonary rehabilitation improves respiratory muscle function and functional capacity in children with congenital heart disease. A prospective cohort study. Int J Environ Res Public Health 2020,17(12),4328 - DOI - PubMed
    1. Amedro P.; Dorka R.; Moniotte S.; Guillaumont S.; Fraisse A.; Kreitmann B.; Borm B.; Bertet H.; Barrea C.; Ovaert C.; Sluysmans T.; De La Villeon G.; Vincenti M.; Voisin M.; Auquier P.; Picot M.C.; Quality of life of children with congenital heart diseases: A multicenter controlled cross-sectional study. Pediatr Cardiol 2015,36(8),1588-1601 - DOI - PubMed

Publication types

LinkOut - more resources