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

Amanda da Silva; Alexia Nadine Puel; Priscilla Moretto; Ana Inês Gonzáles; Anelise Sonza

doi:10.2174/0115733963263592231127042702

ISSN: 1573-3963
E-ISSN: 1875-6336

Submaximal Field Walking Tests Applied in the Cardiopulmonary Assessment in Congenital Heart Diseases: A Systematic Review
Authors: Amanda da Silva¹, Alexia Nadine Puel¹, Priscilla Moretto², Ana Inês Gonzáles¹ and Anelise Sonza^1,2
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Affiliations: ¹ Human Movement Sciences Graduate Program, Universidade do Estado de Santa Catarina, Rua Pascoal Simone, 358, CEP 88080350, Florianopolis - SC - Brazil; ² Physical Therapy Graduate Program, Universidade do Estado de Santa Catarina, Rua Pascoal Simone, 358, CEP 88080350, Florianopolis - SC - Brazil
Source: Current Pediatric Reviews, Volume 21, Issue 1, Jan 2025, p. 56 - 66
DOI: https://doi.org/10.2174/0115733963263592231127042702
- Received: 23 May 2023
- Accepted: 03 Oct 2023
- Available online: 01 Jan 2025

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.

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