Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
권호 표지
DOI QR코드

DOI QR Code

The Reliability and Validity of a Portable Hand-held Spirometer for the Measurement of Various Lung Functions in Healthy Adults

  • Merve Nur Uygun (Department of Physical Therapy, Graduate School of Medical Science, Konyang University) ;
  • Jun-Min Ann (Department of Physical Therapy, Konyang University) ;
  • Byeong-Hyeon Woo (Department of Physical Therapy, Konyang University) ;
  • Hyeon-Myeong Park (Department of Physical Therapy, Konyang University) ;
  • Ha-Im Kim (Department of Physical Therapy, Konyang University) ;
  • Dae-Sung Park (Department of Physical Therapy, Konyang University) ;
  • In-Beom Jeong (Department of Respiratory Medicine, Konyang University Hospital)
  • Received : 2024.04.30
  • Accepted : 2024.06.24
  • Published : 2024.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: This study aims to assess the reliability and validity of the new hand-held spirometer as a potential substitute for traditional pulmonary function testing (PFT) devices. Design: Cross-sectional study. Methods: In this study, thirty healthy adults underwent spirometry using both the new hand-held spirometer and the MIR spirometer, which is a standard PFT device. Parameters including peak expiratory flow (PEF), forced expiratory volume in one second (FEV1), and forced vital capacity (FVC) were measured and analyzed for validity and reliability. Inter-rater reliability and validity were evaluated through 95% limits of agreement (LOA) and intraclass correlation coefficients (ICC). Statistical analyses, including the Bland-Altman plots and the ICC, were utilized to assess agreement between the two devices. Results: The new hand-held spirometer exhibited a good agreement with intra-class coefficient (ICC [2,1]) ranging 0.762 to 0.956 and 95% LOA of -1.94 to 1.80 when compared with MIR. The test-retest reliability of the hand-held spirometer analyzed using - ICC [2,1] demonstrated a good level of consistency (ICC [2,1] =0.849-0.934). Conclusions: In conclusion, the study aimed to assess the potential of the new hand-held spirometer as a viable alternative to traditional PFT devices, with a specific focus on its reliability and validity in spirometric measurements. The new hand-held spirometer exhibited good test-retest reliability across all measured variables, suggesting its potential as a valid and reliable tool for simultaneous PFT measurements.

Keywords

References

  1. Ju MJ, Oh J, Choi YH. Changes in air pollution levels after COVID-19 outbreak in Korea. Sci Total Environ. 2021; 750: 141521. 
  2. Kim BS, Lee MM. A study on the clinical usefulness, validity, and test-retest reliability of the Spirokit, a device that combines the pulmonary function test and respiratory muscle strength test. Phys Ther Rehabil Sci. 2020; 9: 120-130. 
  3. Sekere BE, Unsal H, Sahiner UM, Soyer OU, Damadoglu E, Karakaya G, et al. Clinical Validation of the Spirohome Clinic Ultrasonic Spirometer in Child and Adolescent Patients. J Asthma Allergy. 2022; 15: 219-229.
  4. Chen S, Li X, Wang Z, Zhou Y, Zhao D, Zhano Z, et al. Validity of the Handheld Expiratory Flowmeter for COPD Screening in the Primary Care Setting of China. Int J Chron Obstruct Pulmon Dis. 2021; 16: 2039-2047.
  5. Cukic V, Lovre V, Dragisic D, Ustamujic A. Asthma and Chronic Obstructive Pulmonary Disease (COPD) - Differences and Similarities. Mater Sociomed. 2012; 24(2): 100-105.
  6. Haahtela T, Tuomisto LE, Pietinalho LE, Klaukka T, Erhola M, Kaila M, et al. A 10-year asthma program in Finland: major change for the better. Thorax. 2006; 61(8): 663-670.
  7. Fabero-Garrido R, Corral TD, Angulo-Diaz-Parreno S, Plaza-Manzano G, Martin-Casas P, Cleland JA, et al. Respiratory muscle training improves exercise tolerance and respiratory muscle function/structure post-stroke at short term: A systematic review and meta-analysis. Ann Phys Rehabil Med. 2022; 65(5): 101596. 
  8. Hao Z, Li L, Daozhen J, Yanjie Y, Chunhong P, Ling Y, et al. An Interrater Reliability Study of Pulmonary Function Assessment with a Portable Spirometer. Respir Care. 2020; 65 (5): 665-672. 
  9. Graham BL, Steenbruggen I, Miller MR, Barjaktarevic IZ, Cooper BG, Hall GL, et al. Standardization of Spirometry 2019 Update: An Official American Thoracic Society and European Respiratory Society Technical Statement. Am J Respir Crit Care Med. 2019; 200(8):70-88. 
  10. Zhang QJ, Huang JC, Chen J, Hu W, Xu LQ, Guo QF. Peak expiratory flow is a reliably household pulmonary function parameter correlates with disease severity and survival of patients with amyotrophic lateral sclerosis. BMC Neurol. 2022; 22: 105. 
  11. Pollock RD, Rafferty GF, Moxham J, Kalra L. Respiratory Muscle Strength and Training in Stroke and Neurology: A Systematic Review. Int J Stroke. 2012; 8(2):124-130. 
  12. Xiao S, Wu F, Wang Z, Chen J, Yang H, Zheng Y, et al. Validity of a portable spirometer in the communities of China. BMC Pulm Med. 2022; 22:80. 
  13. Ramsey BR, Plevinsky JM, Milgrim L, Hommel KA, McDowell KM, Shepard J, et al. Feasibility and Preliminary Validity of Mobile Spirometry in Pediatric Asthma. J Allergy Clin Immunol Pract. 2021; 9(10):3821-3823. 
  14. Eom SY, Kim H. Reference Values for the Pulmonary Function of Korean Adults Using the Data of Korea National Health and Nutrition Examination Survey IV (2007-2009). J Korean Med Sci. 2013;28(3):424-430. 
  15. Oh YM, Hong SB, Shim TS, Lim CM, Koh YS, Kim WS, et al. Effect of a New Spirometric Reference Equation on the Interpretation of Spirometric Patterns and Disease Severity. Tuberc Respir Dis. 2006;60(2):215-220. 
  16. Zhang H, Li L, Jiao D, Yang Y, Pan C, Ye L, et al. An Interrater Reliability Study of Pulmonary Function Assessment with a Portable Spirometer. Respir Care. 2020;65(5):665-672. 
  17. Peng X, Huang M, Zhao W, Yuan Y, Li B, Ye Y, et al. Delayed diagnosis is associated with greater disease severity of chronic obstructive pulmonary disease. South Med J. 2018;38(12):1448-1452. 
  18. Yen M, Lo LH. Examining test-retest reliability: an intra-class correlation approach. Nurs Res. 2002;51(1):59-62. 
  19. Malmberg LP, Hedman J, Sovijarvi AR. Accuracy and repeatability of a pocket turbine spirometer: comparison with a rolling seal flow-volume spirometer. Clin Physiol. 1993;13(1):89-98. 
  20. Brouwer AFJ, Roorda RJ, Brand PLP. Comparison between peak expiratory flow and FEV1 measurements on a home spirometer and on a pneumotachograph in children with asthma. Pediatr Pulmonol. 2007;42(9):813-818. 
  21. Graham BL, Steenbruggen I, Miller MR, Barjaktarevic IZ, Cooper BG, Hall GL, et al. Standardization of spirometry 2019 update. An official American Thoracic Society and European Respiratory Society technical statement. Am J Respir Crit Care Med. 2019;200(8): 70-88. 
  22. Townsend MC. The American Thoracic Society/European Respiratory Society 2019 Spirometry Statement and Occupational Spirometry Testing in the United States. Am J Respir Crit Care Med. 2020; 201(8):1010-1011. 
  23. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986; 8(1):307-310. 
  24. Bai C, Cjotirmall SH, Rello J, Alba GA, Ginns LC, Krishnan JA. Updated guidance on the management of COVID-19: from an American Thoracic Society/European Respiratory Society coordinated International Task Force (29 July 2020). Eur Respir Rev. 2020;29(157):200287. 
  25. Walker PP, Mitchell P, Diamantea F, Warburton CJ, Davies L. Effect of primary-care spirometry on the diagnosis and management of COPD. Eur Respir Rev. 2006; 28:945-952.