The relationship between measures of physical performance in preoperative oesophageal cancer patients

Abstract

Background and aim

Preoperative testing of physical performance is common for patients undergoing an esophagectomy, but little evidence exists suggesting which measures are most suitable. This study compared outcome measures currently used at participating hospitals (spirometry, cycle ergometer test) against other validated tests – Maximal Inspiratory Pressure (MIP), Maximal Expiratory Pressure (MEP), Timed Up and Go (TUG), 6 Minute Walk Test (6MWT), heel raise test, shoulder abduction test, Timed Stands Test (TST) and handgrip strength.

Methods

109 patients were recruited from three university hospitals in Sweden. Participants were tested using a protocol testing respiratory and peripheral muscle strength, lung function, endurance and fitness.

Results

There were strong correlations between the cycle ergometer and grip strength (r = 0.619), 6MWT (r = 0.572), MIP (r = 0.619) and MEP (r = 0.529). A strong correlation was also seen between spirometry and grip strength (r = 0.508–0.574). A moderate correlation was found between spirometry, MIP (r = 0.405–0.470) and MEP (r = 0.366–0.452), the cycle ergometer, TUG (r = −0.321) and TST (r = −0.308) and between 6MWT and PEF (r = −0.333).

Conclusion

The strong correlations between different measures suggest that in cases where the standard tests are inadvisable or impractical, simple tests like grip strength and 6MWT could be used instead.

Keywords:

• Esophagectomy
• preoperative
• assessment
• physiotherapy
• physical performance

Disclosure statement

The authors declare no conflicts of interest relating to this study.

Additional information

Funding

The trial was undertaken with financial support in the form of research grants from the Research and Development Council for Gothenburg and Southern Bohuslän.