Correlation Between Maximal Inspiratory Pressure with 6-Minutes Walking Test And Chronic Obstructive

Pulmonary Disease Assessment Test Score

Rifky Mubarak1, Anitta Florence Stans Paulus2
1
Resident of Physical Medicine and Rehabilitation, Medical Faculty of University of Indonesia/Dr. Cipto
Mangunkusumo National General Hospital, Jakarta, Indonesia
2
Physical Medicine and Rehabilitation Specialist/Persahabatan General Hospital, Jakarta, Indonesia
Background: Exercise capacity in patients with COPD was related to the impairment of the inspiratory muscles
function that can be measured by maximal inspiratory pressure (MIP) which is generated from one inspiratory effort
starting from functional residual capacity (FRC). As COPD patient can develop systemic effect that affect their
skeletal muscle and exercise capacity, patients are likely to curtail their normal activities and become disabled.
Measurement of patients exercise capacity tolerance using 6-minutes walking test (6MWT), and quality of life
using COPD assessment test (CAT) is necessary to monitor patients objective conditions. The purpose of this study
is to find correlation between MIP score with 6MWT and CAT score in stable COPD patients. Design: Cross-
sectional Study. Method: Stable COPD patients came to the outpatient rehabilitation clinic was evaluated for MIP,
CAT, and 6MWT. The result from 6MWT was taken as walking distance (meter). MIP was evaluated statistically
for its correlation to 6MWT and CAT score. Results: From 13 patiens who came to our clinic from July to August
2017, 11 (84.6%) were males and 2 (15.3%) were females. The composition of COPD group consist of 3 patients
(23.07%) of group A, 2 patients (15.3%) of group B, 3 patients (23.07%) of group C, and 5 patients (38.4%) of
group D. Mean age 63.62.1 years, mean MIP value 51.68.6 CmH2O, mean CAT score 11.074.5, and mean
6MWT distance 393.6144.4 meters. There is significant correlation between MIP and 6MWT (p=0.045, r = 0.563),
and there is no correlation between MIP and CAT score (p = 0,845, r = -0,060). Conclusion: From the evaluation of
the clinical characteristic of MIP in stable COPD patient, there is fair correlation with 6MWT distance, and no
correlation with CAT score.
Keywords: maximal inspiratory pressure, six minute walking test, COPD assessment test