<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1692-7273</journal-id>
<journal-title><![CDATA[Revista Ciencias de la Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cienc. Salud]]></abbrev-journal-title>
<issn>1692-7273</issn>
<publisher>
<publisher-name><![CDATA[Editorial Universidad del Rosario]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1692-72732024000300006</article-id>
<article-id pub-id-type="doi">10.12804/revistas.urosario.edu.co/revsalud/a.14082</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Manual Testing of Respiratory Muscles in Adults with Asthma: An Intra- and Interrater Reliability and Validity Study]]></article-title>
<article-title xml:lang="es"><![CDATA[Evaluación manual de la musculatura respiratoria en adultos con asma: validez y reproducibilidad intra- e interevaluador]]></article-title>
<article-title xml:lang="pt"><![CDATA[Avaliação manual da musculatura respiratória em adultos com asma: validade e reprodutibilidade intra e interavaliadores]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serrano-Villar]]></surname>
<given-names><![CDATA[Yannely]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Grande]]></surname>
<given-names><![CDATA[Eliana-Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Patiño Segura]]></surname>
<given-names><![CDATA[María Solange]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Rosario  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>22</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1692-72732024000300006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1692-72732024000300006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1692-72732024000300006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background:  Manual Muscle Testing (MMT) is a valuable tool for evaluating ventilatory mechanics in adults with asthma. However, there is limited literature reporting the psychometric properties of this test. This study aimed to assess the reliability and validity of MMT in evaluating respiratory muscles in adults with asthma.  Methods:  A validity study of diagnostic tests was conducted. Measurements were performed by two randomly assigned independent evaluators. Variables included muscle strength (measured by MMT and static respiratory pressures), as well as sociodemographic, anthropometric, and disease related factors. MMT reliability was assessed using weighted kappa. Convergent validity was analyzed by comparing MMT and respiratory pressure measurements using Pearson's correlation coefficient. A significance level of p &lt; 0.05 was considered.  Results:  Twenty-six adults with stable asthma participated in the study. Intrarater reliability for MMT ranged from moderate to substantial (kappa = 0.45-0.88) across all evaluated muscles. Interrater reliability for the intercostal muscles ranged from slight to fair (kappa = 0.07-0.24) and from fair to substantial (kappa = 0.36-0.75) for other muscles. The convergent validity between MMT and respiratory pressures was low (r = 0.20-0.48).  Conclusions: MMT is a reliable tool for assessing respiratory muscle strength in adults with asthma. This study supports the use of MMT in clinical settings for respiratory muscles, particularly when more objective measures, such as MIP and MEP, are unavailable.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes:  La evaluación manual de la fuerza muscular (EMFM) es una herramienta útil para evaluar la mecánica ventilatoria en adultos con asma. Sin embargo, en la literatura revisada hay pocos estudios que informen las características psicométricas de esta prueba. Por lo tanto, este estudio buscaba evaluar la confiabilidad y validez de la EMFM en los músculos respiratorios en adultos con asma.  Métodos:  Estudio de validación de pruebas diagnósticas. Las mediciones las realizaron dos evaluadores independientes asignados al azar. Se incluyeron variables como la fuerza muscular (EMFM y presiones respiratorias estáticas), sociodemográficas, antropométricas y relacionadas con la enfermedad. La confiabilidad de la EMFM se evaluó con el coeficiente kappa ponderado. La validez convergente se evaluó comparando las mediciones de EMFM y presiones respiratorias mediante el coeficiente de correlación de Pearson. El nivel de significancia fue p &lt; 0.05.  Resultados:  Veintiséis adultos con asma estable participaron en el estudio. La confiabilidad intraevaluador encontrada para la EMFM fue entre moderada y sustancial (kappa = 0.45-0.88) para todos los músculos evaluados. La confiabilidad interevaluador determinada fue entre ligera y justa para los músculos intercostales (kappa = 0.07-0.24), y justa y sustancial (kappa = 0.36-0.75) para otros músculos. La validez convergente de la EMFM y las presiones respiratorias fue baja (r = 0.20-0.48).  Conclusiones:  La EMFM es una medida confiable que puede utilizarse para evaluar la fuerza de los músculos respiratorios en adultos con asma. Este estudio respalda la aplicación de la EMFM en entornos clínicos cuando no se dispone de medidas más objetivas, como las presiones inspiratorias y espiratorias máximas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Contexto:  O Manual Muscle Strength Assessment (teste muscular manual [TMM]) é uma ferramenta útil para avaliar a mecânica ventilatória em adultos com asma. No entanto, na literatura revisada, há poucos estudos que relatam as características psicométricas desse teste. Portanto, este estudo procurou avaliar a confiabilidade e a validade do TMM nos músculos respiratórios em adultos com asma.  Métodos:  Foi desenvolvido estudo de validação de testes diagnósticos. As medições foram realizadas por dois avaliadores independentes designados aleatoriamente. Foram incluídas a força muscular (TMM e pressões respiratórias estáticas), variáveis sociodemográficas, antropométricas e relacionadas à doença. A confiabilidade do TMM foi avaliada usando o coeficiente kappa ponderado. A validade convergente foi avaliada pela comparação das medidas de TMM e pressões respiratórias usando o coeficiente de correlação de Pearson. O nível de significância foi de p &lt; 0,05.  Resultados:  26 adultos com asma estável participaram do estudo. A confiabilidade intraexaminador encontrada para o TMM foi de moderada a substancial (kappa = 0,45-0,88) para todos os músculos testados. A confiabilidade interavaliadores determinada foi entre leve e razoável para os músculos intercostais (kappa = 0,07-0,24) e razoável e substancial (kappa = 0,360,75) para os outros músculos. A validade convergente da TMM e das pressões respiratórias foi baixa (r = 0,20-0,48).  Conclusões:  O TMM é uma medida confiável que pode ser usada para avaliar a força muscular respiratória em adultos com asma. Este estudo apoia a aplicação do TMM em ambientes clínicos quando medidas mais objetivas, como as pressões inspiratórias e expiratórias máximas, não estão disponíveis.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Asthma]]></kwd>
<kwd lng="en"><![CDATA[Manual Muscle Strength Assessment]]></kwd>
<kwd lng="en"><![CDATA[reliability]]></kwd>
<kwd lng="en"><![CDATA[validity]]></kwd>
<kwd lng="en"><![CDATA[respiratory muscles]]></kwd>
<kwd lng="en"><![CDATA[muscle strength]]></kwd>
<kwd lng="es"><![CDATA[asma]]></kwd>
<kwd lng="es"><![CDATA[evaluación manual de la fuerza muscular]]></kwd>
<kwd lng="es"><![CDATA[fiabilidad]]></kwd>
<kwd lng="es"><![CDATA[validez]]></kwd>
<kwd lng="es"><![CDATA[músculos respiratorios]]></kwd>
<kwd lng="es"><![CDATA[fuerza muscular]]></kwd>
<kwd lng="pt"><![CDATA[asma]]></kwd>
<kwd lng="pt"><![CDATA[Manual Muscle Strength Assessment (teste muscular manual)]]></kwd>
<kwd lng="pt"><![CDATA[confiabilidade]]></kwd>
<kwd lng="pt"><![CDATA[validade]]></kwd>
<kwd lng="pt"><![CDATA[músculos respiratórios]]></kwd>
<kwd lng="pt"><![CDATA[força muscular]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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