{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T08:02:42Z","timestamp":1790841762397,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate test\u2010retest reliability, measurement error (standard error of measurement [SEM] and minimum detectable difference [MDD]), and the learning effect of the Modified Shuttle Test (MST) in children with asthma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Multicenter cross\u2010sectional study including clinically stable children aged 6\u201312 years with asthma. Lung function and exercise capacity were assessed using MST. Intraclass Correlation Coefficient (ICC) was calculated to assess test\u2010retest reliability. The first and second tests were compared using the paired Student's\n                      <jats:italic>t\u2010<\/jats:italic>\n                      test to assess differences between tests. SEM and MDD were calculated to quantify measurement error.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred and twenty three children were included (71 boys [57%]; median age 9 [7\u201310] years). The mean distance covered in the best MST was 611\u2009\u00b1\u2009214 meters (confidence interval [95% CI]\u2009=\u2009573\u2013649meters). The MST showed an excellent test\u2010retest reliability (ICC\u2009=\u20090.96; 95% CI: 0.95\u20130.97). Distance was significantly lower in the second test than in the first (574\u2009\u00b1\u2009218 vs. 601\u2009\u00b1\u2009216\u2009m;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0001). Learning effect was \u221227\u2009\u00b1\u200979 (4%\u2009\u00b1\u200914%), the SEM was 56 meters (9.5%), and the MDD was 156\u2009m (26.6%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The MST demonstrated excellent test\u2013retest reliability and acceptable measurement error for assessing exercise capacity in children with asthma. Although a systematic difference was observed between tests, there was no evidence of a consistent learning effect, with individual variability in repeated performance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71852","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T07:48:41Z","timestamp":1790840921000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Test\u2010Retest Reliability, Learning Effect and Measurement Error of the Modified Shuttle Test (MST) in Children With Asthma: A Multicenter Study"],"prefix":"10.1002","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1333-9762","authenticated-orcid":false,"given":"Lara Bezerra","family":"Radis","sequence":"first","affiliation":[{"name":"Associated Graduate Program (MSc and PhD) in Rehabilitation Sciences at State University of Londrina (UEL) and University Pit\u00e1goras UNOPAR (UNOPAR) Londrina Paran\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3696-056X","authenticated-orcid":false,"given":"Vit\u00f3ria Cavalheiro","family":"Puzzi","sequence":"additional","affiliation":[{"name":"Associated Graduate Program (MSc and PhD) in Rehabilitation Sciences at State University of Londrina (UEL) and University Pit\u00e1goras UNOPAR (UNOPAR) Londrina Paran\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5897-4396","authenticated-orcid":false,"given":"Thaila Corsi","family":"Dias","sequence":"additional","affiliation":[{"name":"Associated Graduate Program (MSc and PhD) in Rehabilitation Sciences at State University of Londrina (UEL) and University Pit\u00e1goras UNOPAR (UNOPAR) Londrina Paran\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4757-6651","authenticated-orcid":false,"given":"Natielly Soares","family":"Correia","sequence":"additional","affiliation":[{"name":"Associated Graduate Program (MSc and PhD) in Rehabilitation Sciences at State University of Londrina (UEL) and University Pit\u00e1goras UNOPAR (UNOPAR) Londrina Paran\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6813-4345","authenticated-orcid":false,"given":"J\u00e9ssica Lane Felippe","family":"Montes","sequence":"additional","affiliation":[{"name":"Associated Graduate Program (MSc and PhD) in Rehabilitation Sciences at State University of Londrina (UEL) and University Pit\u00e1goras UNOPAR (UNOPAR) Londrina Paran\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1187-2782","authenticated-orcid":false,"given":"Mariana Mazzuca","family":"Reimberg","sequence":"additional","affiliation":[{"name":"University Nove de Julho, UNINOVE S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4748-6947","authenticated-orcid":false,"given":"Fernanda Cordoba","family":"Lanza","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Graduate Program in Rehabilitation Sciences, University Federal de Minas Gerais (UFMG) Belo Horizonte Minas Gerais Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0636-6041","authenticated-orcid":false,"given":"Evelim Leal","family":"de Freitas Dantas Gomes","sequence":"additional","affiliation":[{"name":"Graduate Program Science Rehabilitation Universidade de S\u00e3o Paulo S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7045-767X","authenticated-orcid":false,"given":"Cl\u00e1udio Luiz Castro Gomes","family":"de Amorim","sequence":"additional","affiliation":[{"name":"Health Science Center, State University of Londrina (UEL) Londrina Paran\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7496-7228","authenticated-orcid":false,"given":"Karina Couto","family":"Furlanetto","sequence":"additional","affiliation":[{"name":"Associated Graduate Program (MSc and PhD) in Rehabilitation Sciences at State University of Londrina (UEL) and University Pit\u00e1goras UNOPAR (UNOPAR) Londrina Paran\u00e1 Brazil"},{"name":"Health Science Center, State University of Londrina (UEL) Londrina Paran\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Global Initiative for Asthma (GINA). \u201cGlobal Strategy for Asthma Management and Prevention \u201d 2024 (Global Initiative for Asthma 2024) www.globalasthmanetwork.org."},{"key":"e_1_2_12_3_1","first-page":"163","article-title":"Diretrizes da 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