{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T01:27:23Z","timestamp":1755221243978,"version":"3.43.0"},"reference-count":42,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T00:00:00Z","timestamp":1750464000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and Purpose<\/jats:title><jats:p>The development and validation of a portable cycle ergometer test can facilitate functional capacity assessment of patients with walking difficulties and those in controlled environments. Our aim was to develop the six\u2010minute cycle ergometer test (6MCET) and verify its validity and reliability for assessing functional capacity in the preoperative period of cardiac surgery and its ability to identify functional capacity changes in the postoperative period (PO).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this cross\u2010sectional and prospective study, patients in the preoperative period of cardiac surgery underwent two 6MCET (6MCET<jats:sub>PRE<\/jats:sub>) and two six\u2010minute walk tests (6MWT). In the PO period, two 6MCET (6MCET<jats:sub>POST<\/jats:sub>) were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Performance in the 6MCET<jats:sub>PRE<\/jats:sub> correlated with 6MWT performance (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.68, <jats:italic>p<\/jats:italic> 0.004). A high reliability was found for performance in the 6MCET<jats:sub>PRE<\/jats:sub> and 6MCET<jats:sub>POST<\/jats:sub> (ICC\u00a0=\u00a00.87, 95% CI: 0.71\u20130.96; and 0.95, 95% CI: 0.80 \u2013 0.99; respectively; both <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.05). Performance on retest was higher compared with the first 6MCET<jats:sub>PRE<\/jats:sub> (mean difference\u00a0=\u00a058.8\u00a0\u00b1\u00a067.7\u00a0revolutions; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001) and 6MCET<jats:sub>POST<\/jats:sub> (mean difference\u00a0=\u00a036.4\u00a0\u00b1\u00a055.6\u00a0revolutions; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.03) with learning effects of 15% and 16%, respectively. All patients presented a reduced performance in the 6MCET<jats:sub>POST<\/jats:sub> compared with 6MCET<jats:sub>PRE<\/jats:sub> (mean difference\u00a0= 185\u00a0\u00b1\u00a092.6\u00a0revolutions; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>6MCET is valid for assessing functional capacity in the preoperative period, reliable in the pre\u2010 and postoperative periods, and can identify a functional capacity reduction in the PO period of cardiac surgeries. Two tests are recommended due to the learning effect.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.70084","type":"journal-article","created":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T14:50:13Z","timestamp":1750517413000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A New Test to Evaluate Functional Capacity in the Pre\u2010 and Immediate Postoperative Periods of Cardiac Surgery: Measurement Properties of the Six\u2010Minute Cycle Ergometer Test"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5444-6516","authenticated-orcid":false,"given":"Isabela Julia Cristiana","family":"Santos Silva","sequence":"first","affiliation":[{"name":"Physical Therapy Department University of the State of Santa Catarina  Florian\u00f3polis Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katerine Cristhine","family":"Cani","sequence":"additional","affiliation":[{"name":"Physical Therapy Department University of the State of Santa Catarina  Florian\u00f3polis Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Izadora Rosa","family":"Petry","sequence":"additional","affiliation":[{"name":"Undergraduate Program in Physical Therapy University Center Est\u00e1cio of Santa Catarina  S\u00e3o Jos\u00e9 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Let\u00edcia Vieira","family":"Batista","sequence":"additional","affiliation":[{"name":"Undergraduate Program in Physical Therapy University Center Est\u00e1cio of Santa Catarina  S\u00e3o Jos\u00e9 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darlene Eduarda","family":"Lucca","sequence":"additional","affiliation":[{"name":"Undergraduate Program in Physical Therapy University Center Est\u00e1cio of Santa Catarina  S\u00e3o Jos\u00e9 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Moraes","sequence":"additional","affiliation":[{"name":"Undergraduate Program in Physical Therapy University Center Est\u00e1cio of Santa Catarina  S\u00e3o Jos\u00e9 Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9603-320X","authenticated-orcid":false,"given":"Aline Almeida","family":"Gulart","sequence":"additional","affiliation":[{"name":"Physical Therapy Department University of the State of Santa Catarina  Florian\u00f3polis Brazil"},{"name":"Physical Therapy Graduate Program University of the State of Santa Catarina  Florian\u00f3polis Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2008.161174"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010019\u20104760\u20103"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.29271\/jcpsp.2023.08.866"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2007.09.003"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx391"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.23736\/S0021\u20109509.18.10462\u20109"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1123\/jpah.2015\u20100614"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2004.04.035"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2022.12.002"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1741826711422991"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.36660\/abc.20200407"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000012925"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.5935\/0103\u2010507X.20170076"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/3808437"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02743"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2011.06.024"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e328321312e"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2007.08.013"},{"volume-title":"Statistical Methods for Rates and Proportions","year":"2004","author":"Fleiss J. 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