TABLE 1

Characteristics of the tests reviewed

Main variablesPhysiological/perceptual variablesReference valuesSafetyFacilitiesMulticentre trials experiencePrognostic informationRemarks
IETVO2peak, WRpeak, θL and VE–VCO2 indicesVO2, VE, WR, HR, θL, VE–VCO2 indices, SpO2, dyspnoea, leg fatigue, IC, flow–volume and blood analysisAvailable for VO2peak, WRpeak, HRpeak and VE–VCO2 indices2–5/100 000 severe accidents; monitoring and CPR available or at hand recommendedCycle or treadmill, a room, metabolic system, cardiac monitoring and pulse oximeter+++SurvivalRelatively expensive; additional measurements easier on cycle
CWRETtLIM, isotime IC and perceptionsIsotime VO2, VE, WR, HR, SpO2, dyspnoea, leg fatigue, flow–volume and blood analysis, IC and othersGood; monitoring and CPR available or at hand recommended#Cycle or treadmill, a room, metabolic system or spirometer, cardiac monitoring and pulse oximeter+++Relatively expensive; can be performed without metabolic system; additional measurements easier on cycle
ISWTDistance and dyspnoeaHR, SpO2, dyspnoea and leg fatigueAvailableNot measured; monitoring and CPR available or at hand recommended#10-m corridor and pulse oximeter++Survival re-admission (in COPD)Audio signal under copyright; walk tests induce more desaturation
ESWTTime or distance, dyspnoeaHR, SpO2, dyspnoea, leg fatigueGood; monitoring and CPR available or at hand recommended#10-m corridor and pulse oximeter++Audio signal under copyright; walking tests induce more desaturation
6MWTDistance and dyspnoeaHR, SpO2, dyspnoea and leg fatigueAvailableGood; not as much experience as with laboratory tests; monitoring and CPR available or at hand recommended#30-m corridor and pulse oximeter+++Survival; hospitalisation and exacerbations (in COPD)Dependent on encouragement and track length and layout; walk tests induce more desaturation
  • IET: incremental exercise test; CWRET: constant work-rate exercise test; ISWT: incremental shuttle walk test; ESWT: endurance shuttle walk test; 6MWT: 6-min walk test; VO2peak: peak oxygen uptake; WRpeak: peak work-rate (or peak power); θL: lactate threshold; VE–VCO2: ventilation–CO2 output indices; VO2: oxygen uptake; VE: minute ventilation; WR: work-rate; HR: heart rate; SpO2: arterial oxygen saturation measured by pulse oximetry; IC: inspiratory capacity; HRpeak: peak heart rate; CPR: cardiopulmonary resuscitation; tLIM: time to the limit of tolerance, typically for constant work-rate tests; COPD: chronic obstructive pulmonary disease. #: CWRT and ESWT are usually performed after an IET or a ISWT, respectively, in which the safety of exercising is assessed; : additional physiological information if a portable (expensive) metabolic system is used.