Repeatability of the Six-Minute Walk Test and Relation to Physical Function in Survivors of a Critical Illness
The Six-Minute Walk Test (6MWT) is widely used as an outcome measure in exercise rehabilitation. However, the repeatability of the 6MWT performed at home in survivors of a critical illness has not been evaluated. The purpose of this study was to evaluate, in survivors of a critical illness: (1) the...
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| Veröffentlicht in: | Physical therapy 2012-12, Vol.92 (12), p.1556-1563 |
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| creator | Alison, Jennifer A Kenny, Patricia King, Madeleine T McKinley, Sharon Aitken, Leanne M Leslie, Gavin D Elliott, Doug |
| description | The Six-Minute Walk Test (6MWT) is widely used as an outcome measure in exercise rehabilitation. However, the repeatability of the 6MWT performed at home in survivors of a critical illness has not been evaluated.
The purpose of this study was to evaluate, in survivors of a critical illness: (1) the repeatability of the 6MWT performed at home, (2) the effect on estimates of change in functional exercise capacity if only one 6MWT was performed at follow-up assessments, and (3) the relationship between the physical functioning (PF) score of the 36-Item Short-Form Health Survey questionnaire (SF-36) and the 6MWT.
Repeated measures of the 6MWT and SF-36 were obtained.
Eligible participants had an intensive care unit (ICU) length of stay of ≥48 hours and were mechanically ventilated for ≥24 hours. Two 6MWTs and the SF-36 were conducted in participants' homes at weeks 1, 8, and 26 after hospital discharge.
One hundred seventy-three participants completed the study. The participants had a mean age of 57 years (SD=16), a mean Acute Physiology and Chronic Health Evaluation II (APACHE II) score on admission of 19 (SD=10), a mean ICU length of stay of 9 days (SD=8), and a mean mechanical ventilation time of 140 hours (SD=137). Of the 173 participants, 110 performed two 6MWTs at weeks 1, 8, and 26. There were significant mean increases in 6-minute walk distance in the second test of 15 m (P |
| doi_str_mv | 10.2522/ptj.20110410 |
| format | Article |
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The purpose of this study was to evaluate, in survivors of a critical illness: (1) the repeatability of the 6MWT performed at home, (2) the effect on estimates of change in functional exercise capacity if only one 6MWT was performed at follow-up assessments, and (3) the relationship between the physical functioning (PF) score of the 36-Item Short-Form Health Survey questionnaire (SF-36) and the 6MWT.
Repeated measures of the 6MWT and SF-36 were obtained.
Eligible participants had an intensive care unit (ICU) length of stay of ≥48 hours and were mechanically ventilated for ≥24 hours. Two 6MWTs and the SF-36 were conducted in participants' homes at weeks 1, 8, and 26 after hospital discharge.
One hundred seventy-three participants completed the study. The participants had a mean age of 57 years (SD=16), a mean Acute Physiology and Chronic Health Evaluation II (APACHE II) score on admission of 19 (SD=10), a mean ICU length of stay of 9 days (SD=8), and a mean mechanical ventilation time of 140 hours (SD=137). Of the 173 participants, 110 performed two 6MWTs at weeks 1, 8, and 26. There were significant mean increases in 6-minute walk distance in the second test of 15 m (P<.0001) at week 1, 13 m (P<.0001) at week 8, and 9 m (P=.04) at week 26. If only one 6MWT was performed at weeks 8 and 26, the estimate of change in 6-minute walk distance from week 1 was 19 m less (P<.001) at both weeks 8 and 26. There was a moderate to strong correlation between SF-36 PF score and 6-minute walk distance at each assessment (week 1: r=.62, P<.001; week 8: r=.55, P<.001; and week 26: r=.47, P<.001).
Some study participants were unable to perform a second 6MWT, and these participants may have differed in important aspects of function compared with those individuals who completed two 6MWTs.
In survivors of a critical illness, the 6MWT in the home environment should be performed twice at each assessment to give an accurate reflection of change in exercise capacity over time. The SF-36 PF score was a strong indicator of 6-minute walk distance in early recovery from a critical illness.]]></description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.2522/ptj.20110410</identifier><identifier>PMID: 22577064</identifier><language>eng</language><publisher>United States: American Physical Therapy Association</publisher><subject>Care and treatment ; Confidence intervals ; Critical Illness - rehabilitation ; Critically ill ; Critically ill persons ; Disability Evaluation ; Exercise Test ; Exercise tests ; Exercise Tolerance ; Female ; Follow-Up Studies ; Health aspects ; Home Care Services ; Humans ; Illnesses ; Intensive Care Units ; Male ; Methods ; Middle Aged ; Older people ; Outcome and process assessment (Health Care) ; Outcome and process assessment (Medical care) ; Outcome Assessment (Health Care) - methods ; Rehabilitation ; Reproducibility of Results ; Respiration, Artificial ; Studies ; Survivors</subject><ispartof>Physical therapy, 2012-12, Vol.92 (12), p.1556-1563</ispartof><rights>COPYRIGHT 2012 Oxford University Press</rights><rights>COPYRIGHT 2012 Oxford University Press</rights><rights>Copyright AMERICAN PHYSICAL THERAPY ASSOCIATION Dec 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c772t-656eefcdd238b5160259806498c2de8043ca380de8abe1feb7c30b7b10b2ba0d3</citedby><cites>FETCH-LOGICAL-c772t-656eefcdd238b5160259806498c2de8043ca380de8abe1feb7c30b7b10b2ba0d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22577064$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alison, Jennifer A</creatorcontrib><creatorcontrib>Kenny, Patricia</creatorcontrib><creatorcontrib>King, Madeleine T</creatorcontrib><creatorcontrib>McKinley, Sharon</creatorcontrib><creatorcontrib>Aitken, Leanne M</creatorcontrib><creatorcontrib>Leslie, Gavin D</creatorcontrib><creatorcontrib>Elliott, Doug</creatorcontrib><title>Repeatability of the Six-Minute Walk Test and Relation to Physical Function in Survivors of a Critical Illness</title><title>Physical therapy</title><addtitle>Phys Ther</addtitle><description><![CDATA[The Six-Minute Walk Test (6MWT) is widely used as an outcome measure in exercise rehabilitation. However, the repeatability of the 6MWT performed at home in survivors of a critical illness has not been evaluated.
The purpose of this study was to evaluate, in survivors of a critical illness: (1) the repeatability of the 6MWT performed at home, (2) the effect on estimates of change in functional exercise capacity if only one 6MWT was performed at follow-up assessments, and (3) the relationship between the physical functioning (PF) score of the 36-Item Short-Form Health Survey questionnaire (SF-36) and the 6MWT.
Repeated measures of the 6MWT and SF-36 were obtained.
Eligible participants had an intensive care unit (ICU) length of stay of ≥48 hours and were mechanically ventilated for ≥24 hours. Two 6MWTs and the SF-36 were conducted in participants' homes at weeks 1, 8, and 26 after hospital discharge.
One hundred seventy-three participants completed the study. The participants had a mean age of 57 years (SD=16), a mean Acute Physiology and Chronic Health Evaluation II (APACHE II) score on admission of 19 (SD=10), a mean ICU length of stay of 9 days (SD=8), and a mean mechanical ventilation time of 140 hours (SD=137). Of the 173 participants, 110 performed two 6MWTs at weeks 1, 8, and 26. There were significant mean increases in 6-minute walk distance in the second test of 15 m (P<.0001) at week 1, 13 m (P<.0001) at week 8, and 9 m (P=.04) at week 26. If only one 6MWT was performed at weeks 8 and 26, the estimate of change in 6-minute walk distance from week 1 was 19 m less (P<.001) at both weeks 8 and 26. There was a moderate to strong correlation between SF-36 PF score and 6-minute walk distance at each assessment (week 1: r=.62, P<.001; week 8: r=.55, P<.001; and week 26: r=.47, P<.001).
Some study participants were unable to perform a second 6MWT, and these participants may have differed in important aspects of function compared with those individuals who completed two 6MWTs.
In survivors of a critical illness, the 6MWT in the home environment should be performed twice at each assessment to give an accurate reflection of change in exercise capacity over time. The SF-36 PF score was a strong indicator of 6-minute walk distance in early recovery from a critical illness.]]></description><subject>Care and treatment</subject><subject>Confidence intervals</subject><subject>Critical Illness - rehabilitation</subject><subject>Critically ill</subject><subject>Critically ill persons</subject><subject>Disability Evaluation</subject><subject>Exercise Test</subject><subject>Exercise tests</subject><subject>Exercise Tolerance</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health aspects</subject><subject>Home Care Services</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Intensive Care Units</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Older people</subject><subject>Outcome and process assessment (Health Care)</subject><subject>Outcome and process assessment (Medical care)</subject><subject>Outcome Assessment (Health Care) - methods</subject><subject>Rehabilitation</subject><subject>Reproducibility of Results</subject><subject>Respiration, Artificial</subject><subject>Studies</subject><subject>Survivors</subject><issn>0031-9023</issn><issn>1538-6724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqV089v0zAUB_AIgdgY3DgjS1xAIsV26tg5ThUblQpD3RBHy3FeWg_XKbYz1v8e98eAogqGcnBkffxs6-uXZc8JHlBG6dtlvB5QTAgeEvwgOyasEHnJ6fBhdoxxQfIK0-IoexLCNcaY8GH1ODuilHGOy-Fx5qawBBVVbayJK9S1KM4BXZrb_INxfQT0Rdmv6ApCRMo1aApWRdM5FDv0ab4KRiuLznqnN5PGocve35ibzod1KYVG3sSNGVvrIISn2aNW2QDPduNJ9vns3dXofT65OB-PTie55pzGvGQlQKubhhaiZqTElFUinbcSmjYg8LDQqhA4_aoaSAs11wWueU1wTWuFm-Ike7Wtu_Tdtz6dXi5M0GCtctD1QZKClUKwipJ7UCoY4aWg_6aUEsEwpzzRl3_Q6673Lt05KUExTtH9pmbKgjSu7aJXel1UnhaEphQrXiaVH1AzcOCV7Ry0Jk3v-cEBn74GFkYfXPB6b0EyEW7jTPUhyPHl9D_sx3tbcT752yV3VnfWwgxkeh2ji33_Zuu170Lw0MqlNwvlV5JguW4MmRpD3jVG4i92efT1Apqf-K4Tfu0_N7P5d-NBhoWyNvFNpW14FU3pScJYWfwAnWgRRA</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>Alison, Jennifer A</creator><creator>Kenny, Patricia</creator><creator>King, Madeleine T</creator><creator>McKinley, Sharon</creator><creator>Aitken, Leanne M</creator><creator>Leslie, Gavin D</creator><creator>Elliott, Doug</creator><general>American Physical Therapy Association</general><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>ISN</scope><scope>ISR</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20121201</creationdate><title>Repeatability of the Six-Minute Walk Test and Relation to Physical Function in Survivors of a Critical Illness</title><author>Alison, Jennifer A ; Kenny, Patricia ; King, Madeleine T ; McKinley, Sharon ; Aitken, Leanne M ; Leslie, Gavin D ; Elliott, Doug</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c772t-656eefcdd238b5160259806498c2de8043ca380de8abe1feb7c30b7b10b2ba0d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Care and treatment</topic><topic>Confidence intervals</topic><topic>Critical Illness - rehabilitation</topic><topic>Critically ill</topic><topic>Critically ill persons</topic><topic>Disability Evaluation</topic><topic>Exercise Test</topic><topic>Exercise tests</topic><topic>Exercise Tolerance</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health aspects</topic><topic>Home Care Services</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Intensive Care Units</topic><topic>Male</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Older people</topic><topic>Outcome and process assessment (Health Care)</topic><topic>Outcome and process assessment (Medical care)</topic><topic>Outcome Assessment (Health Care) - methods</topic><topic>Rehabilitation</topic><topic>Reproducibility of Results</topic><topic>Respiration, Artificial</topic><topic>Studies</topic><topic>Survivors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alison, Jennifer A</creatorcontrib><creatorcontrib>Kenny, Patricia</creatorcontrib><creatorcontrib>King, Madeleine T</creatorcontrib><creatorcontrib>McKinley, Sharon</creatorcontrib><creatorcontrib>Aitken, Leanne M</creatorcontrib><creatorcontrib>Leslie, Gavin D</creatorcontrib><creatorcontrib>Elliott, Doug</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Gale In Context: Canada</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alison, Jennifer A</au><au>Kenny, Patricia</au><au>King, Madeleine T</au><au>McKinley, Sharon</au><au>Aitken, Leanne M</au><au>Leslie, Gavin D</au><au>Elliott, Doug</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Repeatability of the Six-Minute Walk Test and Relation to Physical Function in Survivors of a Critical Illness</atitle><jtitle>Physical therapy</jtitle><addtitle>Phys Ther</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>92</volume><issue>12</issue><spage>1556</spage><epage>1563</epage><pages>1556-1563</pages><issn>0031-9023</issn><eissn>1538-6724</eissn><abstract><![CDATA[The Six-Minute Walk Test (6MWT) is widely used as an outcome measure in exercise rehabilitation. However, the repeatability of the 6MWT performed at home in survivors of a critical illness has not been evaluated.
The purpose of this study was to evaluate, in survivors of a critical illness: (1) the repeatability of the 6MWT performed at home, (2) the effect on estimates of change in functional exercise capacity if only one 6MWT was performed at follow-up assessments, and (3) the relationship between the physical functioning (PF) score of the 36-Item Short-Form Health Survey questionnaire (SF-36) and the 6MWT.
Repeated measures of the 6MWT and SF-36 were obtained.
Eligible participants had an intensive care unit (ICU) length of stay of ≥48 hours and were mechanically ventilated for ≥24 hours. Two 6MWTs and the SF-36 were conducted in participants' homes at weeks 1, 8, and 26 after hospital discharge.
One hundred seventy-three participants completed the study. The participants had a mean age of 57 years (SD=16), a mean Acute Physiology and Chronic Health Evaluation II (APACHE II) score on admission of 19 (SD=10), a mean ICU length of stay of 9 days (SD=8), and a mean mechanical ventilation time of 140 hours (SD=137). Of the 173 participants, 110 performed two 6MWTs at weeks 1, 8, and 26. There were significant mean increases in 6-minute walk distance in the second test of 15 m (P<.0001) at week 1, 13 m (P<.0001) at week 8, and 9 m (P=.04) at week 26. If only one 6MWT was performed at weeks 8 and 26, the estimate of change in 6-minute walk distance from week 1 was 19 m less (P<.001) at both weeks 8 and 26. There was a moderate to strong correlation between SF-36 PF score and 6-minute walk distance at each assessment (week 1: r=.62, P<.001; week 8: r=.55, P<.001; and week 26: r=.47, P<.001).
Some study participants were unable to perform a second 6MWT, and these participants may have differed in important aspects of function compared with those individuals who completed two 6MWTs.
In survivors of a critical illness, the 6MWT in the home environment should be performed twice at each assessment to give an accurate reflection of change in exercise capacity over time. The SF-36 PF score was a strong indicator of 6-minute walk distance in early recovery from a critical illness.]]></abstract><cop>United States</cop><pub>American Physical Therapy Association</pub><pmid>22577064</pmid><doi>10.2522/ptj.20110410</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Physical therapy, 2012-12, Vol.92 (12), p.1556-1563 |
| issn | 0031-9023 1538-6724 |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Care and treatment Confidence intervals Critical Illness - rehabilitation Critically ill Critically ill persons Disability Evaluation Exercise Test Exercise tests Exercise Tolerance Female Follow-Up Studies Health aspects Home Care Services Humans Illnesses Intensive Care Units Male Methods Middle Aged Older people Outcome and process assessment (Health Care) Outcome and process assessment (Medical care) Outcome Assessment (Health Care) - methods Rehabilitation Reproducibility of Results Respiration, Artificial Studies Survivors |
| title | Repeatability of the Six-Minute Walk Test and Relation to Physical Function in Survivors of a Critical Illness |
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