Šest-minutni test hoje : zanesljivost in občutljivost za ugotavljanje sprememb

Močilar, Metka (author), Zaverla, Tea (author), Medved, Lucija (author), Zupančič, Urša (author), Puh, Urška (author)

Uvod: Za merjenje prehojene razdalje je v klinični uporabi najbolj razširjen 6-minutni test hoje (angl. 6-minute walk test – 6MWT), ki odraža submaksimalno aerobno vzdržljivost. Uporablja se pri pacientih s srčnimi in pljučnimi obolenji, nevrološkimi okvarami, okvaro mišično-kostnega sistema ali mišično distrofijo. Namen je bil povzeti izsledke o zanesljivosti in ugotavljanju sprememb 6MWT pri odraslih pacientih. Metode: Pregled literature je potekal v PubMed, CINAHL in Cochrane Library. Zajel je raziskave o merskih lastnostih, ki so ustrezale merilom za vključitev. Rezultati: V pregled literature je bilo vključenih 29 raziskav. Za 6MWT je bila ugotovljena visoka do odlična zanesljivost posameznega preiskovalca in odlična zanesljivost med preiskovalci. Najmanjša zaznavna sprememba je bila od 10,2 m (pri pacientih z artroplastiko kolka) do 147,5 m (pri pacientih z enostransko amputacijo spodnjega uda). Dolžina proge je vplivala na prehojeno razdaljo in najmanjšo zaznavno spremembo, ne pa na zanesljivost. Zaključek: 6MWT je zanesljivo merilno orodje za uporabo pri pacientih z različnimi okvarami. Prehojena razdalja in najmanjša zaznavna sprememba sta odvisni od vrste in faze patološkega stanja ter dolžine proge. Priporočamo izvedbo 6MWT na 30-metrski progi po standardnem postopku, s standardnimi navodili in spodbujanjem.

• Language: Slovenian
• Keywords: 6-minutni test hoje, zanesljivost, najmanjša zaznavna sprememba, občutljivost
• Work type: Article
• Typology: 1.02 - Review Article
• Organization: ZF - Faculty of Health Sciences
• Publication status: Published
• Publication version: Version of Record
• Publication date: 01.06.2022
• Year: 2022
• Number of pages: Str. 30-40
• Numbering: Letn. 30, št. 1
• PID: 20.500.12556/RUL-138121
• UDC: 615.8
• ISSN on article: 1318-2102
• COBISS.SI-ID: 114909699
• Publication date in RUL: 11.07.2022

MOČILAR, Metka, ZAVERLA, Tea, MEDVED, Lucija, ZUPANČIČ, Urša and PUH, Urška, 2022, Šest-minutni test hoje : zanesljivost in občutljivost za ugotavljanje sprememb. Fizioterapija [online]. 2022. Vol. 30, no. 1, p. 30–40. [Accessed 5 April 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=138121

Record is a part of a journal

• Title: Fizioterapija
• Shortened title: Fizioterapija
• Publisher: Društvo fizioterapevtov Slovenije, Društvo fizioterapevtov Slovenije, Združenje fizioterapevtov Slovenije
• ISSN: 1318-2102
• COBISS.SI-ID: 30074880

Secondary language

• Language: English
• Title: 6-minute walk test : reliability and sensitivity for measuring change

Abstract

Background: The 6-minute walk test (6MWT) is the most commonly used clinical test to measure walking distance, reflecting submaximal aerobic capacity in patients with cardiopulmonary disease, neurological or musculoskeletal impairments, or muscular dystrophy. The purpose was to summarize the findings on the reliability and measuring change of the 6MWT in adult patients. Methods: A literature search was conducted in PubMed, CINAHL and Cochrane Library. It included studies on the measurement properties of the 6MWT that met the inclusion criteria. Results: 29 studies were included. Intra-rater reliability of the 6MWT was high to excellent and inter-rater reliability was excellent. Minimal detectable change ranged from 10.2 m (in patients with total hip arthroplasty) to 147.5 m (in patients with unilateral lower limb amputation). The length of the walking path affected the walking distance and the minimal detectable change, but not the reliability. Conclusions: The 6MWT is a reliable outcome measure for patients with various impairments. Walking distance and minimal detectable change depend on the type and stage of pathological condition, and the length of the walking path. A standard procedure for 6MWT on a 30-meters walking path, with standard instructions and encouragement, is recommended.

• Keywords: 6-minute walk test, reliability, minimal detectable change, sensibility