Validity and reliability of automated treadmill six-minute walk test in patients entering exercise-based cardiac rehabilitation
AbstractIntroduction: The six-minute walk test (6MWT) is a well-established tool for assessing submaximal functional capacity for cardiac patients, but space limitations challenge its implementation. Treadmill-based (TR) 6MWT is a promising alternative, but it requires patients to complete a familia...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Annals of Medicine |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/07853890.2024.2304664 |
| _version_ | 1797302160209215488 |
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| author | Marketa Nevelikova Filip Dosbaba Garyfallia Pepera Marian Felsoci Katerina Batalikova Jing Jing Su Ladislav Batalik |
| author_facet | Marketa Nevelikova Filip Dosbaba Garyfallia Pepera Marian Felsoci Katerina Batalikova Jing Jing Su Ladislav Batalik |
| author_sort | Marketa Nevelikova |
| collection | DOAJ |
| description | AbstractIntroduction: The six-minute walk test (6MWT) is a well-established tool for assessing submaximal functional capacity for cardiac patients, but space limitations challenge its implementation. Treadmill-based (TR) 6MWT is a promising alternative, but it requires patients to complete a familiarization test to adapt treadmill speed regulation. With the advancement of sensors, it is possible to automatically control speed for individual patients and thus overcome the space limitation or the speed control difficulty on the treadmill for each patient.Methods: This study investigated the validity and interchangeability of automated speed TR6MWT and standard hallway (HL) 6MWT. Eighteen patients were assessed at baseline of the 12-week cardiac rehabilitation program. Fourteen of them were assessed after rehabilitation. All patients performed three TR6MWTs and three HL6MWTs at baseline and one of each test after the program.Results: Patients well tolerated the TR6MWT. There was a strong correlation between both test methods (r = 0.79). However, patients performed significantly better in HL6MWT (514.8m ± 59.7m) than in TR6MWT (447.2 ± 79.1m) with 95% CI, 40.4-94.6m, p < 0.05. Both tests showed high test-retest reliability (intraclass correlation coefficient of 0.86). The TR6MWT showed a valuable comparison of the effect of the cardiac rehabilitation program (20% increase, effect size 1.1) even though it is not interchangeable with the HL6MWT.Conclusion: The automated speed TR6MWT appears to be an acceptable tool with adequate validity, reliability, and responsiveness for assessing functional capacity in patients utilizing cardiac rehabilitation programs. |
| first_indexed | 2024-03-07T23:32:51Z |
| format | Article |
| id | doaj.art-9e76411bc38e49748a3f144bebd8ad3c |
| institution | Directory Open Access Journal |
| issn | 0785-3890 1365-2060 |
| language | English |
| last_indexed | 2024-03-07T23:32:51Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj.art-9e76411bc38e49748a3f144bebd8ad3c2024-02-20T11:58:24ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602023-12-0155210.1080/07853890.2024.2304664Validity and reliability of automated treadmill six-minute walk test in patients entering exercise-based cardiac rehabilitationMarketa Nevelikova0Filip Dosbaba1Garyfallia Pepera2Marian Felsoci3Katerina Batalikova4Jing Jing Su5Ladislav Batalik6Department of Rehabilitation, University Hospital Brno, Brno, Czech RepublicDepartment of Rehabilitation, University Hospital Brno, Brno, Czech RepublicClinical Exercise Physiology and Rehabilitation Research Laboratory, Physiotherapy Department, School of Health Sciences, University of Thessaly, Lamia, GreeceDepartment of Internal Medicine and Cardiology, University Hospital Brno, Brno, Czech RepublicDepartment of Rehabilitation, University Hospital Brno, Brno, Czech RepublicSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, ChinaDepartment of Rehabilitation, University Hospital Brno, Brno, Czech RepublicAbstractIntroduction: The six-minute walk test (6MWT) is a well-established tool for assessing submaximal functional capacity for cardiac patients, but space limitations challenge its implementation. Treadmill-based (TR) 6MWT is a promising alternative, but it requires patients to complete a familiarization test to adapt treadmill speed regulation. With the advancement of sensors, it is possible to automatically control speed for individual patients and thus overcome the space limitation or the speed control difficulty on the treadmill for each patient.Methods: This study investigated the validity and interchangeability of automated speed TR6MWT and standard hallway (HL) 6MWT. Eighteen patients were assessed at baseline of the 12-week cardiac rehabilitation program. Fourteen of them were assessed after rehabilitation. All patients performed three TR6MWTs and three HL6MWTs at baseline and one of each test after the program.Results: Patients well tolerated the TR6MWT. There was a strong correlation between both test methods (r = 0.79). However, patients performed significantly better in HL6MWT (514.8m ± 59.7m) than in TR6MWT (447.2 ± 79.1m) with 95% CI, 40.4-94.6m, p < 0.05. Both tests showed high test-retest reliability (intraclass correlation coefficient of 0.86). The TR6MWT showed a valuable comparison of the effect of the cardiac rehabilitation program (20% increase, effect size 1.1) even though it is not interchangeable with the HL6MWT.Conclusion: The automated speed TR6MWT appears to be an acceptable tool with adequate validity, reliability, and responsiveness for assessing functional capacity in patients utilizing cardiac rehabilitation programs.https://www.tandfonline.com/doi/10.1080/07853890.2024.2304664Six minute walk testcardiac rehabilitationautomatized treadmillfunctional capacitytechnology-assisted assessment |
| spellingShingle | Marketa Nevelikova Filip Dosbaba Garyfallia Pepera Marian Felsoci Katerina Batalikova Jing Jing Su Ladislav Batalik Validity and reliability of automated treadmill six-minute walk test in patients entering exercise-based cardiac rehabilitation Annals of Medicine Six minute walk test cardiac rehabilitation automatized treadmill functional capacity technology-assisted assessment |
| title | Validity and reliability of automated treadmill six-minute walk test in patients entering exercise-based cardiac rehabilitation |
| title_full | Validity and reliability of automated treadmill six-minute walk test in patients entering exercise-based cardiac rehabilitation |
| title_fullStr | Validity and reliability of automated treadmill six-minute walk test in patients entering exercise-based cardiac rehabilitation |
| title_full_unstemmed | Validity and reliability of automated treadmill six-minute walk test in patients entering exercise-based cardiac rehabilitation |
| title_short | Validity and reliability of automated treadmill six-minute walk test in patients entering exercise-based cardiac rehabilitation |
| title_sort | validity and reliability of automated treadmill six minute walk test in patients entering exercise based cardiac rehabilitation |
| topic | Six minute walk test cardiac rehabilitation automatized treadmill functional capacity technology-assisted assessment |
| url | https://www.tandfonline.com/doi/10.1080/07853890.2024.2304664 |
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