Clinical Utility of the 2-minute Walk Test for Older Adults Living in Long-term Care

Overview

Journal Physiother Can

Specialty Rehabilitation Medicine

Date 2010 Mar 2

PMID 20190990

Citations 39

Authors

D M Connelly

B K Thomas

S J Cliffe

W M Perry

R E Smith

Affiliations

Soon will be listed here.

Abstract

Purpose: This study's purposes were to examine the measurement properties of the 2-minute walk test (2MWT), to illustrate the use of reliability coefficients in clinical practice, and to estimate sample size for a subsequent validity study.

Method: Sixteen residents of long-term care (LTC; mean age = 87 years) completed two 2MWTs with Rater A and two 2MWTs with Rater B on test days 1 and 2, approximately 1 week apart. On a third test day, subjects completed one trial of the Berg Balance Scale (BBS), timed up-and-go (TUG) test, and 6-minute walk test (6MWT) with Rater A. On 2 other test days, approximately 1 week apart, Rater A administered the 2MWT to five older adults living in a retirement facility. Absolute and relative reliability and concurrent and known-groups validity coefficients were calculated.

Results: No main effect for rater, trial, or occasion was found. Test-retest reliability estimates of 0.94 and 0.95 were obtained. The 2MWT demonstrated concurrent validity (r > or = 0.84) with the BBS, TUG, and 6MWT. Comparison of distance walked by LTC and retirement residents showed a difference of 72.9 m (95% CI: 44.2, 101.6). The results suggest that 90% of truly stable older adults will display random fluctuations in 2MWT performance within a boundary of 15 m.

Conclusion: The 2MWT had sound measurement properties in this sample of LTC residents. Based on our results, 24 subjects would be required for a subsequent hypothesis-testing validity study.

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References

Bland J, Altman D . Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986; 1(8476):307-10. View

Enright P . The six-minute walk test. Respir Care. 2003; 48(8):783-5. View

Brooks D, Parsons J, Tran D, Jeng B, Gorczyca B, Newton J . The two-minute walk test as a measure of functional capacity in cardiac surgery patients. Arch Phys Med Rehabil. 2004; 85(9):1525-30. DOI: 10.1016/j.apmr.2004.01.023. View

Steffen T, Hacker T, Mollinger L . Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Phys Ther. 2002; 82(2):128-37. DOI: 10.1093/ptj/82.2.128. View

Leung A, Chan K, Sykes K, Chan K . Reliability, validity, and responsiveness of a 2-min walk test to assess exercise capacity of COPD patients. Chest. 2006; 130(1):119-25. DOI: 10.1378/chest.130.1.119. View

Brooks D, Hunter J, Parsons J, Livsey E, Quirt J, Devlin M . Reliability of the two-minute walk test in individuals with transtibial amputation. Arch Phys Med Rehabil. 2002; 83(11):1562-5. DOI: 10.1053/apmr.2002.34600. View

Montero-Odasso M, Schapira M, Soriano E, Varela M, Kaplan R, Camera L . Gait velocity as a single predictor of adverse events in healthy seniors aged 75 years and older. J Gerontol A Biol Sci Med Sci. 2005; 60(10):1304-9. DOI: 10.1093/gerona/60.10.1304. View

Brooks D, Parsons J, Hunter J, Devlin M, Walker J . The 2-minute walk test as a measure of functional improvement in persons with lower limb amputation. Arch Phys Med Rehabil. 2001; 82(10):1478-83. DOI: 10.1053/apmr.2001.25153. View

Guyatt G, Pugsley S, Sullivan M, Thompson P, Berman L, Jones N . Effect of encouragement on walking test performance. Thorax. 1984; 39(11):818-22. PMC: 459930. DOI: 10.1136/thx.39.11.818. View

10.

Bernstein M, Despars J, Singh N, Avalos K, Stansbury D, Light R . Reanalysis of the 12-minute walk in patients with chronic obstructive pulmonary disease. Chest. 1994; 105(1):163-7. DOI: 10.1378/chest.105.1.163. View

11.

Rossier P, Wade D . Validity and reliability comparison of 4 mobility measures in patients presenting with neurologic impairment. Arch Phys Med Rehabil. 2001; 82(1):9-13. DOI: 10.1053/apmr.2001.9396. View

12.

Tanaka H, Monahan K, Seals D . Age-predicted maximal heart rate revisited. J Am Coll Cardiol. 2001; 37(1):153-6. DOI: 10.1016/s0735-1097(00)01054-8. View

13.

Paterson D, Cunningham D, Koval J, St Croix C . Aerobic fitness in a population of independently living men and women aged 55-86 years. Med Sci Sports Exerc. 1999; 31(12):1813-20. DOI: 10.1097/00005768-199912000-00018. View

14.

Flansbjer U, Holmback A, Downham D, Patten C, Lexell J . Reliability of gait performance tests in men and women with hemiparesis after stroke. J Rehabil Med. 2005; 37(2):75-82. DOI: 10.1080/16501970410017215. View

15.

Landis J, Koch G . The measurement of observer agreement for categorical data. Biometrics. 1977; 33(1):159-74. View

16.

Brooks D, Davis A, Naglie G . Validity of 3 physical performance measures in inpatient geriatric rehabilitation. Arch Phys Med Rehabil. 2006; 87(1):105-10. DOI: 10.1016/j.apmr.2005.08.109. View

17.

Podsiadlo D, Richardson S . The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; 39(2):142-8. DOI: 10.1111/j.1532-5415.1991.tb01616.x. View

18.

Solway S, Brooks D, Lacasse Y, Thomas S . A qualitative systematic overview of the measurement properties of functional walk tests used in the cardiorespiratory domain. Chest. 2001; 119(1):256-70. DOI: 10.1378/chest.119.1.256. View

19.

Riddle D, Stratford P . Interpreting validity indexes for diagnostic tests: an illustration using the Berg balance test. Phys Ther. 1999; 79(10):939-48. View

20.

. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002; 166(1):111-7. DOI: 10.1164/ajrccm.166.1.at1102. View