Assessing the Reliability and Validity of a Shorter Walk Test Compared With the 10-Meter Walk Test for Measurements of Gait Speed in Healthy, Older Adults

Peters, Denise M.; Fritz, Stacy L.; Krotish, Debra E.

doi:10.1519/jpt.0b013e318248e20d

Cited by 487 publications

(337 citation statements)

References 38 publications

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“…A previous study in a homogeneous population of healthy elderly showed an excellent agreement in walking speed assessed with the 4-and 10-m walking tests (Peters et al 2013), which is comparable with our results. A lower ICC value with larger 95 % LOA compared with aforementioned study can be explained by a difference in the study population and sample size.…”

Section: Discussionsupporting

confidence: 92%

“…The relative agreement was assessed by the intraclass correlation coefficient (ICC 3,1 ) (Shrout and Fleiss 1979). The ICC values were interpreted as excellent (0.75 or higher), fair to good (0.40 to 0.75), or poor (0.40 or lower) (Peters et al 2013). The association of cognitive performance and cardiopulmonary diseases with walking speed assessed by three different walking tests was tested using linear regression analysis without and with adjustments for age and gender.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, there are many methods to assess walking speed varying in pace (i.e., normal or as fast as possible), static or dynamic start, and walking distance or time. Previous research showed conflicting results regarding methodologically induced variance in assessed walking speed in elderly (Ng et al 2013;Peters et al 2013). This hampers comparison of the different studies and may affect the clinical interpretation of walking speed (Graham et al 2008b;Rydwik et al 2012).…”

Section: Introductionmentioning

confidence: 99%

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Walking speed in elderly outpatients depends on the assessment method

Pasma

Stijntjes

et al. 2014

AGE

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Walking speed is shown to be an important indicator of the health status and function in older adults and part of the comprehensive geriatric assessment in clinical practice. The present study aimed to assess the influence of different assessment methods on walking speed and its association with the key aspects of poor health status, i.e., the presence of low cognitive performance and cardiopulmonary disease. In 288 community-dwelling elderly (mean age 82.2±7.1 years) referred to a geriatric outpatient clinic, walking speed was assessed with the 4-m, 10-m, and 6-min walking tests. The mean walking speed assessed with the 10-m walking test was higher compared to the 4-m and 6-min walking tests (mean difference (95 % CI) 0.11 m/s (0.10; 0.13) and 0.08 m/s (0.04; 0.13), respectively). No significant difference was found in the walking speed assessed with the 4-m compared to the 6-min walking test (mean difference (95 % CI) −0.03 m/s (−0.08; 0.03)). ICCs showed excellent agreement of the 4-m with the 10-m walking test and fair to good agreement of the 6-min with the 4-m as well as 10-m walking test. The presence of low cognitive performance was negatively associated with walking speed, with the highest effect size for the 4-m walking test. The presence of cardiopulmonary disease was negatively associated with walking speed as well, with the highest effect size for the 6-min walking test. In conclusion, in the clinically relevant population of elderly outpatients, walking speed and its interpretation depends on the assessment method, which therefore cannot be used interchangeably in clinical practice.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Walking speed in elderly outpatients depends on the assessment method

Pasma

Stijntjes

et al. 2014

AGE

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“…Zum Schluss misst der Ten-meter-walk-Test (10mWT, in m/s.) die Geschwindigkeit beim Gehen in einem normalen Tempo und die Maximalgeschwindigkeit, ohne zu laufen [34].…”

Section: Funktionelle Leistungsfähigkeitunclassified

Verbesserung des prä- und postoperativen Behandlungskonzepts

Punt

Most

Bongers

et al. 2017

Bundesgesundheitsbl

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“…24,25 This situation can be explained by the expression of confounding factors, which are based on the demographic and anthropometric aspects specific to each sample, which emerge from the use of diverse populations, such as Caucasian, 8 and Latin American. 25 Furthermore, indicating the importance of the measuring methodology, a high level of confidence has been demonstrated for the use of a straight unidirectional 10 meter track, 26 which is considered a sufficient distance for the expression of gait in normal execution conditions. 27 In such context, the justification of the use of an elliptical track 70 meters in length in the present study was based on clinometric factors, as it reduces the neuromotor component in accelerations and decelerations, 28 in addition to ensuring sufficient time and distance to extrapolate advanced activities of daily living 10,29 such as transport to community centers and health.…”

Section: Average Gait Speedmentioning

confidence: 99%

Functional reserve in functionally independent elderly persons: a calculation of gait speed and physiological cost

Gonzalez

Cofré

Cabello

2016

Rev. bras. geriatr. gerontol.

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Aim: To analyze the behavior of functional reserve percentage (%FR) by gender in functional elderly persons, considering speed and the physiological cost of gait. Methods: A total of 53 self-reliant elderly persons, 40 of whom were women (age 69.4±4.7 years old; BMI 31.2±4.3 kg/m 2 ) and 13 of whom were men (age 70.8±7.2 years old; BMI 28.7±3.5 kg/m 2 ) participated in an observational and cross-sectional study. Participants were requested to walk at comfortable (CG) and maximum gait (MG). Both modalities were performed on a 70-meter elliptical circuit over three minutes. Distance and working heart rate were recorded for the corresponding calculation of average gait speed (AGS), physiological cost index (PCI) and used working heart rate percentage (% uWHR). With this information the FR% was determined by the percentage ratio with AGS, PCI and %uWHR under comfortable versus maximum demand walk conditions. Results: The association between %FR and AGS was significantly higher in males (p=0.017), reaching values of +-20% in most subjects. The physiological %FR for PCI was ≈30% in both men and women (p=0.156), while for % uWHR was ≈40% in females and ≈45% in males (p=0.131). Conclusion: AGS is a critical threshold functionality indicator to determine FR in functionally independent Chilean elderly persons.

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Assessing the Reliability and Validity of a Shorter Walk Test Compared With the 10-Meter Walk Test for Measurements of Gait Speed in Healthy, Older Adults

Cited by 487 publications

References 38 publications

Walking speed in elderly outpatients depends on the assessment method

Walking speed in elderly outpatients depends on the assessment method

Verbesserung des prä- und postoperativen Behandlungskonzepts

Functional reserve in functionally independent elderly persons: a calculation of gait speed and physiological cost

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