Interrater Reliability of the 6-Minute Walk Test in Women With Hip Fracture

Overgaard, Jan; Larsen, Camilla Marie; Holtze, Steffen; Ockholm, Kenneth; Kristensen, Morten Tange

doi:10.1519/jpt.0000000000000088

Cited by 14 publications

(19 citation statements)

References 49 publications

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“…The VAS has shown good reliability and validity when assessing pain [ 30 ]. The 6 MW is reliable for patients with hip fractures and patients treated with primary knee arthroplasty [ 31 , 32 ]. Validity tests for patients who have knee osteoarthritis have also shown a correlation with endurance (maximum oxygen consumption), as well as with strength in the hamstrings and quadriceps muscles [ 33 ].…”

Section: Methodsmentioning

confidence: 99%

Gait biomechanics in patients with intra-articular tibial plateau fractures – gait analysis at three months compared with age- and gender-matched healthy subjects

Fändriks

Tranberg

Karlsson

et al. 2021

BMC Musculoskelet Disord

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Introduction Tibial plateau fractures involve the knee joint, one of the most weight-bearing joints in the body. Studies have shown that gait asymmetries exist several years after injury. Instrumental gait analysis, generating both kinematic and kinetic data from patients with tibial plateau fractures, is uncommon. Aim To examine walking ability and knee range of motion in patients suffering intra-articular tibial plateau fractures. Method Twenty participants, eight males and 12 females, aged 44 years (range 26–60), with unilateral isolated tibial plateau fractures, were examined 12 weeks (range 7–20) after injury. The investigation consisted of passive range of motion (ROM) using a goniometer, six-minute walking test (6 MW), pain estimation using the visual analogue scale (VAS), the “Knee injury and Osteoarthritis Outcome Score” (KOOS) self-assessment questionnaire and instrumental 3-dimensional gait analysis (3DGA). 3DGA included spatiotemporal variables (speed, relative stance time, step length), kinematic variables (knee flexion, knee extension, ankle dorsiflexion) and kinetic variables (generating knee power (extension) and ankle power (plantarflexion)). A skin marker model with twenty reflective markers was used. Non-parametric tests were used for comparisons of the injured leg, the uninjured leg and a reference group. Result The participants walked more slowly compared with healthy references (p < 0.001). Stance time and step length was shorter for the injured side compared with the uninjured side (p < 0.014). Step length was shorter compared with the reference group (p = 0.001). The maximum knee extension in the single stance phase was worse in the injured side compared with the uninjured side and the reference group (p < 0.001) respectively. The maximum ankle dorsiflexion during stance phase was higher in the injured leg compared with the uninjured side and the reference group (p < 0.012). Maximum generated power in the knee was lower in the injured side compared with the uninjured side and the reference group (p < 0.001 respectively). The same was true of maximum power generated in the ankle (p < 0.023). The median KOOS value was lower in the study group (p < 0.001). ROM showed decreased flexion and extension in the knee joint and decreased dorsiflexion in the ankle joint compared with the uninjured side (p < 0.006). The average distance in the six-minute walking test was shorter in the study group (p < 0.001). Conclusion Patients who have sustained tibial plateau fractures generally display a limitation in their walking pattern 3 months after injury. These limitations are mainly related to the inability to extend the knee.

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Section: Methodsmentioning

confidence: 99%

Gait biomechanics in patients with intra-articular tibial plateau fractures – gait analysis at three months compared with age- and gender-matched healthy subjects

Fändriks

Tranberg

Karlsson

et al. 2021

BMC Musculoskelet Disord

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“…A physiotherapist (ELM, ABS, HEA) blinded to the planned and used approach assessed all patients preoperatively and at subsequent followup, recording the Harris hip score (HHS) [19], measuring the 6-minute walk distance (6MWD) [28,38], and performing the Trendelenburg test [17] directly after the 6MWD. The HHS is an objective measure of hip function in relation to pain, function, and activity as well as ROM.…”

Section: Methodsmentioning

confidence: 99%

Do Postoperative Results Differ in a Randomized Trial Between a Direct Anterior and a Direct Lateral Approach in THA?

Mjaaland

Kivle

Svenningsen

et al. 2018

Clin Orthop Relat Res

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“…The 6-minute walk test (6MWT) was chosen for assessing functional exercise capacity. 32 - 37 The 6MWT “measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface.” 38 The person administering the test would ask the patient to walk as far as they can in 6 minutes down a straight pathway 100 feet long, and to instruct the patient to slow down, stop, or rest if needed. 39…”

Section: Methodsmentioning

confidence: 99%

“…42 Higher total scores indicate higher levels of burden. Interpretation of scores is as the following: "little or no burden" (0-20), "mild to moderate burden" (21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40), "moderate to severe burden" (41-60), and "severe burden" (61-88). To the best of our knowledge, the MCID of this tool has not been established yet.…”

Section: Fear Of Fallingmentioning

confidence: 99%

“…statistically significant improvement was found in BBS scores pre (49.5) and post (59.42) (Z = −8.725, P < .001). The fall risk decreased between the pre (M = 39.05, range = 8-56) and post (M = 44.34, range = 8-56) scores.This was considered clinically significant as the risk decreased from a medium fall risk(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40) to a low fall risk (41-56) 31. …”

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Impact of a Geriatric Day Hospital Program on Older Adults’ Functional Independence and Caregiver Stress: A Non-Experimental, Single Group Pre-/Posttest Study

Chung

Angus

Backman

2020

J Prim Care Community Health

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Objective: To evaluate the impact of a geriatric day hospital program on older adults’ functional independence and on caregiver stress. Methods: We used a single group pre- and posttest design. The data were collected through chart reviews and follow-up phone calls. Outcomes included fear of falling, balance, functional exercise capacity (walking distance), and caregiver stress. Descriptive statistics were used for sociodemographic data, dependent t test for paired samples of normally distributed data, and the Wilcoxon signed-rank test for determining differences between nonnormally distributed data sets. Results: We found a statistically significant difference in pre (33.54) and post (27.47) mean rank scores for fear of falling ( Z = −3.895, P < .001), pre (49.5) and post (59.42) scores for balance ( Z = −8.725, P < .001), and pre (250.07 m) and post (291.20 m) for functional exercise capacity ( P < .001). No statistically significant difference was found with respect to caregiver stress pre (22.05) and post (19.90) scores ( Z = −0.422, P = .673). Discussion: Future research may consider approaching evaluative studies of a similar type using not only quantitative but also qualitative methods to obtain a more comprehensive understanding of older adults’ functional ability and caregiver stress before and after participating in a geriatric day hospital program.

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Interrater Reliability of the 6-Minute Walk Test in Women With Hip Fracture

Cited by 14 publications

References 49 publications

Gait biomechanics in patients with intra-articular tibial plateau fractures – gait analysis at three months compared with age- and gender-matched healthy subjects

Gait biomechanics in patients with intra-articular tibial plateau fractures – gait analysis at three months compared with age- and gender-matched healthy subjects

Do Postoperative Results Differ in a Randomized Trial Between a Direct Anterior and a Direct Lateral Approach in THA?

Impact of a Geriatric Day Hospital Program on Older Adults’ Functional Independence and Caregiver Stress: A Non-Experimental, Single Group Pre-/Posttest Study

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