Masking the 6-Minute Walking Test in the COVID-19 Era

Salles-Rojas, Antonio; Guzmán-Valderrábano, Carlos; Madrid, Wilmer A.; González-Molina, Amaury; Silva-Cerón, Mónica; Rodríguez-Hernández, Christian; Salas-Escamilla, Isabel; Castorena-Maldonado, Armando; López-García, Carlos Alberto; Torre-Bouscoulet, Luis; Gochicoa‐Rangel, Laura

doi:10.1513/annalsats.202009-1088rl

Cited by 10 publications

(9 citation statements)

References 22 publications

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“…The Incremental Shuttle Walt Test (ISWT) and the six-minute walk test (6MWT) are widely accepted field tests used in patients with respiratory diseases, and the primary endpoint of both is the distance walked ( Holland et al, 2014 ). Regarding COVID-19, studies using the ISWT ( Campos et al, 2021 , Daynes et al, 2021 , Evans et al, 2021 ) have been conducted, in addition to 6MWT ( Bellan et al, 2021 , Carenzo et al, 2021 , Eksombatchai et al, 2021 ; C. Huang et al, 2021 ; L. Huang et al, 2021 ; Salles-Rojas et al, 2021 ). Above all, unlike the 6MWT, the ISWT is a progressive walking test guided by audible beeps and controlled walking speed ( Holland et al, 2014 ).…”

Section: Fatigue Assessment Methods In Covid-19: a Multifaceted Viewmentioning

confidence: 99%

Post-viral fatigue in COVID-19: A review of symptom assessment methods, mental, cognitive, and physical impairment

Campos

Nery

Starke

et al. 2022

Neuroscience & Biobehavioral Reviews

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Section: Fatigue Assessment Methods In Covid-19: a Multifaceted Viewmentioning

confidence: 99%

Post-viral fatigue in COVID-19: A review of symptom assessment methods, mental, cognitive, and physical impairment

Campos

Nery

Starke

et al. 2022

Neuroscience & Biobehavioral Reviews

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“…[ 12 13 ] It is a win–win situation if the patient is stratified correctly and referred for home-based care, a COVID-care facility, or the ICU. [ 14 ] The ATS[ 15 ] and the MoHFW[ 5 ] opted for 6MWT as a screening tool, but it had some limitations. A long time is required to complete the test, and adequate space is a necessity for performing the test as per the ATS guidelines.…”

Section: Discussionmentioning

confidence: 99%

Comparison of master two-step exercise stress test versus six-min walk test in patients tested positive for SARS-CoV-2

Patil

Kumar

Hegde

et al. 2022

Journal of Family Medicine and Primary Care

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A BSTRACT Background and Aim: There has been a lack of uniformity on how to triage coronavirus disease 2019 (COVID-19) patients visiting the emergency units of hospitals. Triage tools are themselves spreading the pandemic in hospital areas. The present study compared a master two-step (M2ST) exercise stress test versus a 6-min walk test (6MWT) in COVID-19–positive patients visiting the emergency unit of a hospital. Materials and Methods: Thirty-nine patients underwent 6MWT followed by M2ST, while another set of 38 patients underwent M2ST followed by 6MWT in this randomized, crossover, open-label, and noninferiority study. The exercise tests assessed the change from baseline in SpO 2 , heart rate (HR), respiratory rate, blood pressure, exertion, and dyspnea on the modified-Borg scale. Results: Noninferiority was established for SpO 2 ( P < 0.05), systolic blood pressure (SBP; P < 0.001), and diastolic blood pressure (DBP; P < 0.05), but not for HR ( P = 0.3) and respiratory rate ( P = 0.6). The difference between the pretest and posttest (delta change) values for the parameters SpO 2 , respiratory rate, HR, SBP, and DBP correlated significantly ( P < 0.001) with Pearson correlation coefficient ( r = 0.764, 0.783, 0.473, 0.838, and 0.783, respectively). The delta change values of modified-Borg scale for dyspnea ( P = 0.291) and exertion ( P = 0.208) were statistically insignificant between the two exercise tests. However, the correlation between the tests was statistically significant ( P < 0.001). Conclusion: M2ST, a timesaving, cost-effective, and easy to perform exercise stress test, has been identified as a reliable alternative for 6MWT.

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“…Seven studies were found in the literature that performed 6MWT for COVID-19 patients and presented results as continuous quantitative variables (Appendix A); the mean distance was 514 meters with a Standard Deviation (SD) equal to 87 (Strumiliene et al, 2021;Salles-Rojas et al, 2021;Madrid-Mejía et al, 2021;Huang et al, 2020;Morin et al, 2021;Huang et al, 2021;Shah et al, 2020).…”

Section: Sample Size Calculationmentioning

confidence: 99%

Neuromuscular Electrical Stimulation (NMES) as an Add-on Therapy for the Improvement of Dyspnea in Patients with Post-Covid Syndrome: a Protocol for a Phase II Randomized, Non-Pharmacological Intervention-Controlled, Double-Blind Study.

Kumar

2022

ppcrj

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Introduction:To date, 501 million people have been infected with SARS-CoV-2 and the incidence of COVID-19 is still increasing as new variants develop. Beyond the well-known short-term consequences of morbimortality of the COVID-19 disease, multiple long-term sequelae have been identified, which are referred to as Post COVID Syndrome (PCS). Dyspnea beyond three weeks from infection is the most common long-term symptom, and physical therapy is the standard care for those patients. Neuromuscular Electrical Stimulation (NMES) has been previously used to improve muscle weakness in different pulmonary diseases with promising results. Therefore, given the expected burden of disease, additional tools that seek to optimize patient care, which are easy to use and costeffective, are a promising approach to PCS recovery. Objective: To compare the efficacy of NMES plus physical therapy against sham procedure and physical therapy in improving dyspnea among patients who developed PCS.Methods: This trial will be a multicentric randomized sham-controlled, double-blinded parallel phase 2 superiority trial. Patients admitted to the hospital with moderate to severe COVID-19, who develop PCS, will be allocated to intervention and sham groups in a 1:1 ratio. They will be assessed for dyspnea through the 6-minute walk test (6MWT) for three months.

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Masking the 6-Minute Walking Test in the COVID-19 Era

Cited by 10 publications

References 22 publications

Post-viral fatigue in COVID-19: A review of symptom assessment methods, mental, cognitive, and physical impairment

Post-viral fatigue in COVID-19: A review of symptom assessment methods, mental, cognitive, and physical impairment

Comparison of master two-step exercise stress test versus six-min walk test in patients tested positive for SARS-CoV-2

Neuromuscular Electrical Stimulation (NMES) as an Add-on Therapy for the Improvement of Dyspnea in Patients with Post-Covid Syndrome: a Protocol for a Phase II Randomized, Non-Pharmacological Intervention-Controlled, Double-Blind Study.

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