The 10m incremental shuttle walk test is a highly reliable field exercise test for patients referred to cardiac rehabilitation: a retest reliability study

Hanson, Lisa C.; Taylor, Nicholas F.; McBurney, Helen

doi:10.1016/j.physio.2015.08.004

Cited by 23 publications

(17 citation statements)

References 18 publications

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“…The current study's total sample, pre-dialysis and transplant sub-groups showed high reliability over 0.90 with high CIs in the ISWT (Tables 5 and 6), similar to same-day reliability studies where ICC scores ranged from 0.90 to 0.99 (Hilgenkamp et al 2012;Hanson et al 2016). The reliability of the ISWT has previously been reported in a long-term study in patients with non-dialysis CKD (Wilkinson et al 2018), showing an equal ICC score with the pre-dialysis group of the current study (0.97).…”

Section: Discussionsupporting

confidence: 81%

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Test–Retest Reliability for Physical Function Measures in Patients with Chronic Kidney Disease

Hadjiioannou

Wong

Lindup

et al. 2019

Journal of Renal Care

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SUMMARY Background It is important to determine relative and absolute reliability values in outcome measures that are used in clinical practice so as to discriminate between true changes following exercise interventions for patients with chronic kidney disease (CKD). Objective The study aimed to assess test–retest reliability of the incremental shuttle walk test (ISWT), sit‐to‐stand transfers in 60 seconds (STS‐60), timed up and go (TUAG), Duke's activity status index (DASI) and hospital anxiety and depression scale (HAD) in patients with CKD. Study Design This study was a pragmatic non‐randomised controlled trial. Methods Forty people attended two study visits within a 16‐day window involving the ISWT, STS‐60, TUAG, DASI and HAD tests. Relative reliability was assessed using intraclass correlation coefficient (ICC) and absolute reliability using the standard error of measurement (SEM) and minimal detectable change (MDC). Results Good test–retest reliability was found for the entire sample size across all outcome measures, with TUAG having the highest (ICC = 0.96) and HAD the lowest (ICC = 0.71). The MDC scores at 90% confidence interval (CI) were: 79.6 m for the ISWT, 2.9 seconds for the TUAG, 7.0 repetitions for the STS‐60, 8.4 for the DASI, 3.8 for the anxiety HAD subscale and 4.4 for the depression HAD subscale. Conclusions This study demonstrated good test–retest reliability for all outcome measures across the CKD trajectory but caution needs to be taken when interpreting the findings for each CKD sub‐group separately. The MDC scores at 90% CI can support therapists in determining a true improvement in CKD patients' physical or mental performance.

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Section: Discussionsupporting

confidence: 81%

“…; Hanson et al . ). The reliability of the ISWT has previously been reported in a long‐term study in patients with non‐dialysis CKD (Wilkinson et al .…”

Section: Discussionmentioning

confidence: 97%

Test–Retest Reliability for Physical Function Measures in Patients with Chronic Kidney Disease

Hadjiioannou

Wong

Lindup

et al. 2019

Journal of Renal Care

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“…The ISWT in our trial showed excellent test-retest reliability with an ICC of .973. This corresponds well with previous estimates in cardiac rehabilitation patients (.990) (Hanson, Taylor, and McBurney, 2015), patients with peripheral vascular disease (.990) (Cunha-Filho et al, 2008), and non-cystic fibrosis (.950) (Lee et al, 2015). The ISWT is used extensively in research and rehabilitation as a measure of exercise capacity, and as stated previously, was chosen above the 6MWT, another common field test of exercise capacity, for several reasons including space considerations and the limitations associated with self-paced tests.…”

Section: Discussionsupporting

confidence: 78%

Test–retest reliability, validation, and “minimal detectable change” scores for frequently reported tests of objective physical function in patients with non-dialysis chronic kidney disease

Wilkinson

Xenophontos

Gould

et al. 2018

Physiotherapy Theory and Practice

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Physical function is an important outcome in chronic kidney disease (CKD). We aimed to establish the reliability, validity, and the "minimal detectable change" (MDC) of several common tests used in renal rehabilitation and research. In a repeated measures design, 41 patients with CKD not requiring dialysis (stage 3b to 5) were assessed at an interval of 6 weeks. The tests were the incremental shuttle walk test (ISWT), "sit-to-stand" (STS) test, estimated 1 repetition maximum for quadriceps strength (e1RM), and VO by cardiopulmonary exercise testing (CPET). Reliability was assessed using intraclass correlation coefficient and Bland-Altman analysis, and absolute reliability by standard error of measurement and MDC. The ISWT, STS-60, e1RM, and CPET had "good" to "excellent" reliability (0.973, 0.927, 0.927, and 0.866), respectively. STS-5 reliability was poor (0.676). The MDC is ISWT, 20 m; STS-5, 7.5 s; STS-60, 4 reps; e1RM, 6.4 kg; VO, 2.8 ml/kg/min. There was strong correlation between the ISWT and VO (r = 0.73 and 0.74). While there was poor correlation between the STS-5 and e1RM (r = 0.14 and 0.47), better correlation was seen between STS-5 and ISWT (r = 0.55 and 0.74). In conclusion, the ISWT, STS-60, e1RM, and CPET are reliable tests of function in CKD. The ISWT is a valid means of exercise capacity. The MDC can help researchers and rehabilitation professionals interpret changes following an intervention.

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“…Before commencing the test, with the participant in a seated position, baseline HR and BP will be recorded. HR and Borg scale (scale of 6–20) will be monitored throughout the test; BP and HR continue to be recorded a further 5 min after completion of the test [ 35 , 36 ].…”

Section: Methodsmentioning

confidence: 99%

Effects of combined high-intensity aerobic interval training program and Mediterranean diet recommendations after myocardial infarction (INTERFARCT Project): study protocol for a randomized controlled trial

Maldonado-Martín

Jayo-Montoya

Matajira-Chia

et al. 2018

Trials

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BackgroundExercise therapy has long been used for rehabilitation purposes after myocardial infarction (MI) and the benefit of regular physical exercise is also well-established. High-intensity interval training (HIIT) has been proposed to be more effective than continuous exercise for improving exercise capacity and health-related adaptations to low-volume (LV) and HIIT are also known. Furthermore, the Mediterranean diet (Mediet) has been widely reported to be a model of healthy eating for its contribution to a favorable health status and a better quality of life, reducing overall mortality. This study will investigate the effects of different HIIT programs (high-volume [HV] vs LV) and Mediet recommendations in clinical condition, cardiorespiratory fitness, biomarkers, ventricular function, and perception of quality of life after MI, and compared to an attention control group that is recommended to Mediet and physical activity without supervision sessions.Methods/DesignIn this randomized controlled trial, cardiorespiratory fitness, anthropometry, central and peripheral cardiovascular variables, biochemical and nutritional condition, and quality of life will be assessed before and after 16 weeks of intervention in 177 participants diagnosed with MI type 1. All participants will be randomly (1:1:1) assigned to the attention control group or two exercise groups (Mediet recommendations plus supervised aerobic exercise two days/week: (1) HV (40 min) HIIT group and (2) LV (20 min) HIIT group.DiscussionThis study will be the first clinical trial comparing the effects of two different volumes of HIIT programs with Mediet recommendations for people after MI. The results of this study will provide good evidence for physical rehabilitation in this population.Trial registrationClinicalTrials.gov, NCT02876952. Registered on 24 August 2016.Electronic supplementary materialThe online version of this article (10.1186/s13063-018-2529-3) contains supplementary material, which is available to authorized users.

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The 10m incremental shuttle walk test is a highly reliable field exercise test for patients referred to cardiac rehabilitation: a retest reliability study

Cited by 23 publications

References 18 publications

Test–Retest Reliability for Physical Function Measures in Patients with Chronic Kidney Disease

Test–Retest Reliability for Physical Function Measures in Patients with Chronic Kidney Disease

Test–retest reliability, validation, and “minimal detectable change” scores for frequently reported tests of objective physical function in patients with non-dialysis chronic kidney disease

Effects of combined high-intensity aerobic interval training program and Mediterranean diet recommendations after myocardial infarction (INTERFARCT Project): study protocol for a randomized controlled trial

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