The two-minute walking test: a sensitive index of mobility in the rehabilitation of elderly patients

Stewart, D. A.; Burns, J.; Dunn, S.; Roberts, MA

doi:10.1177/026921559000400404

Cited by 25 publications

(10 citation statements)

References 6 publications

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“…The analysis of different gait clusters in e.g. the 2 min walk test [44] which includes more and longer straight walking bouts might be interesting to further confirm the findings of this study. The larger amount of strides in a 2 min test enables more force of expression when dividing strides in the non-constant gait clusters.…”

Section: Discussionsupporting

confidence: 71%

Development and clinical validation of inertial sensor-based gait-clustering methods in Parkinson’s disease

Nguyen

Roth

Ghassemi

et al. 2019

J NeuroEngineering Rehabil

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Background Gait symptoms and balance impairment are characteristic indicators for the progression in Parkinson’s disease (PD). Current gait assessments mostly focus on straight strides with assumed constant velocity, while acceleration/deceleration and turning strides are often ignored. This is either due to the set up of typical clinical assessments or technical limitations in capture volume. Wearable inertial measurement units are a promising and unobtrusive technology to overcome these limitations. Other gait phases such as initiation, termination, transitioning (between straight walking and turning) and turning might be relevant as well for the evaluation of gait and balance impairments in PD. Method In a cohort of 119 PD patients, we applied unsupervised algorithms to find different gait clusters which potentially include the clinically relevant information from distinct gait phases in the standardized 4x10 m gait test. To clinically validate our approach, we determined the discriminative power in each gait cluster to classify between impaired and unimpaired PD patients and compared it to baseline (analyzing all straight strides). Results As a main result, analyzing only one of the gait clusters constant, non-constant or turning led in each case to a better classification performance in comparison to the baseline (increase of area under the curve (AUC) up to 19% relative to baseline). Furthermore, gait parameters (for turning, constant and non-constant gait) that best predict motor impairment in PD were identified. Conclusions We conclude that a more detailed analysis in terms of different gait clusters of standardized gait tests such as the 4x10 m walk may give more insights about the clinically relevant motor impairment in PD patients.

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Section: Discussionsupporting

confidence: 71%

Development and clinical validation of inertial sensor-based gait-clustering methods in Parkinson’s disease

Nguyen

Roth

Ghassemi

et al. 2019

J NeuroEngineering Rehabil

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“…It is a ratio measure, sensitive to change. In fact it was the only outcome measure to show improvement, confirming a recent study that found gait speed was more sensitive 25 to change than was a categorical measure.…”

Section: Outcome Measuressupporting

confidence: 77%

Physiotherapy intervention late after stroke and mobility.

Wade

Collen

Robb

et al. 1992

BMJ

266

169

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We acknowledge the help of all the immunisation workers of the child health programme of the ICDDR,B, and the WHO expanded programme on immunisation, and the patients who gave us their time and cooperation. We also acknowledge the expanded programme on immunisation for the necessary logistics for immunisation. We are grateful to Mr M A Hasnat for his assistance with data analysis, Mr A R Patwary for invaluable help, and Dr Mridul K Chowdhury for his comments. We also express our sincere thanks to Drs A K Mitra, R Bairagi, and K Stewart for reviewing the manuscript.

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“…The 2-minute walk test is a variant of the 6-minute walk test which has been demonstrated to be a valid indicator of mobility amongst older rehabilitation patients. 23 Fear of falling was measured using the Activities specific Balance Confidence (ABC) Scale. 24 This scale asks participants to rate their confidence that they could complete each of 16 activities without losing their balance or becoming unsteady.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of a video-based exercise programme to reduce falls and improve health-related quality of life among older adults discharged from hospital: a pilot randomized controlled trial

et al. 2009

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The two-minute walking test: a sensitive index of mobility in the rehabilitation of elderly patients

Cited by 25 publications

References 6 publications

Development and clinical validation of inertial sensor-based gait-clustering methods in Parkinson’s disease

Development and clinical validation of inertial sensor-based gait-clustering methods in Parkinson’s disease

Physiotherapy intervention late after stroke and mobility.

Effectiveness of a video-based exercise programme to reduce falls and improve health-related quality of life among older adults discharged from hospital: a pilot randomized controlled trial

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