PMID- 24384555 OWN - NLM STAT- MEDLINE DCOM- 20141104 LR - 20181202 IS - 1931-3543 (Electronic) IS - 0012-3692 (Linking) VI - 145 IP - 6 DP - 2014 Jun TI - Measurement properties of the incremental shuttle walk test. a systematic review. PG - 1357-1369 LID - S0012-3692(15)34809-1 [pii] LID - 10.1378/chest.13-2071 [doi] AB - Background: The incremental shuttle walk test (ISWT) was developed > 20 years ago and has been used to assess peak exercise capacity in a variety of chronic diseases. The aim of this systematic review is to describe the measurement properties of the ISWT in a clinical population.Methods: Of 800 articles identified by electronic and hand searches, 35 were included. Twenty-one articles included data on the validity of the ISWT, 18 on the reliability, four on the responsiveness,and four on the interpretability.Results: Most of the studies were conducted in patients with COPD (n = 13) or cardiac disease(n = 8). For criterion validity, comparisons between distance covered during the ISWT and peak oxygen consumption reported correlations ranging from 0.67 to 0.95 ( P <.01). Intraclass correlation coefficients for test-retest reliability ranged from 0.76 to 0.99. The ISWT was shown to be responsive to pulmonary rehabilitation and bronchodilator administration. The minimal clinically important difference (MCID) in patients with COPD was 48 m. Predictive equations for the distance in the ISWT are available for healthy individuals.Conclusions: The ISWT can be considered a valid and reliable test to assess maximal exercise capacity in individuals with chronic respiratory diseases. The ISWT has been shown to be responsive to pulmonary rehabilitation and bronchodilator use in individuals with COPD, cystic fibrosis,and asthma. Further studies examining responsiveness and the MCID of the ISWT in patients with conditions other than lung diseases are required for the interpretation of interventions in other populations. FAU - Parreira, Veronica F AU - Parreira VF AD - Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil; CAPES Brazil, West Park Healthcare Centre (Respiratory Medicine), Department of Physical Therapy, University of Toronto, Toronto, ON, Canada; Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada; Sunnybrook Health Sciences Centre, St. John's Rehabilitation Program, Sunnybrook Research Institute, Toronto, ON, Canada. FAU - Janaudis-Ferreira, Tania AU - Janaudis-Ferreira T AD - Sunnybrook Health Sciences Centre, St. John's Rehabilitation Program, Sunnybrook Research Institute, Toronto, ON, Canada; Department of Physical Therapy, University of Toronto, Toronto, ON, Canada; Department of Infection, Immunity and Inflammation, School of Medicine, University of Leicester, Leicester, England. FAU - Evans, Rachel A AU - Evans RA AD - Department of Medicine, University of Toronto, Toronto, ON, Canada. FAU - Mathur, Sunita AU - Mathur S AD - Sunnybrook Health Sciences Centre, St. John's Rehabilitation Program, Sunnybrook Research Institute, Toronto, ON, Canada; Department of Infection, Immunity and Inflammation, School of Medicine, University of Leicester, Leicester, England. FAU - Goldstein, Roger S AU - Goldstein RS AD - Sunnybrook Health Sciences Centre, St. John's Rehabilitation Program, Sunnybrook Research Institute, Toronto, ON, Canada; Department of Infection, Immunity and Inflammation, School of Medicine, University of Leicester, Leicester, England; Department of Medicine, University of Toronto, Toronto, ON, Canada. FAU - Brooks, Dina AU - Brooks D AD - Sunnybrook Health Sciences Centre, St. John's Rehabilitation Program, Sunnybrook Research Institute, Toronto, ON, Canada; Department of Infection, Immunity and Inflammation, School of Medicine, University of Leicester, Leicester, England. Electronic address: dina.brooks@utoronto.ca. LA - eng PT - Journal Article PT - Review PT - Systematic Review PL - United States TA - Chest JT - Chest JID - 0231335 SB - IM MH - Chronic Disease MH - *Exercise Test MH - Exercise Tolerance MH - Humans MH - Lung Diseases/*diagnosis/physiopathology MH - Reproducibility of Results EDAT- 2014/01/05 06:00 MHDA- 2014/11/05 06:00 CRDT- 2014/01/04 06:00 PHST- 2014/01/04 06:00 [entrez] PHST- 2014/01/05 06:00 [pubmed] PHST- 2014/11/05 06:00 [medline] AID - S0012-3692(15)34809-1 [pii] AID - 10.1378/chest.13-2071 [doi] PST - ppublish SO - Chest. 2014 Jun;145(6):1357-1369. doi: 10.1378/chest.13-2071.