PMID- 28883090 OWN - NLM STAT- Publisher LR - 20240227 IS - 1468-3296 (Electronic) IS - 0040-6376 (Linking) DP - 2017 Sep 7 TI - Validity, responsiveness and minimum clinically important difference of the incremental shuttle walk in idiopathic pulmonary fibrosis: a prospective study. LID - thoraxjnl-2017-210589 [pii] LID - 10.1136/thoraxjnl-2017-210589 [doi] AB - The incremental shuttle walk (ISW) is well validated in COPD but limited psychometric data restrict its use in idiopathic pulmonary fibrosis (IPF). Study 1: 50 patients performed the ISW and 6 min walk test (6MWT). Study 2: 72 patients completed the ISW before and after pulmonary rehabilitation (PR). The ISW correlated strongly with 6MWT distance (r=0.81,p<0.0001). Mean (95% confidence interval) improvement in ISW with PR was 54 (38 to 70) m with an effect size of 0.29. Distribution-based and anchor-based minimum clinically important difference (MCID) estimates ranged from 31 to 46 m. The ISW is valid and responsive in IPF, with an anchor-based MCID estimate similar to that observed in chronic obstructive pulmonary disease. TRIAL REGISTRATION NUMBER: Pre-results; NCT02530736, NCT02436278. CI - (c) Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. FAU - Nolan, Claire M AU - Nolan CM AD - Harefield Pulmonary Rehabilitation and Muscle Research Laboratory, Harefield Hospital, Royal Brompton and Harefield NHS Foundation Trust, Harefield, UK. AD - National Heart and Lung Institute, Imperial College, London, UK. FAU - Delogu, Veronica AU - Delogu V AD - Harefield Pulmonary Rehabilitation and Muscle Research Laboratory, Harefield Hospital, Royal Brompton and Harefield NHS Foundation Trust, Harefield, UK. FAU - Maddocks, Matthew AU - Maddocks M AD - Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK. FAU - Patel, Suhani AU - Patel S AD - Harefield Pulmonary Rehabilitation and Muscle Research Laboratory, Harefield Hospital, Royal Brompton and Harefield NHS Foundation Trust, Harefield, UK. FAU - Barker, Ruth E AU - Barker RE AD - Harefield Pulmonary Rehabilitation and Muscle Research Laboratory, Harefield Hospital, Royal Brompton and Harefield NHS Foundation Trust, Harefield, UK. FAU - Jones, Sarah E AU - Jones SE AD - Harefield Pulmonary Rehabilitation and Muscle Research Laboratory, Harefield Hospital, Royal Brompton and Harefield NHS Foundation Trust, Harefield, UK. FAU - Kon, Samantha S C AU - Kon SSC AD - Harefield Pulmonary Rehabilitation and Muscle Research Laboratory, Harefield Hospital, Royal Brompton and Harefield NHS Foundation Trust, Harefield, UK. AD - Department of Respiratory Medicine, The Hillingdon Hospitals NHS Foundation Trust, London, UK. FAU - Maher, Toby M AU - Maher TM AUID- ORCID: 0000-0001-7192-9149 AD - National Heart and Lung Institute, Imperial College, London, UK. AD - Department of Interstitial Lung Disease Unit, Royal Brompton and Harefield NHS Foundation Trust, London, UK. FAU - Cullinan, Paul AU - Cullinan P AD - National Heart and Lung Institute, Imperial College, London, UK. FAU - Man, William D-C AU - Man WD AD - Harefield Pulmonary Rehabilitation and Muscle Research Laboratory, Harefield Hospital, Royal Brompton and Harefield NHS Foundation Trust, Harefield, UK. AD - National Heart and Lung Institute, Imperial College, London, UK. LA - eng SI - ClinicalTrials.gov/NCT02530736 SI - ClinicalTrials.gov/NCT02436278 GR - CTF-01-12-04/DH_/Department of Health/United Kingdom GR - DHCS/07/07/009/DH_/Department of Health/United Kingdom GR - PB-PG-0213-30003/DH_/Department of Health/United Kingdom GR - DRF-2014-07-089/DH_/Department of Health/United Kingdom GR - CDF-2017-10-009/DH_/Department of Health/United Kingdom PT - Journal Article DEP - 20170907 PL - England TA - Thorax JT - Thorax JID - 0417353 OTO - NOTNLM OT - IPF OT - incremental shuttle walk test COIS- Competing interests: VD, SP and REB are funded by the NIHR Respiratory Biomedical Research Unit, Royal Brompton and Harefield NHS Foundation Trust and Imperial College. VD is funded by NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Northwest London. MM is supported by Cicely Saunders International and CLAHRC for South London. SSCK is funded by The Hillingdon Hospital and The Royal Brompton and Harefield NHS Foundation Trust. TMM is supported by an NIHR Clinician Scientist Fellowship (NIHR Ref: CS-2013-13-017). WDCM is partly funded by the NIHR CLAHRC for NW London. The views expressed in this publication are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. All other author have no competing interest to declare. EDAT- 2017/09/09 06:00 MHDA- 2017/09/09 06:00 CRDT- 2017/09/09 06:00 PHST- 2017/05/30 00:00 [received] PHST- 2017/08/11 00:00 [revised] PHST- 2017/08/29 00:00 [accepted] PHST- 2017/09/09 06:00 [entrez] PHST- 2017/09/09 06:00 [pubmed] PHST- 2017/09/09 06:00 [medline] AID - thoraxjnl-2017-210589 [pii] AID - 10.1136/thoraxjnl-2017-210589 [doi] PST - aheadofprint SO - Thorax. 2017 Sep 7:thoraxjnl-2017-210589. doi: 10.1136/thoraxjnl-2017-210589.