PMID- 30954276
OWN - NLM
STAT- MEDLINE
DCOM- 20191106
LR  - 20191106
IS  - 1873-1465 (Electronic)
IS  - 0031-9406 (Linking)
VI  - 105
IP  - 2
DP  - 2019 Jun
TI  - The validity and reliability of the Incremental Shuttle Walk Test and Six-minute 
      Walk Test compared to an Incremental Cycle Test for people who have had a 
      mild-to-moderate stroke.
PG  - 275-282
LID - S0031-9406(18)30653-9 [pii]
LID - 10.1016/j.physio.2018.12.005 [doi]
AB  - OBJECTIVE: To determine the construct validity and test re-test reliability of 
      the Six-minute Walk Test (6MWT) and Incremental Shuttle Walk Test (ISWT) in the 
      sub-acute recovery phase following mild-to-moderate severity stroke. 
      PARTICIPANTS: 40 stroke patients (mean age: 68.27 years, SD: 13.48) of median 
      National Institutes of Health Stroke Scale (NIHSS) score 1.2 (range: 0 to 8) 
      within six months of stroke. METHOD: Each participant completed one Incremental 
      Cycle Test (ICT) followed by two ISWT and two 6MWT in a randomised order. 
      Pearson's Correlation Coefficients were used to determine the validity and Bland 
      Altman plots were used to determine the test re-test reliability. RESULTS: The 
      Incremental Cycle Test (ICT) was positively correlated with the ISWT (r=0.59, 95% 
      confidence intervals 0.35 to 0.76, P=0.001) and the 6MWT (0.55, 0.35 to 0.71, 
      P<0.001). The correlation of the ICT with the ISWT and 6MWT was higher for the 17 
      patients with no residual (ISWT: r=0.79, P<0.001; 6MWT: 0.826, P<0.001) compared 
      to mild-to-moderate neurological impairment (ISWT: r=0.45, P=0.03; 6MWT: r=0.38, 
      P=0.08). Test-retest reliability for both the ISWT and the 6MWT showed that there 
      was some variability between the first and second tests with a better performance 
      on the second test. CONCLUSION: The ISWT and 6MWT have a significant, modest 
      correlation with the ICT for stroke patients in the sub-acute recovery phase. The 
      ISWT and 6MWT are not strongly correlated with ICT (VO(2) peak) in a stroke 
      population that is disabled. The test-retest reliability of the ISWT and 6MWT 
      indicated that two tests may be needed to accurately assess an individual's 
      capabilities.
CI  - Copyright (c) 2018 Chartered Society of Physiotherapy. Published by Elsevier Ltd. 
      All rights reserved.
FAU - Clague-Baker, Nicola
AU  - Clague-Baker N
AD  - Physiotherapy Department, College of Life Sciences, Maurice Shock Building, 
      University of Leicester, University Road, Leicester LE1 7RH, United Kingdom. 
      Electronic address: njc36@le.ac.uk.
FAU - Robinson, Thompson
AU  - Robinson T
AD  - Department of Cardiovascular Sciences, College of Life Sciences, University of 
      Leicester, LE1 7RH, United Kingdom. Electronic address: tr2@le.ac.uk.
FAU - Hagenberg, Annegret
AU  - Hagenberg A
AD  - Centre for Exercise and Rehabilitation Science, NIHR Leicester Biomedical 
      Research Centre - Respiratory, Glenfield Hospital, Leicester LE3 9QP, United 
      Kingdom. Electronic address: Annegret@Hagenberg.co.uk.
FAU - Drewry, Sophie
AU  - Drewry S
AD  - Centre for Exercise and Rehabilitation Science, NIHR Leicester Biomedical 
      Research Centre - Respiratory, Glenfield Hospital, Leicester LE3 9QP, United 
      Kingdom. Electronic address: Sophie.drew@aol.com.
FAU - Gillies, Clare
AU  - Gillies C
AD  - Leicester Diabetes Centre, Gwendolen Road, LE5 4PW. Electronic address: 
      clg13@le.ac.uk.
FAU - Singh, Sally
AU  - Singh S
AD  - Centre for Exercise and Rehabilitation Science, NIHR Leicester Biomedical 
      Research Centre - Respiratory, Glenfield Hospital, Leicester LE3 9QP, United 
      Kingdom. Electronic address: Sally.singh@uhl-tr.nhs.uk.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20181221
PL  - England
TA  - Physiotherapy
JT  - Physiotherapy
JID - 0401223
SB  - IM
MH  - Aged
MH  - Female
MH  - Humans
MH  - Male
MH  - Oxygen Consumption/physiology
MH  - Reproducibility of Results
MH  - Severity of Illness Index
MH  - Stroke/*physiopathology
MH  - Walk Test/*methods
OTO - NOTNLM
OT  - Exercise test
OT  - Psychometrics
OT  - Rehabilitation
OT  - Stroke
EDAT- 2019/04/08 06:00
MHDA- 2019/11/07 06:00
CRDT- 2019/04/08 06:00
PHST- 2018/01/25 00:00 [received]
PHST- 2018/12/17 00:00 [accepted]
PHST- 2019/04/08 06:00 [pubmed]
PHST- 2019/11/07 06:00 [medline]
PHST- 2019/04/08 06:00 [entrez]
AID - S0031-9406(18)30653-9 [pii]
AID - 10.1016/j.physio.2018.12.005 [doi]
PST - ppublish
SO  - Physiotherapy. 2019 Jun;105(2):275-282. doi: 10.1016/j.physio.2018.12.005. Epub 
      2018 Dec 21.