PMID- 35109744 OWN - NLM STAT- MEDLINE DCOM- 20230522 LR - 20230522 IS - 1532-5040 (Electronic) IS - 0959-3985 (Linking) VI - 39 IP - 5 DP - 2023 May TI - Inter-rater reliability and agreement of 6 Minute Walk Test and 10 Meter Walk Test at comfortable walk speed in patients with acute stroke. PG - 1024-1032 LID - 10.1080/09593985.2022.2030830 [doi] AB - PURPOSE: Remediation of gait problems is a key feature of neurological physiotherapy We aimed to investigate the inter-rater reliability and agreement of the Six Minute Walk Test (6MWT) and Ten Meter Walk Test (10MWT), at comfortable walking speed, in hospitalized acute ischemic stroke patients. METHOD: Forty acute first-time patients with brain stem or hemispheric ischemic stroke aged 67.4 +/- 12.5 (SD), able to walk with or without an assistive device, were tested by one of three physiotherapists. Test-retest reliability was evaluated using a one-way random effects single measures model (1,1) absolute agreement-type Interclass Correlation Coefficient (ICC). Agreement was evaluated using the Standard Error of Measurement (SEM) and Smallest Detectable Change (SDC). RESULTS: Both tests demonstrated good reliability; ICC(1,1) 0.83 (CI 95% 0.70-0.90) (6MWT) and 0.76 (CI 95% 0.59-0.87) (10MWT). The 6MWT-SEM was 27.2 m (m) and the SDC was 75.4 m. The 10MWT-SEM was 0.36 meters per second (m/s) and the SDC was 1.0 m/s. CONCLUSION: Both tests demonstrated good inter-rater reliability, confirming their discriminative ability on a group of hospitalized first-time acute ischemic stroke patients. However, the measurement error was large for both tests, which is likely due to spontaneous neurological recovery and stress in the acute phase severely affecting the individual-level agreement estimate. FAU - Busk, Henriette AU - Busk H AUID- ORCID: 0000-0002-0376-2962 AD - The Research Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Naestved-Slagelse-Ringsted Hospitals, Slagelse, Denmark. AD - Department of Neurology, Zealand University Hospital, Roskilde, Denmark. AD - Department of Neuroscience, University of Copenhagen, Copenhagen, Denmark. FAU - Holm, Paetur AU - Holm P AUID- ORCID: 0000-0001-5205-2644 AD - The Research Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Naestved-Slagelse-Ringsted Hospitals, Slagelse, Denmark. AD - Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark. FAU - Skou, Soren T AU - Skou ST AUID- ORCID: 0000-0003-4336-7059 AD - The Research Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Naestved-Slagelse-Ringsted Hospitals, Slagelse, Denmark. AD - Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark. FAU - Seitner, Simon AU - Seitner S AD - Department of Neurology, Zealand University Hospital, Roskilde, Denmark. FAU - Siemsen, Troels AU - Siemsen T AD - Department of Neurology, Zealand University Hospital, Roskilde, Denmark. FAU - Wienecke, Troels AU - Wienecke T AUID- ORCID: 0000-0002-5389-1105 AD - Department of Neurology, Zealand University Hospital, Roskilde, Denmark. AD - Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark. LA - eng PT - Journal Article DEP - 20220203 PL - England TA - Physiother Theory Pract JT - Physiotherapy theory and practice JID - 9015520 SB - IM MH - Humans MH - Walk Test MH - *Ischemic Stroke MH - Reproducibility of Results MH - Walking MH - *Stroke/diagnosis OTO - NOTNLM OT - Six Minute Walk Test OT - Ten Meter Walk Test OT - acute stroke OT - agreement OT - reliability EDAT- 2022/02/04 06:00 MHDA- 2023/05/22 06:42 CRDT- 2022/02/03 05:27 PHST- 2023/05/22 06:42 [medline] PHST- 2022/02/04 06:00 [pubmed] PHST- 2022/02/03 05:27 [entrez] AID - 10.1080/09593985.2022.2030830 [doi] PST - ppublish SO - Physiother Theory Pract. 2023 May;39(5):1024-1032. doi: 10.1080/09593985.2022.2030830. Epub 2022 Feb 3.