PMID- 36361150
OWN - NLM
STAT- MEDLINE
DCOM- 20221114
LR  - 20230118
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 19
IP  - 21
DP  - 2022 Nov 1
TI  - Clinically Meaningful Change in 6 Minute Walking Test and the Incremental Shuttle 
      Walking Test following Coronary Artery Bypass Graft Surgery.
LID - 10.3390/ijerph192114270 [doi]
LID - 14270
AB  - The 6-min walk test (6MWT) and incremental shuttle walk test (ISWT) are widely 
      used measures of exercise tolerance, which depict favorable performance 
      characteristics in a variety of cardiac and pulmonary conditions. Both tests are 
      valid and reliable method of assessing functional ability in cardiac 
      rehabilitation population. Several studies have calculated the minimal clinically 
      important difference (MCID) of these exercise tests in different populations. The 
      current study aims to estimate MCID of 6MWT and ISWT in patients after Coronary 
      artery bypass graft (CABG) surgery. In this descriptive observational study, 
      nonprobability purposive sampling technique was used to assess 89 post CABG 
      patients. The participants performed the 6MWT and ISWT along with vital 
      monitoring on third, fifth and seventh post operative days. The data was with 
      calculation of 6MWT and ISWT MCID through distribution and anchor-based methods. 
      Results showed significant improvement (p < 0.001) in 6MWT as well as in ISWT 
      after seven days of in-patient cardiac rehabilitation. The minimal detectable 
      difference of 6MWT determined by the distribution-based method was 36.11 whereas 
      MCID calculated by Anchor based method was 195 m. The minimal detectable 
      difference of ISWT determined by the distribution-based method was 9.94 whereas 
      MCID calculated by Anchor based method was 42.5 m. In conclusion our results will 
      assist the future researchers and clinicians to interpret clinical trials as well 
      as to observe the clinical course of post operative cardiac patients.
FAU - Sheraz, Suman
AU  - Sheraz S
AD  - Faculty of Rehabilitation and Allied Health Sciences, Riphah International 
      University, Islamabad 46000, Pakistan.
FAU - Ayub, Humera
AU  - Ayub H
AD  - Faculty of Rehabilitation and Allied Health Sciences, Riphah International 
      University, Islamabad 46000, Pakistan.
FAU - Ferraro, Francesco V
AU  - Ferraro FV
AUID- ORCID: 0000-0002-4902-7760
AD  - School of Human Sciences, College of Science and Engineering, University of 
      Derby, Derby DE22 3AW, UK.
FAU - Razzaq, Aisha
AU  - Razzaq A
AD  - Faculty of Rehabilitation and Allied Health Sciences, Riphah International 
      University, Islamabad 46000, Pakistan.
FAU - Malik, Arshad Nawaz
AU  - Malik AN
AD  - Faculty of Rehabilitation and Allied Health Sciences, Riphah International 
      University, Islamabad 46000, Pakistan.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20221101
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - Humans
MH  - Walk Test/methods
MH  - *Exercise Tolerance
MH  - *Exercise Test/methods
MH  - Coronary Artery Bypass
MH  - Walking
PMC - PMC9655553
OTO - NOTNLM
OT  - cardiac rehabilitation
OT  - exercise tolerance
OT  - functional mobility
OT  - innovation in rehabilitation
OT  - physical activity
COIS- The authors declare no conflict of interest.
EDAT- 2022/11/12 06:00
MHDA- 2022/11/15 06:00
PMCR- 2022/11/01
CRDT- 2022/11/11 01:21
PHST- 2022/09/13 00:00 [received]
PHST- 2022/10/25 00:00 [revised]
PHST- 2022/10/27 00:00 [accepted]
PHST- 2022/11/11 01:21 [entrez]
PHST- 2022/11/12 06:00 [pubmed]
PHST- 2022/11/15 06:00 [medline]
PHST- 2022/11/01 00:00 [pmc-release]
AID - ijerph192114270 [pii]
AID - ijerph-19-14270 [pii]
AID - 10.3390/ijerph192114270 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2022 Nov 1;19(21):14270. doi: 
      10.3390/ijerph192114270.