PMID- 37395670
OWN - NLM
STAT- Publisher
LR  - 20230703
IS  - 1532-5040 (Electronic)
IS  - 0959-3985 (Linking)
DP  - 2023 Jul 3
TI  - Minimal clinically important difference in 6-minute walk distance estimated by 
      multiple methods in inpatients with subacute cardiovascular disease.
PG  - 1-9
LID - 10.1080/09593985.2023.2232014 [doi]
AB  - BACKGROUND: Identifying the minimal clinically important difference (MCID) 
      contributes to the ability to determine the efficacy of physiotherapy 
      interventions and make good clinical decisions. PURPOSE: The purpose of this 
      study was to estimate the MCID for 6-minute walking distance (6MWD) among 
      inpatients with subacute cardiac disease using multiple anchor-based methods. 
      METHODS: This study was a secondary data analysis using only data from a 
      multicenter longitudinal observational study in which 6MWD was measured at two 
      time points. Based on the changes in 6MWD between baseline measurement and 
      follow-up approximately 1 week after baseline measurement, the global rating of 
      change scales (GRCs) of patients and physiotherapists, anchor method receiver 
      operator operating characteristic curves, predictive models, and adjusted models 
      were used to calculate the MCID. RESULTS: Participants comprised 35 patients. 
      Mean (standard deviation) 6MWD was 228.9 m (121.1 m) at baseline and 270.1 m 
      (125.0 m) at follow-up. MCID for each GRC was 27.5-35.6 m for patients and 
      32.5-38.6 m for physiotherapists. CONCLUSION: The MCID in 6MWD in patients with 
      subacute cardiovascular disease is 27.5-38.6 m. This value may be useful in 
      determining the effectiveness of physiotherapy interventions and for 
      decision-making.
FAU - Igarashi, Tatsuya
AU  - Igarashi T
AD  - Physical Therapy Division, Department of Rehabilitation, Numata Neurosurgery and 
      Cardiovascular Hospital, Numata-Shi, Japan.
FAU - Miyata, Kazuhiro
AU  - Miyata K
AD  - Department of Physical Therapy, Ibaraki Prefectural University of Health Science, 
      Ami-Machi, Japan.
FAU - Tamura, Shuntaro
AU  - Tamura S
AD  - Department of Rehabilitation, Fujioka General Hospital, Fujioka-Shi, Gunma, 
      Japan.
FAU - Otani, Tomohiro
AU  - Otani T
AD  - Department of Physical Therapy, Ota College of Medical Technology, Ota-Shi, 
      Gunma, Japan.
FAU - Iizuka, Takamitsu
AU  - Iizuka T
AD  - Home-Visit Nursing Station COCO-LO Maebashi, Maebashi-Shi, Japan.
FAU - Usuda, Shigeru
AU  - Usuda S
AD  - Department of Rehabilitation Sciences, Gunma University Graduate School of Health 
      Sciences, Showa-Machi, Japan.
LA  - eng
PT  - Journal Article
DEP - 20230703
PL  - England
TA  - Physiother Theory Pract
JT  - Physiotherapy theory and practice
JID - 9015520
SB  - IM
OTO - NOTNLM
OT  - Cardiac rehabilitation
OT  - aerobic exercise
OT  - measurement properties
OT  - walking endurance
EDAT- 2023/07/03 13:05
MHDA- 2023/07/03 13:05
CRDT- 2023/07/03 10:12
PHST- 2023/07/03 13:05 [medline]
PHST- 2023/07/03 13:05 [pubmed]
PHST- 2023/07/03 10:12 [entrez]
AID - 10.1080/09593985.2023.2232014 [doi]
PST - aheadofprint
SO  - Physiother Theory Pract. 2023 Jul 3:1-9. doi: 10.1080/09593985.2023.2232014.