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An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease


Holland, A E; Spruit, M A; Troosters, T; Puhan, Milo A; Pepin, V; Saey, D; McCormack, M C; Carlin, B W; Sciurba, F C; Pitta, F; Wanger, J; MacIntyre, N; Kaminsky, D A; Culver, B H; Revill, S M; Hernandes, N A; Andrianopoulos, V; Camillo, C A; Mitchell, K E; Lee, A L; Hill, C J; Singh, S J (2014). An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease. European Respiratory Journal, 44(6):1428-1446.

Abstract

Field walking tests are commonly employed to evaluate exercise capacity, assess prognosis and evaluate treatment response in chronic respiratory diseases. In recent years, there has been a wealth of new literature pertinent to the conduct of the 6-min walk test (6MWT), and a growing evidence base describing the incremental and endurance shuttle walk tests (ISWT and ESWT, respectively). The aim of this document is to describe the standard operating procedures for the 6MWT, ISWT and ESWT, which can be consistently employed by clinicians and researchers.
The Technical Standard was developed by a multidisciplinary and international group of clinicians and researchers with expertise in the application of field walking tests. The procedures are underpinned by a concurrent systematic review of literature relevant to measurement properties and test conduct in adults with chronic respiratory disease.
Current data confirm that the 6MWT, ISWT and ESWT are valid, reliable and responsive to change with some interventions. However, results are sensitive to small changes in methodology. It is important that two tests are conducted for the 6MWT and ISWT.
This Technical Standard for field walking tests reflects current evidence regarding procedures that should be used to achieve robust results.

Abstract

Field walking tests are commonly employed to evaluate exercise capacity, assess prognosis and evaluate treatment response in chronic respiratory diseases. In recent years, there has been a wealth of new literature pertinent to the conduct of the 6-min walk test (6MWT), and a growing evidence base describing the incremental and endurance shuttle walk tests (ISWT and ESWT, respectively). The aim of this document is to describe the standard operating procedures for the 6MWT, ISWT and ESWT, which can be consistently employed by clinicians and researchers.
The Technical Standard was developed by a multidisciplinary and international group of clinicians and researchers with expertise in the application of field walking tests. The procedures are underpinned by a concurrent systematic review of literature relevant to measurement properties and test conduct in adults with chronic respiratory disease.
Current data confirm that the 6MWT, ISWT and ESWT are valid, reliable and responsive to change with some interventions. However, results are sensitive to small changes in methodology. It is important that two tests are conducted for the 6MWT and ISWT.
This Technical Standard for field walking tests reflects current evidence regarding procedures that should be used to achieve robust results.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Epidemiology, Biostatistics and Prevention Institute (EBPI)
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2014
Deposited On:13 Feb 2015 12:20
Last Modified:23 Nov 2017 06:39
Publisher:European Respiratory Society
ISSN:0903-1936
Publisher DOI:https://doi.org/10.1183/09031936.00150314

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