Reproducibility of the six-minute walk test and Glittre ADL-test in patients hospitalized for acute and exacerbated chronic lung disease

Braz J Phys Ther. 2015 May-Jun;19(3):235-42. doi: 10.1590/bjpt-rbf.2014.0092. Epub 2015 May 29.

Abstract

Background: The 6-minute walk test (6MWT) and the Glittre ADL-test (GT) are used to assess functional capacity and exercise tolerance; however, the reproducibility of these tests needs further study in patients with acute lung diseases.

Objectives: The aim of this study was to investigate the reproducibility of the 6MWT and GT performed in patients hospitalized for acute and exacerbated chronic lung diseases.

Method: 48 h after hospitalization, 81 patients (50 males, age: 52 ± 18 years, FEV1: 58 ± 20% of the predicted value) performed two 6MWTs and two GTs in random order on different days.

Results: There was no difference between the first and second 6MWT (median 349 m [284-419] and 363 m [288-432], respectively) (ICC: 0.97; P < 0.0001). A difference between the first and second tests was found in GT (median 286 s [220-378] and 244 s [197-323] respectively; P < 0.001) (ICC: 0.91; P < 0.0001).

Conclusion: Although both the 6MWT and GT were reproducible, the best results occurred in the second test, demonstrating a learning effect. These results indicate that at least two tests are necessary to obtain reliable assessments.

MeSH terms

  • Activities of Daily Living*
  • Acute Disease
  • Adult
  • Aged
  • Chronic Disease
  • Disease Progression
  • Female
  • Hospitalization
  • Humans
  • Lung Diseases / physiopathology*
  • Lung Diseases / therapy
  • Male
  • Middle Aged
  • Reproducibility of Results
  • Walk Test*