Journal ArticleDOI
Minimal clinically important difference for change in 6-minute walk test distance of adults with pathology: a systematic review
TLDR
A change of 14.0 to 30.5 m in the minimal clinically important difference (MCID) for the 6MWT may be clinically important across multiple patient groups.Abstract:
Rationale, aims, and objectives
The 6-minute walk test (6MWT) is widely used as a test of functional exercise capacity. Several studies have reported the minimal clinically important difference (MCID) for the 6MWT; however, the findings of the studies have not been examined in the context of one another. In this review, we aimed to summarize available information on the MCID for the 6MWT performed by patients with pathology.
Methods
Relevant literature was identified by searches of 3 electronic databases (PubMed, Scopus, and Cumulative Index of Nursing and Allied Health), examination of article reference lists, and consultation with an expert. Inclusion necessitated that articles (1) be original, full length, and peer reviewed, (2) report an MCID for the 6MWT, and (3) focus on adults with medical issues. Articles were excluded if the MCID was determined by a procedure other than receiver operating characteristic curve analysis. Articles were abstracted for information on participants, interventions, 6MWT distance, and the determination of MCID. Quality was assessed using a hybrid 9-item (0- to 18-point) instrument.
Results
Six articles were selected based on the inclusion and exclusion criteria. The populations studied included people with chronic obstructive pulmonary disease, lung cancer, coronary artery disease, diffuse parenchymal lung disease, and non–cystic fibrosis bronchiectasis and adults with fear of falling. Mean baseline 6MWT distances ranged from 295 to 551 m. The MCIDs for which the area under the receiver operating characteristic curve was at least 0.70 ranged from 14.0 to 30.5 m.
Conclusions
Based on our findings, a change of 14.0 to 30.5 m may be clinically important across multiple patient groups.read more
Citations
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Journal ArticleDOI
Dementia And Physical Activity (DAPA) trial of moderate to high intensity exercise training for people with dementia: randomised controlled trial
Sarah E Lamb,Sarah E Lamb,Bart Sheehan,N Atherton,Vivien Nichols,Helen Collins,Dipesh Mistry,Sukhdeep Dosanjh,Anne Slowther,Iftekhar Khan,Stavros Petrou,Ranjit Lall +11 more
TL;DR: A moderate to high intensity aerobic and strength exercise training programme does not slow cognitive impairment in people with mild to moderate dementia.
Journal ArticleDOI
Impact of Exercise Rehabilitation on Exercise Capacity and Quality-of-Life in Heart Failure: Individual Participant Meta-Analysis.
Rod S Taylor,Sarah Walker,Neil A. Smart,Massimo F Piepoli,Fiona C Warren,Oriana Ciani,Oriana Ciani,David J. Whellan,Christopher M. O'Connor,Steven J. Keteyian,Andrew J.S. Coats,Constantinos H. Davos,Hasnain M Dalal,Hasnain M Dalal,Kathleen Dracup,Lorraine S. Evangelista,Kate Jolly,Jonathan Myers,Birgitta Blakstad Nilsson,Claudio Passino,Miles D. Witham,Gloria Y. Yeh +21 more
TL;DR: The results of an IPD meta-analysis of randomized trials confirm the benefit of ExCR on HRQoL and exercise capacity and support the Class I recommendation of current international clinical guidelines that ExCR should be offered to all HF patients.
Journal ArticleDOI
1-Minute Sit-to-Stand Test: SYSTEMATIC REVIEW OF PROCEDURES, PERFORMANCE, AND CLINIMETRIC PROPERTIES.
TL;DR: The literature provides considerable support for using the 1-MSTST to quantify exercise capacity, and broader use of this test may be indicated, particularly where space and time are limited.
Journal ArticleDOI
Effects of intradialytic cycling exercise on exercise capacity, quality of life, physical function and cardiovascular measures in adult haemodialysis patients: a systematic review and meta-analysis.
Hannah M L Young,Daniel S. March,Matthew P M Graham-Brown,Matthew P M Graham-Brown,Arwel W Jones,Ffion Curtis,Charlotte S. Grantham,Darren R. Churchward,Patrick J. Highton,Patrick J. Highton,Alice C. Smith,Sally J Singh,Christopher Bridle,James O. Burton,James O. Burton +14 more
TL;DR: There is insufficient evidence demonstrating whether cycling exercise during HD improves patient outcomes, and high-quality, adequately powered RCTs of IDC are required.
Journal ArticleDOI
The Effects of Functional Training, Bicycle Exercise, and Exergaming on Walking Capacity of Elderly Patients With Parkinson Disease: A Pilot Randomized Controlled Single-blinded Trial
Daniel Dominguez Ferraz,Karen Valadares Trippo,Gabriel Pereira Duarte,Mansueto Gomes Neto,Kionna Oliveira Bernardes Santos,Jamary Oliveira Filho +5 more
TL;DR: Eight weeks of exergaming can improve the walking capacity of elderly patients with Parkinson disease, and exergame training had similar outcomes compared with functional training and bicycle exercise.
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