zanesljivost in občutljivost za ugotavljanje sprememb
Metka Močilar (Author), Tea Zaverla (Author), Lucija Medved (Author), Urša Zupančič (Author), Urška Puh (Author)

Abstract

Uvod: Za merjenje prehojene razdalje je v klinični uporabi najbolj razširjen 6-minutni test hoje (angl. 6-minute walk test – 6MWT), ki odraža submaksimalno aerobno vzdržljivost. Uporablja se pri pacientih s srčnimi in pljučnimi obolenji, nevrološkimi okvarami, okvaro mišično-kostnega sistema ali mišično distrofijo. Namen je bil povzeti izsledke o zanesljivosti in ugotavljanju sprememb 6MWT pri odraslih pacientih. Metode: Pregled literature je potekal v PubMed, CINAHL in Cochrane Library. Zajel je raziskave o merskih lastnostih, ki so ustrezale merilom za vključitev. Rezultati: V pregled literature je bilo vključenih 29 raziskav. Za 6MWT je bila ugotovljena visoka do odlična zanesljivost posameznega preiskovalca in odlična zanesljivost med preiskovalci. Najmanjša zaznavna sprememba je bila od 10,2 m (pri pacientih z artroplastiko kolka) do 147,5 m (pri pacientih z enostransko amputacijo spodnjega uda). Dolžina proge je vplivala na prehojeno razdaljo in najmanjšo zaznavno spremembo, ne pa na zanesljivost. Zaključek: 6MWT je zanesljivo merilno orodje za uporabo pri pacientih z različnimi okvarami. Prehojena razdalja in najmanjša zaznavna sprememba sta odvisni od vrste in faze patološkega stanja ter dolžine proge. Priporočamo izvedbo 6MWT na 30-metrski progi po standardnem postopku, s standardnimi navodili in spodbujanjem.

Keywords

6-minutni test hoje;zanesljivost;najmanjša zaznavna sprememba;občutljivost;

Data

Language: Slovenian
Year of publishing:
Typology: 1.02 - Review Article
Organization: UL ZF - University College of Health Studies
UDC: 615.8
COBISS: 114909699 Link will open in a new window
ISSN: 1318-2102
Views: 43
Downloads: 9
Average score: 0 (0 votes)
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Other data

Secondary language: English
Secondary title: 6-minute walk test
Secondary abstract: Background: The 6-minute walk test (6MWT) is the most commonly used clinical test to measure walking distance, reflecting submaximal aerobic capacity in patients with cardiopulmonary disease, neurological or musculoskeletal impairments, or muscular dystrophy. The purpose was to summarize the findings on the reliability and measuring change of the 6MWT in adult patients. Methods: A literature search was conducted in PubMed, CINAHL and Cochrane Library. It included studies on the measurement properties of the 6MWT that met the inclusion criteria. Results: 29 studies were included. Intra-rater reliability of the 6MWT was high to excellent and inter-rater reliability was excellent. Minimal detectable change ranged from 10.2 m (in patients with total hip arthroplasty) to 147.5 m (in patients with unilateral lower limb amputation). The length of the walking path affected the walking distance and the minimal detectable change, but not the reliability. Conclusions: The 6MWT is a reliable outcome measure for patients with various impairments. Walking distance and minimal detectable change depend on the type and stage of pathological condition, and the length of the walking path. A standard procedure for 6MWT on a 30-meters walking path, with standard instructions and encouragement, is recommended.
Secondary keywords: 6-minute walk test;reliability;minimal detectable change;sensibility;
Type (COBISS): Article
Pages: str. 30-40
Volume: ǂLetn. ǂ30
Issue: ǂšt. ǂ1
Chronology: jun. 2022
ID: 15882645